At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting‑edge technology, compassionate service, and world‑class user experience design.
What You'll Do
Operational Implementation and Support:
Develop, document, and implement efficient UM operational workflows and procedures.
Provide ongoing operational support for the UM program, addressing inquiries and resolving issues in a timely manner.
Support the scaling of the UM program by assisting with the implementation of new processes, technologies, and workflows.
Collaborate with cross‑functional teams to execute a seamless integration of UM operations with other departments, including Compliance, Product, Engineering, and Clinical.
Coordinate with UM Program Manager to execute and ensure timely updates to PA lists & UM functions—training, SOPs, KB updates.
Monitor and act on applicable UM reporting.
Attend and participate in Clinical, Operations, and Client meetings.
Regulatory Compliance:
Ensure UM operations are in compliance with all applicable laws and regulations.
Assist in the development and implementation of policies and procedures to mitigate regulatory risk.
Process Improvement:
Continuously evaluate and identify opportunities to improve UM processes and workflows, including vendor‑related workflows.
Implement process changes to enhance efficiency, effectiveness, and quality of UM services.
Utilize data and analytics to support process improvement initiatives.
Documentation and Reporting:
Maintain accurate and up‑to‑date documentation of UM processes, procedures, and workflows.
Develop and generate reports on UM performance metrics and operational activities.
To Be Successful In This Role, You'll Need
A Bachelor's degree in healthcare administration, business administration, or a related field.
At least 5 years of experience in UM operations or a related healthcare operations role.
Strong understanding of UM principles, processes, and regulations.
Excellent analytical, problem‑solving, and organizational skills.
Strong written and verbal communication skills.
Ability to work independently and collaboratively in a fast‑paced environment.
Experience with healthcare information systems and UM software is a plus.
Pay Transparency Statement
This is a hybrid position based out of one of our offices: Plano, TX, or Lehi, UT. Hybrid employees are expected to be in the office three days per week (Plano, TX) or two days per week (Lehi, UT).
The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits such as health insurance, 401(k), and paid time off.
Mission‑driven culture that values innovation, collaboration, and a commitment to excellence in healthcare.
Impactful projects that shape the future of our organization.
Opportunities for professional development through internal mobility, mentorship, and courses tailored to your interests.
Flexible work arrangements and a supportive work‑life balance.
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting‑accommodations@collectivehealth.com.
Privacy Notice: For more information about why we need your data and how we use it, see our privacy policy: https://collectivehealth.com/privacy-policy/.