Enlightened
Basic Health Plan Implementation Coordinator
Enlightened, Washington, District of Columbia, us, 20022
Basic Health Plan Implementation Coordinator
Join to apply for the
Basic Health Plan Implementation Coordinator
role at
Enlightened, Inc Basic Health Plan Implementation Coordinator
1 week ago Be among the first 25 applicants Join to apply for the
Basic Health Plan Implementation Coordinator
role at
Enlightened, Inc This range is provided by Enlightened, Inc. Your actual pay will be based on your skills and experience talk with your recruiter to learn more. Base pay range
$75,000.00/yr - $90,000.00/yr Company Overview
Enlightened is seeking a highly motivated
Basic Health Plan (BHP) Implementation Coordinator
to support the successful rollout and ongoing operations of the Basic Health Program. This role is essential in coordinating provider network integration, ensuring compliance with state and federal regulations, and fostering cross-functional collaboration to achieve key implementation milestones.
The ideal candidate will be detail-oriented, proactive, and experienced in managing complex projects involving multiple stakeholders, including providers, health plans, and regulatory agencies. A strong background in operations, particularly with a focus on
claims resolution , is highly desired.
Position Responsibilities
Coordinate all aspects of BHP implementation related to provider network management, including onboarding, credentialing, and contract alignment Serve as a liaison between internal teams (e.g., compliance, IT, operations) and external stakeholders to ensure timely execution of implementation tasks Monitor project timelines, deliverables, and performance metrics to ensure alignment with state BHP requirements Support the development and maintenance of provider directories, network adequacy reports, and access standards Facilitate training and communication for providers regarding BHP participation, billing protocols, and program updates Assist in resolving provider inquiries and issues related to BHP implementation and ongoing participation Prepare regular status reports and presentations for leadership and regulatory bodies Ensure documentation and workflows are compliant with CMS and state-specific BHP guidelines
Required Qualifications
Bachelors degree in Public Health, Health Administration, Business, or related field (preferred) 3+ years of experience in provider network management, health plan operations, or public health program implementation Strong understanding of Medicaid, ACA, and Basic Health Program regulations Excellent project management and organizational skills Strong interpersonal and communication abilities, with experience in stakeholder engagement Proficiency in Microsoft Office Suite; experience with provider data systems or project management tools is a plus
Preferred Skills
Experience working with state health agencies or managed care organizations Familiarity with network adequacy standards and provider credentialing processes Ability to translate policy into operational workflows Comfort navigating regulatory environments and interpreting compliance requirements
Benefits
The expected salary range for this position is listed above. Actual compensation will be determined based on experience and qualifications as well as internal equity and alignment with market data.
At Enlightened, we pride ourselves on offering a comprehensive and industry-competitive benefits package to our full-time employees. Our benefits include:
Medical/Dental/Vision Insurance with Health Savings Accounts (HSA) Flexible Spending Accounts (FSA) 401(k) Retirement Plan Paid Holidays, Vacation, & Sick Leave Professional Training & Development Reimbursement
Please note, these benefits are available exclusively to full-time employees of Enlightened.
Enlightened is proud to be an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
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Join to apply for the
Basic Health Plan Implementation Coordinator
role at
Enlightened, Inc Basic Health Plan Implementation Coordinator
1 week ago Be among the first 25 applicants Join to apply for the
Basic Health Plan Implementation Coordinator
role at
Enlightened, Inc This range is provided by Enlightened, Inc. Your actual pay will be based on your skills and experience talk with your recruiter to learn more. Base pay range
$75,000.00/yr - $90,000.00/yr Company Overview
Enlightened is seeking a highly motivated
Basic Health Plan (BHP) Implementation Coordinator
to support the successful rollout and ongoing operations of the Basic Health Program. This role is essential in coordinating provider network integration, ensuring compliance with state and federal regulations, and fostering cross-functional collaboration to achieve key implementation milestones.
The ideal candidate will be detail-oriented, proactive, and experienced in managing complex projects involving multiple stakeholders, including providers, health plans, and regulatory agencies. A strong background in operations, particularly with a focus on
claims resolution , is highly desired.
Position Responsibilities
Coordinate all aspects of BHP implementation related to provider network management, including onboarding, credentialing, and contract alignment Serve as a liaison between internal teams (e.g., compliance, IT, operations) and external stakeholders to ensure timely execution of implementation tasks Monitor project timelines, deliverables, and performance metrics to ensure alignment with state BHP requirements Support the development and maintenance of provider directories, network adequacy reports, and access standards Facilitate training and communication for providers regarding BHP participation, billing protocols, and program updates Assist in resolving provider inquiries and issues related to BHP implementation and ongoing participation Prepare regular status reports and presentations for leadership and regulatory bodies Ensure documentation and workflows are compliant with CMS and state-specific BHP guidelines
Required Qualifications
Bachelors degree in Public Health, Health Administration, Business, or related field (preferred) 3+ years of experience in provider network management, health plan operations, or public health program implementation Strong understanding of Medicaid, ACA, and Basic Health Program regulations Excellent project management and organizational skills Strong interpersonal and communication abilities, with experience in stakeholder engagement Proficiency in Microsoft Office Suite; experience with provider data systems or project management tools is a plus
Preferred Skills
Experience working with state health agencies or managed care organizations Familiarity with network adequacy standards and provider credentialing processes Ability to translate policy into operational workflows Comfort navigating regulatory environments and interpreting compliance requirements
Benefits
The expected salary range for this position is listed above. Actual compensation will be determined based on experience and qualifications as well as internal equity and alignment with market data.
At Enlightened, we pride ourselves on offering a comprehensive and industry-competitive benefits package to our full-time employees. Our benefits include:
Medical/Dental/Vision Insurance with Health Savings Accounts (HSA) Flexible Spending Accounts (FSA) 401(k) Retirement Plan Paid Holidays, Vacation, & Sick Leave Professional Training & Development Reimbursement
Please note, these benefits are available exclusively to full-time employees of Enlightened.
Enlightened is proud to be an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
Seniority level
Seniority level
Mid-Senior level Employment type
Employment type
Full-time Job function
Job function
Information Technology Industries
IT Services and IT Consulting Referrals increase your chances of interviewing at Enlightened, Inc by 2x Sign in to set job alerts for Implementation Coordinator roles.
Washington, DC $46,968.00-$58,710.00 1 week ago Washington, DC $52,602.48-$52,602.48 2 days ago Silver Spring, MD $57,200.00-$95,347.20 4 days ago Bethesda, MD $58,400.00-$80,300.00 2 weeks ago Washington, DC $50,000.00-$60,000.00 2 weeks ago Washington DC-Baltimore Area $75,000.00-$85,000.00 2 months ago Washington, DC $37,232.00-$62,046.40 1 week ago Coordinator, EAB Seramount (Entry Level)
Washington, DC $58,000.00-$62,000.00 3 weeks ago Washington DC-Baltimore Area $55,000.00-$65,000.00 6 days ago Washington, DC $42,000.00-$45,000.00 2 days ago Passport Support Associate 3 - $24.65/hr. + Benefits & 401K Match!
Herndon, VA $55,000.00-$60,000.00 1 week ago Part-Time LN Concerts, Contracts Administrator
Washington DC-Baltimore Area $45,000.00-$50,000.00 1 week ago Program Associate/Associate Program Officer
Washington, DC $56,650.00-$68,000.00 1 day ago Washington, DC $85,000.00-$110,000.00 2 months ago Were unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr