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Clinical Operations Senior Specialist
World Relief. Coordinate operational HIPAA and health-information compliance activities, including development, review, implementation, and maintenance of related policies, procedures, and staff resources .
Posted 11/10/2026full-timeChicago • Illinois • United StatesSenior💰 $77,200 - $86,000 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in HIPAA compliance, Medicaid billing systems, and electronic health record (EHR) management while effectively coordinating operational processes and training resources. Strong ability to collaborate with diverse teams and streamline administrative workflows to enhance organizational efficiency.
Highest-signal resume keywords
HIPAA ComplianceMedicaid Billing SystemsEHR ManagementProject CoordinationProcess Improvement
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
HIPAAEHR SystemsMedicaid EnrollmentCredentialingBilling ProcessesCompliance DocumentationSystems ConfigurationOperational WorkflowsSharePoint DevelopmentData Reporting
Soft Skills
CommunicationOrganizational SkillsSystems ThinkingProject CoordinationProcess Improvement
Tools & Technologies
SharePointEHRMicrosoft ToolsBilling PlatformsData Systems
Industry Keywords
HealthcareBehavioral HealthSocial ServicesManaged CareState Regulations
About the role
Key responsibilities & impact- 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 follow-up with organizational leadership, IT, and subject-matter experts
- Develop and maintain staff guidance, training resources, and operational tools related to HIPAA, EHR systems, Medicaid/MCO processes, and assigned systems
- Coordinate EHR configuration, maintenance, and improvement, including forms, templates, permissions, workflows, service configurations, and administrative processes
- Coordinate Medicaid billing-system configuration and workflows with Finance, billing resources, EHR resources, and clinical leadership
- Provide backup billing support during staff absences, increased workload, or other operational needs
- Coordinate Medicaid MCO administrative requirements, including contracting, applications, renewals, recredentialing, implementation, and documentation
- Maintain Illinois HFS Behavioral Health Clinic enrollment and coordinate operational documentation and systems readiness for administrative reviews
- Oversee and coordinate systems and clinical audit requests
- Monitor changes in Medicaid, HFS, MCO, and related operational requirements and coordinate updates to systems, workflows, procedures, and staff resources
- Coordinate provider Medicaid enrollment, credentialing, and recredentialing, and track clinician licensure, renewals, and continuing education documentation
- Maintain and improve SharePoint sites and operational resources
- Maintain systems onboarding, role-change, and offboarding processes and coordinate 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 and improve coordination between program, administrative, and clinical teams
- Serve as primary operational liaison with IT, managed service providers, and technology or systems partners
- Track technology and systems issues, coordinate resolution, and implement approved changes affecting Microsoft tools and the EHR
- Maintain documentation of systems, configurations, access processes, workflows, and operational procedures
- Coordinate with Data and program leadership on system configuration, data workflows, and reporting infrastructure
- Provide leadership with information about unresolved systems issues, operational risks, and recommended improvements
- Participate in department meetings, staff development opportunities, program trainings, community activities, and organizational events
- Perform other duties as assigned
Requirements
What you’ll need- 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 Relief’s Core Beliefs, Statement of Faith, Christian Identity, and National Association of Evangelicals’ For the Health of The Nation document
- Valid driver’s license, access to a 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
- 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 preferred
- Experience with Medicaid billing systems, managed care, Medicaid enrollment, credentialing, or related administrative processes preferred
- Experience maintaining clinician licensure, Medicaid enrollment, credentialing, or continuing education tracking systems preferred
- Experience administering or developing SharePoint-based resources and workflows preferred
- Experience coordinating projects or operational systems across multiple programs, departments, or locations preferred
Benefits
Comp & perks- Competitive benefits package
- Employee discount program for full-time employees
- Cigna Healthy Workforce well-being program
- Reasonable accommodations for individuals with disabilities
- Limited-term position funded through a grant agreement, contingent upon funding extension