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About the Role
Mochi Health is a direct-to-patient telehealth company specializing in obesity medicine and expanding into primary care. We are seeking an Operations Associate to support clinical workflows and the buildout of our insurance program, learning payer contracting, credentialing, and billing from the ground up.
Responsibilities
- Optimize clinical workflows by identifying inefficiencies, implementing solutions, and improving care coordination.
- Analyze performance data using AI and other tools to track provider KPIs and drive data-informed decisions.
- Act as a key liaison for providers, gathering feedback and streamlining workflows, and keep provider content and training resources up to date.
- Support day-to-day operations of the insurance program, coordinating across the credentialing team, billing operations, and external partners.
- Help manage provider credentialing and enrollment for insurance panels, tracking timely enrollment and re-credentialing across the payer network.
- Assist with payer contracting: organizing contract and rate information, preparing inputs for rate discussions, and tracking expansion into new payer networks.
- Support a team of agents that review billing and coding, helping monitor their output, surface documentation gaps and denial patterns, and escalate issues that create compliance or revenue risk.
- Monitor claims and vendor performance against collection, denial, and claims lifecycle targets.
- Help keep the program aligned with CMS billing rules, state telehealth parity requirements, and payer documentation requirements, and maintain the related SOPs.
- Partner with Engineering and Product to translate insurance-program needs into EMR requirements, and help define reporting on key program KPIs.
Requirements
- 0 to 3 years of experience in healthcare operations, revenue cycle, payer operations, clinical operations, or a related analytical role.
- Bachelor's degree in a STEM or related field.
- Comfortable working full-time, in-office in our downtown San Francisco office.
- Analytical and detail-oriented with a proactive approach to problem solving, and comfort using data to inform decisions.
- Exceptional written and verbal communication skills, with the judgment to know how, when, and what to communicate.
- Experience working across teams and building relationships with internal and external stakeholders.
- Comfortable operating in ambiguity and building structure in an early-stage program.
- A team-first mindset: humility, collaboration, and partnership are key.
- Exposure to E&M or telehealth billing is a plus.
- Familiarity with credentialing, payer contracting, or revenue cycle concepts is a plus.
Skills
- AI
- Data Analysis
- Provider Relations
- Billing Operations
- Credentialing
- Payer Contracting
- Revenue Cycle Management
- CMS Billing Rules
- Telehealth Parity Requirements
- EMR Requirements
- KPI Reporting
Location
- San Francisco, CA
Work Type
- Full-time
- In-office
Experience Level
- Entry-level
Education Level
- Bachelor's degree
Salary/Compensations
- $100,000 to $130,000
Benefits
- Comprehensive Health Coverage – Robust medical, dental, and vision insurance
- Financial Security – 401(k) plus company matching and fully covered life insurance
- Time to Recharge – Unlimited PTO, generous company holidays, and true flexibility
- Wellness First – Weekly mindfulness sessions, group workouts, and fitness perks
- Daily Fuel – Unlimited espresso and matcha bar, plus lunch served five days a week
- Connection & Community – Team lunches, office hangs, and offsite retreats
- High-Impact Work – Shaping the future of digital healthcare
- Competitive Compensation – Top-of-market salary and generous equity package
- World-Class Team – Thoughtful, driven professionals
- Profitable & Explosive Growth
- Prime Location – Downtown San Francisco HQ
About the Company
- Mochi Health is fixing broken healthcare by building an AI-driven marketplace that makes healthcare discoverable—connecting patients to the right providers, transparent pharmacy pricing, and affordable medications.
- Our platform provides transparent pricing, personalized medication management, and long-term access to medical records, making healthcare more affordable, human, and intuitive.
- We are rebuilding healthcare from the patient up, fostering bold thinking, inclusive collaboration, and meaningful work.
Equal Opportunity
- Mochi Health is an Equal Opportunity Employer. We make all employment decisions based solely on merit.
- We provide equal employment opportunities to all applicants and employees without discrimination on the basis of race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, disability status, or any other applicable legally protected characteristic.
- We prohibit any form of discrimination or harassment.
- This policy applies to all terms and conditions of employment, including hiring.