Network Ops Coordinator II
About The Position
This Position Is Responsible for the following areas: Overall Performance/HEDIS Quality Measures, Medicare Annual Wellness Visit/Attestation Completion, Provider Relationship Management, Operations and Systems (Pop Health Platform, Sales Force Updates, Cross-Functional Collaboration (Internal and External Stakeholders) And Maintenance Of Professional Provider Data To Support Key Value-Based Care Initiatives, Membership And Network Operations. Building Relations With The Provider Community Is An Important Part Of This Role. Responsibilities Include Promoting High-Quality Initiatives To Support Data Integrity. Accepting Ownership And Leading Highly Specialized Operational And Provider Support Duties That Require Independent Initiative and Problem-Solving. This Role Includes Participating In Internal Provider Meetings And Work Groups, Researching Problems Related To Provider Performance/Engagement, Data And Network Participation.
Requirements
- Bachelor degree OR 4 years of experience in the Health Care industry
- 2 years of experience with Provider Network contracting and credentialing systems
- Written and verbal communication skills to interact with internal and external customers
- Analytical and quantitative skills
- Ability to take initiative and work independently
Nice To Haves
- Subject Matter Expert in Professional Provider Network Relations (claims service issues, contracting, and finance)
- Experience with Population Health Management applications and Microsoft Office Tools including Excel (VLOOKUPS, pivot tables) and Power Point.
Responsibilities
- Overall Performance/HEDIS Quality Measures
- Medicare Annual Wellness Visit/Attestation Completion
- Provider Relationship Management
- Operations and Systems (Pop Health Platform, Sales Force Updates, Cross-Functional Collaboration (Internal and External Stakeholders) And Maintenance Of Professional Provider Data To Support Key Value-Based Care Initiatives, Membership And Network Operations
- Building Relations With The Provider Community
- Promoting High-Quality Initiatives To Support Data Integrity
- Accepting Ownership And Leading Highly Specialized Operational And Provider Support Duties That Require Independent Initiative and Problem-Solving
- Participating In Internal Provider Meetings And Work Groups
- Researching Problems Related To Provider Performance/Engagement, Data And Network Participation
Benefits
- health and wellness benefits
- 401(k) savings plan
- pension plan
- paid time off
- paid parental leave
- disability insurance
- supplemental life insurance
- employee assistance program
- paid holidays
- tuition reimbursement
- other incentives
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
