MSO Compliance & Network Coordinator, FT Days
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Job Location:
Whittier, CA - USA
Monthly Salary:
USD 30 - 49
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
PIH Health is a nonprofit regional healthcare network that serves approximately 3 million residents in the Los Angeles County Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital PIH Health Good Samaritan Hospital PIH Health Whittier Hospital 37 outpatient medical office buildings a multispecialty medical (physician) group home healthcare services and hospice care as well as heart cancer digestive health orthopedics womens health urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nations top hospital systems for best practices cutting-edge advancements quality of care and healthcare technology. For more information visit follow us onFacebookTwitter orInstagram.
The MSO Compliance & Network Coordinator is responsible for assisting with compliance and audit functions of PHP/ MSO (Management Services Organization) including but not limited to internal and external audit activities to the Claims UM Credentialing CM functions and quality improvement initiatives. Monitoring regulatory requirements and understanding how requirements impact MSO operations. Efficiently managing the workflow of policies and procedures ensuring strict adherence to deadlines uploading documents and conducting follow-up reporting. Generating and reviewing policies for MSO coupled with managing storage and handling of all policy documentation. Ensuring all IPA network provider additions changes and deletions are timely communicated and correctly reflected by the PHP network and contracted health plans. Maintaining the integrity of the provider management elements loaded in managed care application databases/software. Triaging all general provider relations issues and address as necessary. Partnering with other PHP departments and working special projects as assigned.
Required Skills
Strong communication skills verbal non-verbal written and oral.
Excellent interpersonal skills with the ability to interact and work effectively with internal and external department community and other audiences.
Ability to work as part of a team with strong individual contributions
Demonstrates strong and effective problem-solving abilities.
Exceptional organizational skills with a proven ability to complete simultaneous tasks and projects in a timely manner.
Proficient in computer skills with an in-depth knowledge of Microsoft Suite (Excel PowerPoint Microsoft Word and Visio).
Foster professional relationships with other departments working collaboratively to achieve organizational objectives.
Required Experience:
IC
Key Skills
- Abinitio
- Apprentice
- Dermatology
- Cost Estimation
- Data Networking
- Liaison
