Care Operations Coordinator (Part-Time)

Malama Health

6h

About The Position

Malama leverages technology and people to deliver exceptional care, building novel biometric tracking and patient engagement tools for Care Managers to provide high-touch care navigation and coordination for pregnant and postpartum mothers, aiming to improve health outcomes for mom and baby. The company has raised $9.2M in funding and is on target for profitability early this year, with a mission to improve pregnancy-related outcomes, especially for historically underserved groups. This part-time Care Operations Coordinator role supports Malama’s referral and health plan operations, focusing on submitting and tracking referrals to health plans and supporting recurring operational reporting. The ideal candidate is detail-oriented, committed to accuracy, and aims to reduce friction for frontline care teams and members.

Requirements

• 2–4 years of experience in healthcare operations, referral coordination, or payer workflows
• Experience submitting referrals using payer portals, fax, or secure email
• Strong attention to detail and organizational skills
• Experience using support ticketing systems and maintaining manual tracking logs or workflow tools
• Ability to manage multiple referrals at once
• Strong written communication skills
• Experience working with Protected Health Information (PHI) in compliance with HIPAA requirements

Nice To Haves

• Prior experience working with Medi-Cal managed care plans or health plan portals
• Comfort collaborating across operations and clinical teams in a fast-moving environment

Responsibilities

• Submit referrals to health plans using portals, fax, secure upload, or email
• Track referral status from submission through completion
• Maintain organized records of submission confirmations, approvals, rejections, and pending items
• Identify and correct submission errors
• Flag delays or unresolved referrals to operations leadership
• Follow up with payers as needed to resolve pending items and close loops with the care team
• Maintain current knowledge of referral submission requirements
• Document and communicate payer requirement changes
• Maintain reference materials for payer workflows
• Support onboarding of new payer workflows
• Prepare and submit monthly capacity reports and other required payer reports
• Maintain tracking tools used for reporting
• Ensure all reporting deadlines are met

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level
• Education Level: No Education Listed