Medicaid Programs

Orchard•Los Alamitos, CA

3d•Onsite

About The Position

The Operations Coordinator/Administrative Assistant role is with @Orchard LLC, who is retained by a not-for-profit corporation. This corporation partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. They have multiple lines of business including population health, utilization review, managed care organization quality review, and quality assurance for programs serving individuals with developmental disabilities. Their client is also a national leader in fighting fraud, waste and abuse for large organizations across the country. Additionally, their Foundation provides grant opportunities to those with programs for under-served communities. This position requires an experienced administrative assistant recognized for attention to detail, organizational skills, and the ability to effectively communicate with a wide range of people. Exceptional technical abilities, including proficiency in Microsoft Office and related applications, are necessary. The candidate should approach their work with a sense of urgency and a desire to see it through to a timely completion.

Requirements

High school diploma or GED required
At least 1 year of experience in an intermediate-level administrative position; or an equivalent combination of education and experience.
Intermediate proficiency with Microsoft Office to include Excel, Access, PowerPoint, Word and Outlook.
Experience working with customer requirements and coordinating reports and deliverables.

Nice To Haves

Associates Degree in business preferred.
Prior experience working with medical records strongly preferred.
Prior experience working on government contracts strongly preferred.
Working knowledge of Medicare and/or Medicaid protocols for Fraud and Abuse investigations is preferred.

Responsibilities

Liaison to CMS and other governmental entities to obtain/provide information, identify issues and assist with timely responses to inquiries regarding contract.
Responds to client inquiries via written or oral communications.
Ensures contract compliance by monitoring deliverables, contract requirements, and communicating Medicare change requests.
Works with other business units to ensure the effective coordination of objectives/deliverables, establish permissions in systems, perform quality review of deliverables to ensure compliance in accordance with applicable regulations within the scope of work, managing activities, and facilitating project by setting priorities.
Coordinate and manage the transition of workloads, and serve as the interface with other entities.
Contractor Administrator for CMSARTs system.
Writes reports, prepares presentations, and ensures the timely approval by Program Director of deliverables.
Provides training and technical advice to team members.
Coordinates new CMS User ID set ups and background verifications.
Works with Quality Director/Officer on ISO initiatives to improve operational systems, processes and policies to improve information flow, management reporting, business process and organizational planning.
Facilitates project logistics such as meetings, conference rooms, conference calls, etc.
Participates and/or leads internal/external committees as assigned.