Modern Health-

Modern Health is a mental health benefits platform for employers. We are the first global mental health solution to offer employees access to one-on-one, group, and self-serve digital resources for their emotional, professional, social, financial, and physical well-being needs—all within a single platform. Whether someone wants to proactively manage stress or treat depression, Modern Health guides people to the right care at the right time. We empower companies to help all their employees be the best version of themselves, and believe in meeting people wherever they are in their mental health journey.

We are a female-founded company, backed by investors like Kleiner Perkins, Founders Fund, John Doerr, Y Combinator, and Battery Ventures. We partner with 330+ global companies like Lyft, Electronic Arts, Pixar, Clif Bar, Okta, and Udemy that are taking a proactive approach to mental health care for their employees. Modern Health has raised more than $170 million in less than two years with a valuation of $1.17 billion, making Modern Health the fastest entirely female-founded company in the U.S. to reach unicorn status. 

We tripled our headcount in 2021 and as a hyper-growth company with a fully remote workforce, we prioritize our people-first culture (winning awards including Fortune's Best Workplaces in the Bay Area 2021). To protect our culture and help our team stay connected, we require overlapping hours for everyone. While many roles may function from anywhere in the world—see individual job listing for more—team members who live outside the Pacific time zone must be comfortable working early in the morning or late at night; all full-time employees must work at least six hours between 8 am and 5 pm Pacific time each workday. 

We are looking for driven, creative, and passionate individuals to join in our mission. An inclusive and diverse culture are key components of mental well-being in the workplace, and that starts with how we build our own team. If you're excited about a role, we'd love to hear from you!

The Role- 

Modern Health is looking to add a Health Plan Integration Specialist to our team. In this role, you will help us build foundational systems and processes to support all aspects of health plan integration: eligibility checks, claims submissions, claims tracking, member payments, and other areas. 

This role reports into our Provider Management, Claims Operations Manager. 

This position is not eligible to be performed in Hawaii.

What You’ll Do-

  • Set up new systems to support claims processing and related areas
  • Track claims and denials through the entire lifecycle
  • Identify gaps in claims and reach out to providers for missing information
  • Help members troubleshoot issues involving claims or eligibility
  • Create documentation and training materials for the broader Ops team
  • Provide reporting and other visibility into this function
  • Complete other special projects as needed

Who You Are-

  • You have 2-4 years of relevant work experience (claims experience is a plus)
  • You are highly detail-oriented and organized
  • You are a structured thinker and love checking things off your to-do list
  • You have excellent verbal and written communication skills
  • You are a problem solver and are able to analyze, troubleshoot and resolve issues
  • You enjoy working with different kinds of people and are great at building relationships
  • You are a team player who enjoys identifying group pain points and improving them
  • You are humble, scrappy, and thrive in fast-paced environments

Benefits-

Fundamentals:

  • Medical / Dental / Vision / Disability / Life Insurance (Modern Health offers 100% coverage for employees and 75% of dependent insurance premiums)
  • High deductible health plan option with health savings account
  • Modern Health product or equivalent cost of external care
  • Flexible PTO
  • Company-wide mental health days
  • Unlimited career growth opportunity

Family Support:

  • Childcare 
  • Parental leave policy 
  • Family Forming Benefit through Carrot

Professional Development:

  • Professional Development Stipend

Financial Wellness:

  • 401k
  • Financial planning through Origin

But wait there’s more…! 

  • Cell Phone Reimbursement 
  • Mental Wellness Benefit
  • Annual Wellness Stipend to use on items that promote your overall well being
  • Natural Disaster Relief Stipend 
  • Mod Squad Community:  Virtual events like active ERGs, holiday themed activities, team-building events and more!

Apply for this Job

* Required

  
  


Demographic questions

At Modern Health, we are on a mission to provide people the mental health support they need to unlock their potential and find fulfillment. To achieve this mission, we need to foster an inclusive environment where diverse perspectives thrive and people are free to come as they are, free from judgement.

We encourage you to fill this out as your voluntary responses will be used (in aggregate only) to help us identify areas of improvement in our process. Your responses will not be associated with your specific application and will not in any way be used in the hiring decision.

Gender





Are you transgender? (Please select one) (Select one)



What sexual orientation(s) do you most closely identify with?









I identify my ethnicity as (mark all that apply):











Do you live with a disability (as outlined by the ADA)? (Please select one) (Select one)




Are you a veteran/have you served in the military? (Please select one) (Select one)








What are your pronoun(s)?