Operations Associate, Insurance & Clinical Operations

Mochi Health•San Francisco, CA

1d•Onsite

About The Position

Mochi Health is a direct-to-patient telehealth company specializing in obesity medicine and expanding into primary care. The Operations Associate will support core clinical workflows and help build and scale the company’s insurance program. The position combines day-to-day clinical operations with work on payer operations, including credentialing, contracting, and compliant billing. The associate will work with the Insurance & Payer lead and collaborate with Clinical, Product, Care, Data, Engineering, billing and credentialing teams, providers, and external partners. The role involves improving care coordination and clinical workflows, analyzing provider performance, supporting provider communications and training, coordinating insurance operations, and monitoring credentialing, payer, claims, billing, and vendor processes. The associate will also help maintain program procedures and translate operational needs into EMR requirements and KPI reporting. The role is full-time and in-office at Mochi Health’s downtown San Francisco office, with the team working in person five days a week.

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 in 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

Identify inefficiencies in clinical workflows, implement solutions, and improve care coordination.
Analyze performance data using AI and other tools to track provider KPIs and inform decisions.
Gather provider feedback, streamline workflows, and keep provider content and training resources up to date.
Coordinate day-to-day insurance-program operations across the credentialing team, billing operations, and external partners.
Help manage provider credentialing and enrollment for insurance panels, tracking timely enrollment and re-credentialing across the payer network.
Organize payer contract and rate information, prepare inputs for rate discussions, and track expansion into new payer networks.
Support agents reviewing billing and coding by monitoring their output, identifying documentation gaps and denial patterns, and escalating compliance or revenue risks.
Monitor claims and vendor performance against collection, denial, and claims lifecycle targets.
Help maintain 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 for program KPIs.