Coverage Programs Coordinator

US-CA-San Francisco
Job ID
Policy Development & Coverage Programs
Regular Full-Time



Established in 1997, San Francisco Health Plan (SFHP) is a 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.


San Francisco Health Plan (SFHP) is the public Medi-Cal managed care plan for San Francisco serving 135,000 Medi-Cal members. SFHP also acts as a Third-Party Administrator to support the SF Department of Public Health for Healthy Kids, Healthy San Francisco and the SF City Option.


The Coverage Programs Coordinator plays a vital role supporting the operations and administration of the Healthy Kids (HK) Program at the San Francisco Health Plan. Healthy Kids is a subsidized health insurance program sponsored by the San Francisco Department of Public Health (SFDPH) for uninsured children living in San Francisco.



As the Coverage Programs Coordinator, you will gain valuable experience supporting a wide range of activities for the Healthy Kids program, including assisting with applications, eligibility, customer service, communications, reporting and more. You’ll work closely with the Coverage Programs team and other SFHP departments to help manage the program and play a pivotal part in serving Healthy Kids families.

The ideal candidate for this position will possess strong customer service skills, be highly organized and enjoy problem solving. The candidate must also be flexible, and have the ability to coordinate and collaborate well in a fast paced healthcare environment that is consistently changing. This is a great opportunity for someone interested in learning how local public health insurance programs are administered and operate.


What You’ll Do:

  • Assist in the review and processing of Healthy Kids applications and eligibility.
  • Research and resolve Healthy Kids eligibility issues, which may require responding to applicants, members or provider inquiries by phone and email. 
  • Conducts outreach calls, schedules in-person appointments and provides assistance to potential applicants and existing Healthy Kids members.
  • Coordinate resolution of operational issues with external partners and/or other SFHP departments.
  • Update dashboards and produce weekly/monthly/quarterly reports on program activities which track and monitor trends
  • Maintain documentation including desktop procedures and process flows that explain daily operations.
  • Provide administrative support to the Coverage Programs team including scheduling or coordinating meetings, documenting meeting minutes, and/or completing project tasks.


What You’ll Bring:

  • Bachelor’s degree or equivalent work experience.
  • Bilingual ability in Spanish or Cantonese desired
  • Prior work experience in a health care environment strongly preferred. 
  • Strong computer skills and proficiency with MS Office Suite (Word, Excel, PowerPoint, Outlook)
  • Proficient with electronic file management
  • High attention to detail and willingness to assist at all levels in order to ensure on time and accurate deliverables.
  • Knowledge of San Francisco health coverage programs including Medi-Cal and Covered California preferred, but not required.
  • Strong analytical and critical thinking skills

San Francisco Health Plan is an Equal Opportunity Employer (EOE) M/F/D/V
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.


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