CIN Operations Coordinator

Hackensack Meridian Health•Edison, NJ

About The Position

The CIN Operations Coordinator will primarily support the Network Operations Domain but will also provide assistance to other CIN Operations projects and activities as needed. Key responsibilities include execution of SOPs for Network Administration, Provider Payment Operations, Information Operations and Attribution management.

Requirements

Minimum 2+ years of work experience supporting administration and management in a Healthcare setting (or bachelor`s degree and relevant background).
Proficiency with provider-oriented content (ambulatory practice workflows, demographics, licensing, specialties and managed care / VBC participation).
Excellent written, verbal, interpersonal and communication skills. Must be able to facilitate webinar meetings.
Critical thinking skills that include the ability to problem-solve, re-frame & pivot and ruthlessly prioritize tasks, goals and objectives. Additionally, the judgement and discipline to ensure self/teams remain focused on high value activities, avoid distractions and adjust priorities.
Organizational skills with strict attention to detail and habitual drive for validation, quality control and testing.
Technical orientation/skills with the ability leverage new/evolving platforms, complex technologies and time saving strategies to optimize planning, execute efficiently, simplify workflows and reduce redundancy and errors across the enterprise.
Flexible, detail-oriented and self-motivated with the ability to work independently, multi-task, and prioritize responsibilities.
Identifies and reports issues to appropriate levels of management in a timely manner. Assists in the problem-solving process and prompt resolution of identified issues.
Proficient in key features of Microsoft Excel, Word, PowerPoint and the Google Workspace platform to include, but not limited to, Drive, Gmail, Google Meet, Docs, Sheets and Slides.

Nice To Haves

Bachelor's degree preferred.
Ambulatory practice or Value Based Care (Population Health) experience preferred.

Responsibilities

Providing administrative support as needed.
Ensuring projects adhere to frameworks and all documentation is maintained appropriately for each project. Escalation of project changes
Maintains individual provider and group demographics for the entire HMH Network (MSSP, CIN, Physician Alliance, Physician Enterprise), including hierarchy, Network Tier, Employed-Leased-Indpt Rosters Ops and Program Participation. This includes continuous cycle research, data collection and validation, data input and quality control, analysis, and summarization of results and findings.
Administers Provider Distribution workflow - the process of distributing payment for monthly Advanced Performance Payment and Annual Provider Incentive Compensation cycles. This includes the calculation, validation, distribution, reconciliation of payor supplied data and summaries, attribution summary/financial payment.
Facilitates Data Operations, including internal/external data exchange, Report distribution, Provider Roster distribution, D&A sourcing, APP/CCF, Marketware Roster and MSSP.
Administers Medical Leadership Payment workflow - the process of managing payment to RMDs/AMDs for Network/Leadership activities ($ calculation, validation and distribution).
Administers Attribution Dispute Resolution cycles - the process by which the CIN exchanges data with Payors to remediate beneficiaries who have been incorrectly attributed to the population.
Administers participation status of providers between the CIN and Payor Partners via routine reconciliation management and exchange of data.
Manages research/investigation for general and Gold Stakeholder inquiries across CIN Operations, including those which fall of out the scope of the CIN (Inner Circle, Employee related, FFS, etc.).
Provides administrative support for workflows Onboarding and Offboarding of Provider Participants, including maintaining provider contract info (new applicants, withdrawals, W-9 management & Roster Agreements.
Performs other duties and/or projects as assigned.