Provider Engagement Coordinator

Advanced Medical Management • Los Angeles, CA

9h • Hybrid

About The Position

This position reports to Provider Engagement Manager. The Provider Engagement Coordinator plays a crucial role in fostering strong, collaborative relationships between the MSO and affiliated Primary Care Providers (PCPs) within a Value-Based Care (VBC) environment. This position acts as the primary liaison for PCPs, ensuring they receive comprehensive support in understanding and improving their performance metrics, adhering to compliance standards, and maximizing their compensation and incentives under Medicare Advantage contracts. The Coordinator is also responsible for promoting provider practices within their communities and assisting with network expansion efforts by identifying and onboarding new providers.

The ideal candidate is detail-oriented, possesses excellent communication skills, and has a strong understanding of VBC principles. This role requires proactive engagement with providers to ensure they have the resources and support needed to deliver high-quality care to their patients while achieving the goals of the MSO.

Requirements

• Ability to manage all aspects of business operations, and effectively various projects within time constraints.
• Attention to detail and take ownership of assigned tasks.
• Must be computer literate and knowledgeable in all Microsoft Office products.
• Effectively interface and successfully cultivate relationships with internal staff, and various business partners; including health plans, hospitals, and health care providers.
• Demonstrated communication, interpersonal, and time management skills. Must be able to make presentations, conduct formal meetings, write business letters and effectively use email to communicate complex ideas.
• Valid driver’s license and/or dependable transportation to work off and on-site is necessary.
• Ability to work in a hybrid environment (office & remote)
• Willingness to travel as required
• Two years’ experience in IPA or Provider Network administration or comparable managed health care experience preferred.

Nice To Haves

• Knowledge of health plan managed care agreements and physician and provider agreements preferred.
• Understanding of EMR systems, and benefits management software preferred.
• Bilingual in English and Korean

Responsibilities

• Liaison for the CMO/Clinical Ops Teams (MSO)
• Explanation of PCP Scorecards
• Quality Score and Care Gaps Performance
• Risk Adjustment and Compliance Guidance
• Compensation and Incentive Plan Performance
• Promotion of Practices
• Sourcing New PCPs/Specialists
• Event Support: PCP meetings/ marketing/ AEP events throughout the year to maintain relationship with the healthplan payors, providers, and broker/agent partners

Benefits

• Health Coverage You Can Count On: Full employer-paid HMO and the option for a flexible PPO plan.
• Wellness Made Affordable: Discounted vision and dental premiums to help keep you healthy from head to toe.
• Smart Spending: FSAs to manage healthcare and dependent care costs, plus a 401(k) to secure your future.
• Work-Life Balance: Generous PTO, 40 hours of sick pay, and 13 paid holidays to enjoy life outside of work.
• Career Development: Tuition reimbursement to support your education and growth.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed