Care Operations Coordinator (Part-Time)

🌍 Remote, USA 🎯 Full-time 🕐 Posted Recently

Job Description

Company Description

Malama leverages the best of technology and people to deliver exceptional care - we build novel biometric tracking and patient engagement tools that allow skilled Care Managers to provide high-touch care navigation and coordination for pregnant and postpartum mothers that improves health outcomes for mom and baby. We partner with Medicaid plans in California, Texas, and Colorado and has served over 45,000 women nationwide. Reaching more than 600 clinics and hospitals, Malama's care model has demonstrated significant improvements in maternal health outcomes, including reductions in preterm birth rates and NICU admissions. Learn more at heymalama.co.

We’ve raised $9.2M in venture funding to date and are on target to hit profitability later this year. Our mission remains the same - to improve pregnancy-related outcomes beginning with conditions that disproportionately affect historically underserved groups.

Role Description

We are searching for a part-time Care Operations Coordinator to support Malama’s referral and health plan operations. This role is responsible for submitting referrals to health plans, tracking their status, and supporting recurring operational reporting such as capacity reports. Your work will directly support Care Managers by ensuring referrals move quickly, accurately, and without delays, helping patients unlock the services they need. If you are a detail-oriented doer who enjoys structured workflows and takes pride in getting things done right, this role could be a great fit.

Role Responsibilities

Submit referrals to health plans using portals, fax, secure upload, or email
Track referral status from submission through completion
Maintain organized tickets of submission confirmations, approvals, rejections, and pending items
Identify and correct submission errors
Flag delays or unresolved referrals to operations leadership

Maintain current knowledge of referral submission requirements
Document and communicate payer requirement changes
Maintain reference materials for payer workflows
Support onboarding of new payer workflows

Prepare and submit monthly capacity reports and other required payer reports
Maintain tracking tools used for reporting
Ensure all reporting deadlines are met

2–4 years of experience in healthcare operations, referral coordination, or payer workflows; experience with Medicaid health plans preferred
Experience submitting referrals using payer portals, fax, or secure email
Strong attention to detail and organizational skills
Experience using support ticketing systems and maintaining manual tracking logs or workflow tools
Ability to manage multiple referrals at once
Strong written communication skills
Experience working with Protected Health Information (PHI) in compliance with HIPAA requirements

Compensation: $22–$25 per hour, based on experience
Work Schedule: Approximately 20 hours per week (part-time)
Occasional flexibility may be required to meet submission or reporting deadlines
Weekly hours may vary slightly based on referral volume and reporting cycles
Work Arrangement: Fully remote

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