Do you want to help San Francisco worker gain access to affordable health care? The SF City Option program is an innovative program that helps San Francisco workers access affordable health care through an employer funded medical reimbursement account that pays for health care expenses. It is administered by San Francisco Health Plan (SFHP) on behalf of the San Francisco Department of Public Health (SFDPH).

The SF City Option (SFCO) Specialist will support key initiatives to help improve employee awareness of the program and better employee experience and access in enrolling and using their benefits. The SF City Option Specialist must be collaborative, member-focused, organized, and able to support high performing project teams in a fast-paced environment.

WHAT YOU WILL DO

• Provide operational support by managing and/or assisting with processes such as: responding to employer and employee email and phone requests; reviewing enrollment forms; researching employer and employee issues and escalating when appropriate.
• Support ongoing operations relating to employer payments including coordinating outreach to employers regarding contributions that cannot be processed.
• Triage, research, and monitor operational issues such as participant eligibility and billing issues.
• Use sound judgment to apply rules and/or Policies & Procedures to resolve employer and employee issues or escalate to management where appropriate
• Provide administrative support by scheduling, coordinating, and preparing agendas, minutes, and other handouts for meetings and trainings.
• Evaluate and contribute towards proposing process improvements in the administration of SF City Option, including but not limited to systems enhancements, procedural clarification or updates, or policy changes.
• Participate in departmental and intradepartmental projects as needed.

WHAT YOU WILL BRING

• Bachelor’s degree in a related area or equivalent professional experience acceptable
• One year of relevant work experience in healthcare or health plan operations customer service
• Experience with managed care, Medi-Cal, or SF City Option Program a plus
• Strong computer skills including high proficiency in MS Office (Word, Excel, PowerPoint, Access, Outlook). Competency in Microsoft Visio and SharePoint preferred.

BENEFITS:

• Medical Plans: You’ll have a choice of medical plans, including options from Kaiser and Blue Shield of California. Employee-only coverage in the HMO plans are currently available at no cost and dependent coverage is heavily subsidized by SFHP.
• Dental: You’ll have a choice of a basic dental plan or an enhanced dental plan which includes orthodontic coverage.
• Vision: Employee vision care coverage is available at no cost.
• Time Off: 23 days of Paid Time Off and 12 observed company holidays.
• Professional development: Opportunities for tuition reimbursement, professional license/membership.

ABOUT US

Established in 1997, San Francisco Health Plan (SFHP) is an award winning, managed care health plan whose mission is to provide affordable health care coverage to the underserved low and moderate-income residents in San Francisco county. SFHP is chosen by eight out of every ten San Francisco Medi-Cal managed care enrollees and its 170,000+ members have access to a full spectrum of medical services including preventive care, specialty care, hospitalization, prescription drugs, and family planning services. SFHP was designed by and for the residents it serves and takes great pride in its ability to accommodate a diverse population that includes young adults, seniors, and people with disabilities.

San Francisco Health Plan is proud to be an equal opportunity employer. We are committed to a work environment that supports and respects all individuals and in which our processes are applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

San Francisco Health Plan is an E-Verify participating employer.

Hiring priority will be given to candidates residing in the San Francisco Bay Area and California.