Operations Associate, Insurance & Clinical Operations
About The Position
Mochi Health is a direct-to-patient telehealth company specializing in obesity medicine and expanding into primary care. The company serves more than 200,000 active patients, works with over 500 providers across 50 states, and uses a proprietary AI-enabled EMR. Its Insurance & Payer Operations function is building the clinical, operational, and technical infrastructure needed to accept insurance and support primary care expansion. The Operations Associate is an independently driven, detail-oriented role supporting core clinical workflows and the buildout of Mochi Health’s insurance program. The position combines clinical operations with insurance and payer operations, and works closely with Clinical, Product, Care, and Data teams, as well as the Insurance & Payer lead. The role offers exposure to payer contracting, credentialing, compliant billing, and the development of an early-stage program.
Requirements
- 0 to 3 years of experience in healthcare operations, revenue cycle, payer operations, clinical operations, or a related analytical role.
- Bachelor's degree in a STEM or related field.
- Comfortable working full-time in-office at the downtown San Francisco office.
- Analytical and detail-oriented, with a proactive approach to problem solving and comfort using data to inform decisions.
- Exceptional written and verbal communication skills, with sound judgment about how, when, and what to communicate.
- Experience working across teams and building relationships with internal and external stakeholders.
- Comfort operating in ambiguity and building structure in an early-stage program.
- A team-first mindset, including humility, collaboration, and partnership.
Nice To Haves
- Health-tech or telehealth exposure.
- Exposure to E&M or telehealth billing.
- Familiarity with credentialing, payer contracting, or revenue cycle concepts.
Responsibilities
- Optimize clinical workflows by identifying inefficiencies, implementing solutions, and improving care coordination.
- Analyze performance data using AI and other tools to track provider KPIs and support data-informed decisions.
- Act as a liaison for providers, gather feedback, streamline workflows, and keep provider content and training resources current.
- Coordinate day-to-day insurance program operations across the credentialing team, billing operations, and external partners.
- Help manage provider credentialing and insurance-panel enrollment, tracking timely enrollment and re-credentialing across the payer network.
- Assist with payer contracting by organizing contract and rate information, preparing inputs for rate discussions, and tracking expansion into new payer networks.
- Support agents reviewing billing and coding by monitoring their output, surfacing documentation gaps and denial patterns, and escalating issues that pose compliance or revenue risks.
- Monitor claims and vendor performance against collection, denial, and claims lifecycle targets.
- Help maintain program alignment with CMS billing rules, state telehealth parity requirements, and payer documentation requirements, and maintain related SOPs.
- Partner with Engineering and Product to translate insurance-program needs into EMR requirements and help define reporting on key program KPIs.
Benefits
- Medical, dental, and vision insurance.
- 401(k) with company matching.
- Fully covered life insurance.
- Unlimited PTO and company holidays.
- Weekly mindfulness sessions, group workouts, and fitness perks.
- Unlimited espresso and matcha, plus lunch served five days a week at the office.
- Team lunches, office events, and offsite retreats.
- Stock options and an equity package.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
