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Introduction
Careerforge is a forward‑thinking, mission‑driven healthcare technology company that is redefining how Medicaid and Medicare serve the most underserved populations. By blending clinical expertise with cutting‑edge AI and automation, we deliver whole‑person care—clinical, behavioral, and social—directly to the communities that need it most. Our goal is simple yet ambitious: to create a future where equitable, community‑driven healthcare is the norm, not the exception.
Why Careerforge?
As one of the largest Enhanced Care Management (ECM) providers in California, Careerforge is on track to build the nation’s largest clinically integrated network for high‑need patients. Our data speaks for itself: a 58% reduction in emergency department visits and a 29% drop in hospital admissions across our network. We are not just delivering care—we are building the future of healthcare.
Careerforge has been featured in leading publications such as Forbes, TechCrunch, and Axios for our innovative approach to Medicaid and Medicare. Our work is driven by a deeply collaborative team of nurses, social workers, community health workers, and medical professionals who partner with product, technology, and operations to close care gaps and improve outcomes for high‑need patients.
Our Core Values
- Lead with Integrity: We keep our commitments and take responsibility for our actions. Dependability and authenticity guide everything we do.
- Embrace Challenges: We step forward into discomfort, leaving egos at the door, and foster a culture of candid, kind feedback.
- Break Through Walls: We go the extra mile for patients, partners, and teammates, relentlessly pursuing consistent improvement and challenging the status quo.
- Act Beyond Yourself: We build each other up, respect boundaries, and assume positive intent.
- Care Comes First: We hold ourselves to the highest standards for patients while ensuring we care for ourselves to better care for others.
About the Opportunity
We are seeking a highly motivated, full‑time Operations Support Associate to join our remote team. In this role, you will be the backbone of our Care Operations, ensuring that every patient’s journey is seamless, efficient, and data‑driven. Your work will directly influence the quality of care our patients receive and the effectiveness of our care teams.
Key Responsibilities
- Own and execute critical Ops Support initiatives that streamline backend processes for ECM and CHW programs.
- Proactively monitor, analyze, and report on key operational metrics, providing actionable insights to leadership.
- Collaborate with documentation analysts to troubleshoot project bottlenecks and ensure timely completion.
- Manage the entire authorization lifecycle for ECM and CHW programs, including annual reauthorizations, to guarantee continuous enrollment.
- Partner with health plans to investigate denials, flag enrollment issues, and secure necessary approvals.
- Provide robust backend support for transitions of care and referrals, ensuring closed‑loop follow‑up from care teams.
- Communicate clear, timely updates to care teams regarding enrollment changes or status updates.
- Assist Care Operations leaders in refining standard processes, proposing efficiency improvements, and driving best practices.
Essential Qualifications
- Minimum of 1 year of backend operations experience in a fast‑paced healthcare environment.
- Demonstrated ability to own responsibilities and propose innovative solutions.
- Results‑oriented mindset with a proven track record of exceeding performance indicators.
- Reliability and adaptability in a constantly evolving environment focused on underserved communities.
- Strong technical aptitude: comfortable navigating multiple technology platforms, troubleshooting software and hardware issues.
- Proficiency with Google Workspace, Slack, and data tools such as Looker (or comparable platforms).
- Access to a quiet, HIPAA‑compliant workspace with reliable internet connectivity.
- Commitment to supporting and improving care for underserved populations.
Preferred Qualifications
- Experience with Medicaid/Medicare program administration or care coordination.
- Familiarity with electronic health record (EHR) systems and care management software.
- Background in data analysis or reporting, with the ability to translate metrics into actionable insights.
- Previous remote work experience, especially in a health‑tech or social‑impact setting.
- Knowledge of HIPAA regulations and data privacy best practices.
Skills & Competencies
- Exceptional organizational and time‑management skills.
- Strong analytical thinking and problem‑solving abilities.
- Excellent written and verbal communication skills.
- Team‑player mindset with a collaborative spirit.
- Adaptability to new tools, processes, and evolving industry standards.
- High emotional intelligence and empathy for patients and teammates.
Career Growth & Learning Opportunities
At Careerforge, we believe in nurturing talent and fostering continuous learning. As an Operations Support Associate, you will have the chance to:
- Work closely with senior leaders in Care Operations, gaining exposure to strategic decision‑making.
- Participate in cross‑functional projects that span product, technology, and clinical teams.
- Access internal training programs, certifications, and mentorship opportunities to advance your career.
- Progress into roles such as Operations Manager, Program Analyst, or Product Operations Lead, depending on your interests and strengths.
Work Environment & Culture
Careerforge is a fully remote, inclusive workplace that values flexibility, innovation, and impact. Our culture is built on:
- Transparent communication across all levels.
- Data‑driven decision making that empowers employees to make a real difference.
- A supportive community that celebrates diversity and promotes belonging.
- Regular virtual team‑building events, wellness check‑ins, and knowledge‑sharing sessions.
Compensation & Benefits
Careerforge offers a competitive compensation package and a suite of benefits designed to support your well‑being and professional growth:
- Hourly rate: $22–$23, commensurate with experience.
- Comprehensive health, vision, and dental insurance.
- Flexible vacation policy—take the time you need to recharge.
- 401(k) retirement plan with company match.
- Monthly $100 stipend for work‑from‑home expenses.
- All necessary equipment provided to ensure a productive home office.
- Opportunities for rapid career progression and personal development.
How to Apply
If you are passionate about transforming healthcare operations and eager to make a tangible impact on underserved communities, we’d love to hear from you. Submit your application through our careers portal or send your resume and cover letter to recruiting@careerforge.com. Our talent team will review your submission and reach out via an official @careerforge.com email address if your qualifications align with our current needs.
Note: Due to the high volume of inquiries, we are unable to respond to general position questions sent to recruiting@careerforge.com. Please apply through the official channel for consideration.
Equal Opportunity Statement
Careerforge is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, marital status, age, disability, military service, genetic information, or any other characteristic protected by law.
We participate in E‑Verify to verify employment eligibility for new hires and conduct comprehensive background checks, including criminal history, reference checks, and driving records where applicable. Any offer of employment is contingent upon successful completion of these checks.
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