Vitable Health logo
Vitable Health

Affordable, delightful primary & urgent care health plans for hourly workers.

Health Plan Operations Lead

OperationsOperationsFull TimeRemoteSeniorTeam 11-50H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

22 days ago

Salary

Not specified

Seniority

Senior

Bachelor Degree5 yrs expEnglish

Job Description

• Lead end-to-end health plan operations for self-funded and level-funded plans • Serve as the primary operational contact for TPAs, PBMs, stop-loss providers, and vendors • Oversee plan setup, implementation, renewals, and administration • Ensure accurate eligibility, claims operations, billing, and reconciliation • Monitor vendor performance and resolve issues proactively • Collaborate with internal teams across product, finance, and client success • Ensure regulatory compliance • Identify operational efficiencies and improvements • Support reporting, audits, and data reviews

Job Requirements

  • 5+ years experience in health plan operations
  • Experience working at a TPA or closely with TPAs, PBMs, and stop-loss carriers
  • Strong understanding of self-funded and level-funded plans
  • Experience managing multiple vendor relationships
  • Knowledge of claims processing and benefits administration
  • Strong organizational and communication skills

Benefits

  • 100% Silver Plan + Full Medical Coverage
  • Dental and Vision Coverage
  • 401(k) and Life Insurance
  • Access to Vitable’s Primary Care membership
  • Unlimited PTO
  • Remote-first culture with a supportive team
  • MacBook and any other gear you need
  • Home office setup stipend
  • Competitive equity package

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