Health Services Specialist II

Health Services Specialist II

We are looking for a Health Services Specialist II to support health plan operations and provide high-quality service to members, providers, and internal teams in Minnesota. This long-term contract position is ideal for someone who combines strong administrative coordination with clear communication and a solid understanding of healthcare processes. This role will help manage authorizations, maintain accurate records, and contribute to efficient service delivery in a fast-paced environment.

Responsibilities:

• Respond to inquiries from members, providers, and internal partners with timely, accurate, and attentive service.
• Review authorization-related information, verify required details, and help ensure requests are processed correctly.
• Coordinate documentation, status updates, and follow-up activities to keep work moving efficiently across teams.
• Maintain accurate records within health plan systems and support data quality through careful review of entries and submissions.
• Assist with onboarding or training support by sharing process guidance and answering routine operational questions.
• Use internet-based tools and internal platforms to research information, track cases, and complete assigned tasks.
• Support sourcing, submittal tracking, or related administrative activities as needed by the business team.
• Apply healthcare knowledge and medical terminology to interpret information and route issues appropriately.
• Contribute to quality-focused workflows by identifying discrepancies and escalating concerns when necessary.