Network Ops Coordinator II
About The Position
At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. 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
- annual incentive bonus plan
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
