Operations Support Coordinator (OSC)

Overview: The Operations Support Coordinator (OSC) plays a vital role in ensuring the accuracy, timeliness, and efficiency of key operational workflows that support member care. This position is responsible for managing essential administrative and clinical\-adjacent functions such as medication prior authorizations, toxicology result entry, virtual direct observed testing oversight, clinical and operational scheduling, and program coordination for self\-pay members. The OSC ensures that all tasks are completed in accordance with organizational standards, regulatory requirements, and established timelines to promote a seamless care experience. Responsibilities: **Es****sential Functions:** *Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.* * Responsible for preparing and submitting medication prior authorization requests and renewals. * Investigate and resolve payer responses; communicate outcomes to appropriate teams; document actions in the EMR. * Coordinate administrative duties such as prescription creation, attendance, payment collection, etc., as part of the Safety Net Program, and ensure program protocols are followed. * Monitor and ensure procedural compliance for virtual Direct Observed Toxicology collections via oral swabs, troubleshooting and escalating issues as they arise. * Responsible for accurate and timely entry of toxicology results, including confirmatory and state\-specific (e.g., Kentucky) results. * Collaborate with field clinical \& operational teams to investigate and resolve workflow or data discrepancies. * Maintain accurate medication records and compliance by processing prescription cancellations as needed. * Ensure Accuracy in Data Management. * Audit and maintain member information within the EMR system to ensure data integrity and compliance. * Identify and communicate process improvement initiatives to enhance member care. * Provide flexible and responsive support to Care Teams with additional administrative duties as assigned. * Support clinical and operational scheduling, including staff and group coverage assignments. * Provide timely, professional communication to internal teams, members, and external partners. **Other Duties and Responsibilities:** * Other duties as assigned. Qualifications: **Knowledge, Skills and Abilities:** * Fluency with Google Suite (Sheets, Docs, Meet, Drive, etc.) and Microsoft Office applications * Familiarity with electronic medical records (EMR) systems * Ability to troubleshoot minor technological challenges and learn new software systems or processes as needed. * Exceptional accuracy in data entry while maintaining productivity. * Strong ability to prioritize tasks and manage complex administrative duties with attention to detail while meeting deadlines with little supervision. * Ability to manage confidential and highly sensitive information in compliance with HIPAA and 42 CFR Part 2 guidelines. * Ability to troubleshoot issues, identify solutions, appropriately escalate concerns, and adapt to new challenges effectively. * Ability to work independently and as part of a team to achieve shared goals and maintain operational efficiency. * Exceptional verbal and written communication skills, including the ability to effectively communicate data\-related issues and solutions to team members or supervisors. * Willingness to work evenings as needed to provide appropriate member care. **Qualifications \& Requirements:** * High school diploma or equivalent required * Associate’s degree preferred, or 2\+ years of relevant experience * At least 1\-2 years of experience in healthcare administration or a similar administrative role. * For remote roles, access to reliable internet and telephone services, specifically 50M download and 10M upload packages or higher as well as a strong WiFi signal from your remote work location. * Must meet pre\-employment requirements and maintain all applicable state and job\-related guidelines for background screening. Depending on state\-specific requirements, this may include fingerprinting, drug testing, health screening, CPR/Basic First Aid, and license/credential verifications.