[Hiring] Care Operations Coordinator @Malama Health

Role 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’re hiring 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 end-to-end
• Supporting recurring operational reporting (such as capacity reports)

This role is an ideal fit for someone who cares deeply about accuracy and follow-through, and takes pride in removing friction for frontline care teams and the members they support.

Qualifications

• 2–4 years of experience in healthcare operations, referral coordination, or payer workflows (Medicaid health plan experience 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

Requirements

• Referral Submission & Tracking (Primary Focus)
• Submit referrals to health plans using portals, fax, secure upload, or email
• Track referral status from submission through completion
• Maintain organized records of submission confirmations, approvals, rejections, and pending items
• Identify and correct submission errors
• Flag delays or unresolved referrals to operations leadership
• Follow up with payers as needed to resolve pending items and close loops with the care team
• Health Plan Workflow Support
• 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
• Monthly Reporting Support
• Prepare and submit monthly capacity reports and other required payer reports
• Maintain tracking tools used for reporting
• Ensure all reporting deadlines are met

Benefits

• $22–$25 per hour
• 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

Company Description

Malama is an equal opportunity employer. We strongly encourage applications from recent graduates, early-career advocates, Black, Indigenous, Latina/x, and other women of color, people with lived experience of pregnancy, and community members. You do not need years of experience to apply — passion, community roots, and a commitment to birth equity matter most.