Government Programs Coordinator
About The Position
The Government Programs Coordinator partners with Health Plan Operations to support Government Programs by coordinating operational activities, regulatory requirements, and cross-functional initiatives. The role works with internal business areas, external partners, and regulatory agencies to support efficient program operations, including medical record retrieval, audit support, regulatory reporting, and operational process coordination. It maintains operational workflows, facilitates reporting and documentation, and builds collaborative partnerships to support compliance, product performance, and operational success.
Requirements
- Bachelor’s degree in healthcare or a related field, or an equivalent combination of education and relevant work experience.
- At least two years of experience in a healthcare or highly regulated environment.
- At least two years of experience coordinating projects, operational processes, or cross-functional initiatives, including planning, execution, tracking, communications, and status reporting.
- Working knowledge of Medicare, Medicaid, and Commercial healthcare programs.
- Ability to collaborate effectively and communicate clearly through oral, written, and interpersonal channels.
- Proficiency with Microsoft Outlook, Teams, OneNote, Word, Excel, PowerPoint, Visio, and SharePoint.
- Strong organizational skills and ability to prioritize and manage multiple assignments simultaneously.
- Ability to adapt to changing priorities and work effectively in ambiguous situations.
- Ability to work independently and collaboratively, demonstrating follow-through, attention to detail, and problem-solving skills.
Nice To Haves
- Knowledge of risk adjustment documentation requirements and experience supporting medical record retrieval activities.
- Experience with invoice tracking and processing.
- Familiarity with and skill in navigating internal escalation paths to remove roadblocks.
- Experience working with healthcare vendor partners.
Responsibilities
- Coordinate day-to-day operational activities and projects, including regulatory reporting, audits, medical record retrieval, vendor activities, and other Government Programs initiatives.
- Identify and resolve operational issues related to assigned programs and projects.
- Execute and maintain processes for coordinating, tracking, and documenting regulatory, product, and operational activities.
- Develop and update policies, procedures, work instructions, and related documentation.
- Serve as a primary point of contact for assigned business areas and coordinate with internal departments and external partners.
- Review operational processes and documentation to identify opportunities for improvement and support implementation of enhancements.
- Provide timely updates to leadership on assigned projects, including barriers, issues, and concerns.
Benefits
- Comprehensive benefits supporting health, time off, retirement planning, and continuous learning opportunities.
- Work-life balance support.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
