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Vitable is an equal opportunity employer. We celebrate diverse backgrounds, perspectives, and experiences—and we’re committed to building a team that reflects the people we serve.
Health Plan Operations Lead
Location
Worldwide
Posted
111 days ago
Salary
0
Seniority
Lead
No structured requirement data.
Job Description
Health Plan Operations Lead
Vitable
Role Description The Health Plan Operations Lead will own and lead the day-to-day operations of Vitable Health’s self-funded and level-funded health plans. This role is critical to ensuring seamless coordination across our external partners—including TPAs, PBMs, stop-loss carriers, and other insurance vendors—while maintaining an excellent experience for employer clients and members. - 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 Qualifications - 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 Requirements - Experience supporting small to mid-sized employer plans - Familiarity with modern health benefits models - Startup or high-growth healthcare experience 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 Company Description Vitable is an equal opportunity employer. We celebrate diverse backgrounds, perspectives, and experiences—and we’re committed to building a team that reflects the people we serve.
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