Moda Health
Moda Health

29 Moda Health Member Services Associate Jobs Hiring Near You

Alaska Health Coach (NBC-HWC)

Anchorage, AK · On-site +1

$70K - $88K/yr

About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to ... Associate degree, preferably in a healthcare-related field. * Completion of a training program ...

Govt Prior Auth Coord I

Portland, OR · On-site +1

$21.30 - $23.96/hr

Effectively uses the Moda Health systems to accurately determine eligibility, benefit plan, and physician networks associated with the member's plan. * Completes approvals, and denials by the medical ...

New

Provider Correspond Coord I

Milwaukie, OR · On-site +1

$19.43 - $21.86/hr

Moda Health is seeking a Provider Correspondence Coordinator in our Medical Claims department. This ... Internally with Claims, Customer Service, Healthcare Services, Membership Accounting, Information ...

Knowledge and understanding of Moda Health administrative policies affecting claims and customer service. * Demonstrates work habits that include Moda Health standards of attendance and punctuality ...

Medical Claims Entry Operator

Milwaukie, OR · On-site

$17.34 - $18.92/hr

It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... Interrogates data on claims received electronically where member or provider information does not ...

... for Moda Health and Summit Health members. Interacts with the member, family, and care providers ... Coordinates services across behavioral health, medical, community, and social support systems to ...

RN Care Coordinator

Portland, OR · On-site

$71K - $89K/yr

About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to ... health services vendors to use in Care Coordination and coordinates with providers for member ...

RN Hospital Claims Auditor

Portland, OR · On-site +1

$78K - $98K/yr

It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... Review provider and member complaints and appeals to determine trends and recommend changes for ...

RN Case Manager

Portland, OR · On-site

$71K - $89K/yr

It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... Interacts with the member, family, and care providers to develop, coordinate, and monitor the ...

Must be able to accurately distinguish member benefit plans and determine member eligibility across ... Healthcare Services, Marketing, and Medicare Programs. Externally with Moda members, PBM vendor ...

Imaging Data Entry Clerk

Milwaukie, OR · On-site

$17.34 - $17.85/hr

It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... Enter member, group and provider information into the system for processing. Prepare daily ...

Medical Claims Processor I

Milwaukie, OR · Hybrid

$17.34 - $19.41/hr

It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... Works internally with the customer service, membership accounting, and appeals departments. Works ...

Medical CS Rep I (***)

Portland, OR · Remote

$18.39 - $20.23/hr

It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda ... Position Summary Provides phone customer service to members of multiple benefit plans by analyzing ...

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Moda Health Jobs Information

What is it like to work at Moda Health?

Moda Health is a values-driven organization that prioritizes collaboration, innovation, and a commitment to improving the health and well-being of its members and the communities it serves.

The company operates with a team-based structure, fostering an open and supportive work environment where employees can share ideas and work together to achieve common goals. Moda Health's mission is to provide high-quality, affordable healthcare solutions that meet the unique needs of its members.

Working at Moda Health may appeal to individuals who are passionate about healthcare and are looking for a dynamic and collaborative work environment where they can make a meaningful contribution to improving the lives of others.

What makes Moda Health an attractive place to work?

Moda Health is a leading health insurance company in the Pacific Northwest, known for its commitment to improving the health and well-being of its members through innovative and personalized care. The company's workplace culture values collaboration, creativity, and employee growth, offering opportunities for professional development and a supportive team environment. By joining Moda Health, individuals can contribute to making a positive impact on the lives of others, while also advancing their own careers in a dynamic and stable organization.

Do workers at Moda Health get paid breaks?

Yes. Most people get paid breaks.
100% of people say they get paid breaks.
Based on data from 16 people who took the Breakroom Quiz between December 2024 and July 2026.

Does Moda Health pay people when they’re sick?

Yes. Most people get paid when they’re sick.
80% of people say they would get paid if they were sick but scheduled to work.
Based on data from 20 people who took the Breakroom Quiz between December 2024 and July 2026.

At Moda Health, are sick days and vacation days separate paid time off?

Sick days and vacation days are used from the same paid time off.
86% of people say they have to use vacation days when they’re out sick.
Based on data from 14 people who took the Breakroom Quiz between June 2025 and July 2026.

Is the health insurance from Moda Health affordable enough for their workers?

Most people say the health insurance costs are okay.
88% of people say the health insurance costs are okay
Based on data from 17 people who took the Breakroom Quiz between March 2025 and July 2026.

Do people get paid time off at Moda Health?

Most people get paid time off work.
100% of people say they get paid time off.
Based on data from 14 people who took the Breakroom Quiz between June 2025 and July 2026.

How far ahead of time do people find out their work schedule?

Only some people find out their schedule four weeks ahead of time.
  • 60% of people with changing schedules find out their shifts one week or less ahead of time.
  • 0% of people with changing schedules find out their shifts two weeks ahead of time.
  • 0% of people with changing schedules find out their shifts three weeks ahead of time.
  • 40% of people with changing schedules find out their shifts four weeks or more ahead of time.

Based on data from 5 people who took the Breakroom Quiz between December 2024 and July 2026.

Do workers at Moda Health worry about hours?

Most people don’t worry about getting enough hours.
91% of people report they don’t worry about getting enough hours.
Based on data from 11 people who took the Breakroom Quiz between December 2024 and July 2026.

Do Moda Health workers get to choose the shifts they work?

Most people get to choose which shifts they work.
67% report that they have enough control over which shifts they work.
Based on data from 6 people who took the Breakroom Quiz between December 2024 and June 2025.

How easy is it for Moda Health workers to change shifts?

Most people find it easy to change shifts.
82% of people report that it’s easy to change shifts if they need to.
Based on data from 11 people who took the Breakroom Quiz between December 2024 and July 2026.

How easy is it to get time off at Moda Health?

Most people find it easy to get time off.
84% of people report it’s easy to get time off.
Based on data from 19 people who took the Breakroom Quiz between December 2024 and July 2026.

Do Moda Health managers change schedules at the last minute?

Most managers don’t change people’s schedules at the last minute.
93% of people say their manager doesn’t change their shift schedule at the last minute.
Based on data from 15 people who took the Breakroom Quiz between December 2024 and July 2026.

Do jobs at Moda Health spill into time workers aren’t paid for?

Rarely. The job doesn't usually spill into unpaid time.
20% of people report that their job takes up time that they don’t get paid for.
Based on data from 15 people who took the Breakroom Quiz between December 2024 and July 2026.

How easy is it to take sick days at Moda Health?

Most people find it easy to take sick days.
90% of people report that it’s easy to take time off if they are sick.
Based on data from 21 people who took the Breakroom Quiz between December 2024 and July 2026.

Is working at Moda Health good if you’re a parent or caregiver?

Most parents and caregivers say this is a good place to work.
100% of people who care for a child or other relative report this is a good place to work.
Based on data from 11 people who took the Breakroom Quiz between January 2025 and June 2026.

Do people at Moda Health feel treated with respect by their managers?

Most people feel treated with respect by their managers.
91% of people say they’re treated with respect by their managers.
Based on data from 22 people who took the Breakroom Quiz between December 2024 and July 2026.

Do people at Moda Health get to take their breaks without interruption?

Most people get breaks without interruption.
91% of people report that they get to take their breaks without interruption.
Based on data from 22 people who took the Breakroom Quiz between December 2024 and July 2026.

Is it stressful to work at Moda Health?

Some people feel stressed here.
52% of people say they often feel stressed at work.
Based on data from 21 people who took the Breakroom Quiz between December 2024 and July 2026.

Do people at Moda Health enjoy their jobs?

Most people enjoy their job.
85% of people report they enjoy their job.
Based on data from 20 people who took the Breakroom Quiz between December 2024 and July 2026.

Do people at Moda Health recommend working with their team?

Only some people recommend working with their team.
42% of people report that they wouldn’t recommend working with their immediate team to a friend.
Based on data from 24 people who took the Breakroom Quiz between December 2024 and July 2026.

Do people get enough training when they start at Moda Health?

Most people got enough training when they started.
68% of people report they got enough training when they started working here.
Based on data from 22 people who took the Breakroom Quiz between December 2024 and July 2026.

Do people get support to advance at Moda Health?

Most people are given support to advance their career here.
In the last year, 86% of people report being given support to advance their career here.
Based on data from 22 people who took the Breakroom Quiz between December 2024 and July 2026.

Do people think Moda Health’s headquarters understands what’s happening where they work?

Most people think headquarters doesn’t understand what’s happening where they work.
68% of people think that this employer’s headquarters or owners don’t have a good understanding of what’s really happening where they work.
Based on data from 22 people who took the Breakroom Quiz between December 2024 and July 2026.

Do workers feel well informed about how Moda Health is doing?

Only some people feel well informed about how the company is doing.
35% of people feel that they aren’t kept well informed about how the company is doing as a whole.
Based on data from 20 people who took the Breakroom Quiz between December 2024 and July 2026.

What are the most popular categories at Moda Health?

Infographic showing various Member Services Associate job openings at Moda Health in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 60% Physical, and 40% Remote job distribution.

Alaska Health Coach (NBC-HWC)

Moda Health

Anchorage, AK • On-site, Remote

$70K - $88K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 11 days ago


Moda Health rating

8.5

Company rating: 8.5 out of 10

Based on 24 frontline employees who took The Breakroom Quiz

110th of 315 rated insurance


Job description

Let’s do great things, together!

About Moda
Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.


Position Summary
Moda Health Coaches develop and implement behavior-based coaching programs and provide healthcare navigation support, including condition-specific disease management, for Moda members. This includes Moda 360 members and various participating employer groups, such as the City of Portland. Coaches collaborate with internal and external healthcare service teams, vendor point solutions, and community-based organizations to ensure coordinated, continuous care. This is a FT WFH role based in Alaska. 
Pay Range

$70,810.77 - $88,518.85 annually (depending on experience)
*This role may be classified as hourly (non-exempt) depending on the applicant's location. Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.


Please fill out an application on our company page, linked below, to be considered for this position.

https://j.brt.mv/jb.do?reqGK=27776002&refresh=true
Benefits:

  • Medical, Dental, Vision, Pharmacy, Life, & Disability
  • 401K- Matching
  • FSA
  • Employee Assistance Program
  • PTO and Company Paid Holidays


Required Skills, Experience & Education:

  1. Associate degree, preferably in a healthcare-related field. 
  2. Completion of a training program approved by the National Board for Health and Wellness Coaching (NBHWC) and eligibility for board certification. 
  3. Specialty credential such as NBC-HWC, RDN, LCSW, or LPC is a plus. 
  4. At least one (1) year of experience in a health coaching-related field preferred; experience within a health insurance or similar healthcare setting is also helpful. 
  5. Experience working with individuals managing conditions such as diabetes, obesity, asthma, hypertension, heart disease, cancer, behavioral health, respiratory illness, or musculoskeletal conditions is preferred. 
  6. Solid understanding of health behavior change theories and their practical application. 
  7. Excellent communication, interpersonal, and presentation skills across diverse populations. 
  8. Strong cultural competence and the ability to integrate Diversity, Equity, and Inclusion (DEI) principles into coaching and communication. 
  9. Ability to work independently and collaboratively in a team-based environment. 
  10. Proficiency in Microsoft Office and the ability to learn proprietary systems and databases. 
  11. Proficiency in a second language is preferred. 
  12. Strong commitment to maintaining confidentiality. 
 

Primary Functions:

  1. Provide one-on-one coaching to members managing or at risk for chronic health conditions through multiple communication channels (virtual, phone, email, mail) to support disease prevention and self-management. 
  2. Use evidence-based guidelines to educate, support, and empower members in setting and achieving SMART health goals while building their capacity for self-management. 
  3. Conduct initial assessments of member health, including wellness vision, motivation, readiness to change, and health history. Document progress, behavior changes, and care gap closures in accordance with organizational policies and procedures. 
  4. Partner with internal and external healthcare teams to achieve Triple Aim goals: improving the member experience, improving outcomes, and reducing avoidable costs. 
  5. Maintain up-to-date knowledge of vendor health management programs and refer members as appropriate. 
  6. Perform other duties as assigned. 

​​​

Together, we can be more. We can be better.
 ​​
Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. 
For more information regarding accommodations please direct your questions to Kristy Nehler and Danielle Baker via our humanresources@modahealth.com email.

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