Operations Support Specialist, Business

HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We offer various high-quality, affordable healthcare plan options supported with best-in-class customer service.

We are proud to say that for three years, HMA has been chosen as a ‘Washington’s Best Workplaces’ by our Staff and PSBJ™. Our vision, ‘Proving What’s Possible in Healthcare™,’ and our values, People First!, Be Extraordinary, Work Courageously, Own It, and Win Together, shape our culture, influence our decisions, and drive our results.

What we are looking for:
We are always searching for unique people to add to our team. We only hire people that care deeply about others, thrive in evolving environments, gain satisfaction from being part of a team, are motivated by tackling complex challenges, are courageous enough to share ideas, action-oriented, resilient, and results-driven.

What you can expect:
You can expect an inclusive, flexible, and fun culture, comprehensive salary, pay transparency, benefits, and time off package with plenty of personal development and growth opportunities. If you are looking for meaningful work, a clear purpose, high standards, work/life balance, and the ability to contribute to something important, find out more about us at:

Join HMA during one of the most dynamic times of the year as a Contract Operations Support Specialist, where your attention to detail and organizational skills will help power critical business operations across Client Success, Claims, and Care Management. As HMA supports group implementations, annual renewals, and member administration activities, you'll serve as a key operational partner, ensuring data integrity, auditing important benefits information, coordinating  processes, and supporting teams with essential administrative functions.

If you enjoy fast-paced work, collaborating across departments, and being the person who keeps things running smoothly behind the scenes, this role offers an opportunity to make an immediate impact while gaining exposure to multiple areas of healthcare administration and operations.

• Assist with new group implementations by entering and validating client and member information in internal systems.
• Ensure prior authorizations (PAs) and related data are accurately transferred and maintained during group implementation activities.
• Support implementation teams with administrative and data management tasks to ensure smooth onboarding of new clients.

• Enter renewal information and supporting documents into CRM and operational systems.
• Maintain accurate records and ensure renewal documentation is complete and properly stored.
• Coordinate with Client Success teams to support annual renewal processes and deadlines.

• Review and audit Summary of Benefits and Coverage (SBC) documentation to ensure benefit details and funding amounts align with system configuration and renewal documentation.
• Verify accuracy of entered data and identify discrepancies for correction.
• Perform quality checks on client and member information across multiple systems.
• Maintain documentation of audit findings and assist with resolution efforts.

• Audit  requests submitted by Account Managers to ensure requests are complete and accurate prior to submission to Technical Operations.
• Review supporting documentation and system entries for completeness and compliance with established procedures.
• Coordinate communication and follow-up regarding  production and distribution activities.