Clinical Operations Sr. Specialist - 2025935

Are you a person of compassion? An advocate for justice? Someone who stands up for the rights of the vulnerable and speaks out for the marginalized, the exploited and the forgotten? Do you believe in our calling as Christians to welcome the least of these and love our neighbor?

If you answered ‘yes’, to any of the above, World Relief, and millions of people around the world need you.

At this pivotal moment in time, we are rapidly expanding and growing our team to meet the increasing needs of our world. We are looking for people who want to use their gifts and talents to make a real and tangible difference in our world and the lives of the suffering.

If you’re looking for a purpose-driven career in which you can grow your talents, while also standing up for the rights of the vulnerable, we want you to join us today.

ORGANIZATION SUMMARY World Relief is a global Christian humanitarian organization whose mission is to boldly engage the world’s greatest crises in partnership with the church. The organization was founded in the aftermath of World War II to respond to the urgent humanitarian needs of war-torn Europe. Since then, for 80 years, across 100 countries, World Relief has partnered with local churches and communities to build a world where families thrive and communities flourish.

Today, organizational programming focuses on humanitarian and disaster response, community strengthening and resilience, and refugee & immigrant services and advocacy.

POSITION SUMMARY:

This is a limited-term position funded through a grant agreement until (DATE) and contingent upon funding extension.

{If Hybrid, add schedule, ex.1 day onsite and 4 work from home days}.

ROLE & RESPONSIBILITIES:

HIPAA Compliance

Coordinate operational HIPAA and health-information compliance activities, including development, review, implementation, and maintenance of related policies, procedures, and staff resources.

Identify privacy, security, or operational compliance concerns and coordinate appropriate follow-up with organizational leadership, IT, and other subject-matter experts.

Develop and maintain staff guidance, training resources, and operational tools related to HIPAA, EHR systems, Medicaid/MCO processes, and other assigned systems.

EHR, Medicaid & Managed Care Administration

Coordinate the configuration, maintenance, and ongoing improvement of the EHR, including forms, templates, permissions, workflows, service configurations, and administrative processes.

Coordinate Medicaid billing-system configuration and workflows in partnership with Finance, billing resources, EHR resources, and clinical leadership to connect service documentation with billing systems, support accurate billing, resolve system barriers, and improve processes.

Develop proficiency in billing processes and systems to provide backup billing support during staff absences, periods of increased workload, or other operational needs.

Coordinate Medicaid MCO administrative requirements, including contracting, applications, renewals, recredentialing, implementation, and required organizational documentation in collaboration with leadership and other responsible departments.

Maintain required Illinois HFS Behavioral Health Clinic enrollment and coordinate operational documentation and systems readiness for HFS, Medicaid, MCO, and other applicable administrative reviews.

Oversee and coordinate systems and clinical audit requests, ensuring required information and documentation are gathered and responses are facilitated in a timely manner.

Monitor changes in Medicaid, HFS, MCO, and related operational requirements and coordinate necessary updates to systems, workflows, procedures, and staff resources.

Coordinate provider Medicaid enrollment, credentialing, and recredentialing, and maintain systems for tracking clinician licensure, renewal requirements, and continuing education documentation.

SharePoint & Systems Administration

Maintain and improve SharePoint sites and operational resources so current forms, procedures, guidance, and tools are accessible to staff.

Maintain systems onboarding, role-change, and offboarding processes, coordinating appropriate access to EHR, Teams, SharePoint, billing platforms, and other systems.

Create and maintain standardized forms, permissions, and system workflows across programs and locations.

Identify opportunities to simplify administrative systems, reduce duplication, and improve coordination between program, administrative, and clinical teams.

IT, Vendor & Operational Coordination

Serve as the primary operational liaison with IT, managed service providers, and other designated technology or systems partners to address technology, access, privacy, and operational needs.

Track technology and systems issues, coordinate resolution, and implement approved changes affecting the Microsoft suite and the EHR.

Maintain documentation of key systems, configurations, access processes, workflows, and operational procedures to support continuity and cross-departmental coordination.

Coordinate with Data and program leadership to support reliable system configuration, data workflows, and reporting infrastructure for operations.

Provide leadership with timely information about unresolved systems issues, operational risks, and recommended improvements.

Actively participate in department meetings, staff development opportunities, program trainings, community activities, and organizational events.

Other duties as assigned.

JOB REQUIREMENTS:

Mature and personal Christian faith

Committed to the mission, vision, and values of World Relief

Desire to serve and empower the Church to impact vulnerable communities

Able to affirm and/or acknowledge World Reliefs Core Beliefs , Statement of Faith , Christian Identity and National Association of Evangelicals' For the Health of The Nation document

Valid drivers license, access to reliable vehicle and ability to pass MVR standards

1–3 years of experience supporting compliance activities related to HIPAA, state regulations, insurance contracts, audits, and documentation requirements within healthcare, behavioral health, social services, or similarly regulated programs.

Working knowledge of HIPAA and health information privacy practices.

Experience working with electronic medical record systems (or comparable systems) and operational workflows.

Ability and willingness to learn billing processes sufficiently to provide designated backup support.

Strong systems-thinking, project coordination, process-improvement, communication, and organizational skills.

Ability to turn complex systems, compliance, and administrative requirements into practical processes and resources for staff.

Ability to work effectively with clinicians, program staff, Finance, IT, Data, vendors, billing resources, Medicaid managed care organizations and organizational leadership.

PREFERRED QUALIFICATIONS:

Bachelor’s degree in healthcare administration, business, public health, health information management, social services, or a related field preferred; equivalent relevant experience may be considered.

4–7 years of experience supporting clinical practice operations and compliance, including HIPAA, state regulatory requirements, insurance contracts, audits, and documentation standards within healthcare, behavioral health, social services, or similarly regulated programs.

Experience with Medicaid billing systems, managed care, Medicaid enrollment, credentialing, or related administrative processes.

Experience maintaining clinician licensure, Medicaid enrollment, credentialing, or continuing education tracking systems preferred.

Experience administering or developing SharePoint-based resources and workflows.

Experience coordinating projects or operational systems across multiple programs, departments, or locations.

World Relief offers a competitive benefits package and employee discount program for full-time employees.

World Relief is honored to be recognized with the Gold-level Cigna Healthy Workforce Designation for exceeding the core components of our well-being program including leadership and culture, program foundations and execution, and whole person health.

*** Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

We are proud to be an EEO/AA employer M/F/D/V. We maintain a drug-free workplace and perform pre-employment substance abuse testing.

For World Relief staff, strong commitment to the mission, vision, and values of World Relief is essential, and Christian faith is a prerequisite for employment, based upon United States federal guidelines provided in Title VII of the Civil Rights Act of 1964.