Provider Data Management Specialist
2 weeks ago
The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health’s Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient care first.
Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options including medical dental and vision plans for the employee and their dependents Health Spending Account (HSA) Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.
Responsibilities***This position is remote, with a preference for the candidate to reside in the Inland Empire (Riverside, San Bernardino, Ontario, CA) region. The position will be expected to work PST business hours.
Position Summary:
The Clinical Integration (CI) and Accountable Care Organization (ACO) programs are clinically integrated physician networks sponsored by Dignity Health (DH). Similar to the CI/ACO Networks, the Greater Sacramento Service Area (GSSA) Network is a partnership between Mercy Medical Group, Woodland Clini,c and Hill Physicians Medical Group. In addition, in order to fill service gaps in a CI/ACO Network, a complementary network of ancillary providers is maintained in each region.
The Provider Data Management Specialist is an employee of Dignity Health Management Service Organization. Under the direction of the CI/ACO Manager this individual: - provides data management support services to Dignity Health’s CI/ACO Networks Employer Relations and Valued Based Operations (VBO)- within the Salesforce platform, this individual gathers and maintains accurate provider data, performs periodic provider data reconciliations with multiple data sources including 3rd party payors - generates reporting on the provider network- conducts review of network adequacy and capabilities- maintains and transmits fee schedules, as necessar,y to third-party administrators (TPA's) and other appropriate stakeholders- provides customer support services to Dignity Health CI/ACO Networks and VBO’s team.
QualificationsMinimum Qualifications:
- Minimum 3 years’ experience in provider relations, provider credentialing, provider database maintenance, and reporting provider contracting and/or network development in a health care or managed care setting required- High school diploma or equivalent required- Demonstrated skills in the areas of written and verbal communication judgment and problem-solving - Strong proficiency in Microsoft Office products required- This position requires a highly motivated person with exceptional customer service, relationship management and interpersonal skills - Attention to detail - Capable of independent thinking- Ability to perform in a team environment
Preferred Qualifications:
- Bachelor’s Degree in Business, Financ,e Health Care Management, Economics or equivalent preferred.
-
Provider Data Management Specialist
2 weeks ago
Redlands, United States Dignity Health Full timeOverview The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in...
-
Marketing Data Insights Specialist
2 days ago
Redlands, California, United States Esri Full timeAbout the RoleWe are seeking a highly skilled Senior Marketing Data Specialist to join our team at Esri. As a key member of our marketing initiatives, you will play a critical role in driving business growth through data-centric approaches.Key ResponsibilitiesMarket Intelligence and AnalysisPartner with Market Intelligence teams to identify and assess...
-
Sr. Marketing Data Specialist
2 months ago
Redlands, United States Esri Full timeOverview As a Senior Marketing Data Specialist, you will play a key role in our marketing initiatives, taking a data-centric approaches to influence Esris market position. Leverage your strong analytical mindset, excellent communication skills, and a deep understanding of marketing data and performance to contribute to successful marketing campaigns...
-
Community Engagement Specialist
1 week ago
Redlands, California, United States Creative Perspectives Management Full timeCreative Perspectives Management collaborates with organizations to build their identities and enhance customer loyalty through effective marketing initiatives. Our commitment lies in delivering exceptional service to ensure our marketing strategies uphold strong relationships with clients across various sectors nationwide.We are currently seeking a driven...
-
Clinical Data Quality Assurance Specialist
2 days ago
Redlands, California, United States Redlands Community Hospital Full timeJob Summary:We are seeking a highly skilled Clinical Data Analyst Quality Management to join our team at Redlands Community Hospital. As a Clinical Data Analyst Quality Management, you will play a critical role in ensuring the quality and integrity of our clinical data.Key Responsibilities:Quality Data Management: Develop and implement quality data...
-
Billing Specialist
2 weeks ago
Redlands, California, United States Arrowhead Orthopaedics Full timeJob Type: Full-timePosition Overview:The Billing Specialist plays a crucial role in delivering exceptional Orthopaedic care. Our commitment to patient-centered service requires all staff to be attentive and responsive to the needs and preferences of our patients.Work Schedule:This position demands a commitment of forty hours per week, with flexibility in...
-
Theatre Management Specialist
2 days ago
Redlands, California, United States Black Box Management Group Full timeAbout Black Box Management GroupWe are a dynamic and innovative company that seamlessly integrates movies with excellent food and the newest technology to deliver guests with our signature uninterrupted theater experience.We are thrilled to announce our rapidly growing new brand—LOOK Dine-In Cinemas, and we are seeking a talented Front of House Manager to...
-
Clinical Data Analyst Quality Management
4 months ago
Redlands, United States Redlands Community Hospital Full timeQUALIFICATIONS: Bachelor's degree in business, healthcare administration, or similar field preferred. CPHQ Certification, preferred. Basic knowledge of relational databases and data warehouse management. Two or more years of experience performing quality and patient safety related clinical audits and data abstraction preferred. Must have...
-
Billing Specialist for Orthopaedic Practice
1 week ago
Redlands, California, United States Arrowhead Orthopaedics Full timeJob TypeFull-timeDescriptionPOSITION: Billing SpecialistAt Arrowhead Orthopaedics, we are dedicated to delivering exceptional Orthopaedic care. Our commitment to this philosophy necessitates that all team members are attentive and responsive to the needs and preferences of our patients. To ensure we attract and retain high-quality staff, we have established...
-
Data Entry Clerk
3 months ago
Redlands, United States SkySource Solutions Full timeJob DescriptionJob DescriptionWe are seeking 2 Data Entry Clerks to work for our Fortune 500 team and we are looking for candidates that can work Monday-Friday no Weekends and Hours are 6am-2:30pm and position starts out at $17.00 and here is an overview! Hours /Pay:Monday-Friday from 6am-2:30pm.Pay is starting at $17/hrResponsibilities:Enter variety of...
-
Customer Service Specialist
4 months ago
Redlands, United States U.S. Venture Full timeActively engage and provide best in class service to our customers nationwide. Effectively assess and troubleshoot customer needs. Utilize problem solving skills to resolve customer questions and concerns. Analyze customer and warehouse data to; d Customer Service Specialist, Customer Service, Specialist, Operations, Retail
-
Software Application Specialist
5 days ago
Redlands, California, United States Sage Oak Charter Schools Full timeAbout the RoleSage Oak Charter Schools is seeking a highly skilled Technical Integration Specialist to join our team. As a key member of our technology department, you will play a critical role in managing and integrating educational technology applications across our virtual learning environments.Key ResponsibilitiesManage the integration of educational...
-
Manufacturing Operations Analyst
5 days ago
Redlands, California, United States Esri Full timeManufacturing Operations Analyst - SAP SpecialistWe are seeking a highly skilled Manufacturing Operations Analyst - SAP Specialist to join our team at Esri. In this role, you will utilize your expertise in manufacturing operations analysis and business systems to support the management of software licenses and material component configurations in our SAP...
-
Maintenance Specialist
23 hours ago
Redlands, California, United States ConAm Management Corporation Full timeJob SummaryWe are seeking a skilled Maintenance Technician to join our team at ConAm Management Corporation. As a Maintenance Technician, you will be responsible for performing routine maintenance tasks, repairs, and installations to ensure the upkeep of our properties.Key ResponsibilitiesPerform routine maintenance tasks, including plumbing, electrical, and...
-
Data-Focused Product Engineer
5 days ago
Redlands, California, United States Esri Full timeJob Title: Data-Focused Product EngineerWe are seeking a highly skilled Data-Focused Product Engineer to collaborate with our team in developing, publishing, and maintaining global datasets as cloud-based web services to support mapping and analysis.Key Responsibilities:Collaborate with a small team to develop, publish, and maintain global datasets as...
-
Purchasing Specialist
1 week ago
Redlands, California, United States CONFIRE JPA Full timeSalary : $52, $76,148.80 Annually Location : Redlands, CA Job Type: Full-Time Department: Human Resources The RoleThe Purchasing Specialist is responsible for acquiring materials, supplies, equipment, and services for CONFIRE, ensuring compliance with established purchasing and contracting guidelines.Essential QualificationsTo qualify for this position,...
-
Redlands, California, United States Saint Moore Insurance Agency Full timePosition OverviewThe role of the Account Management Specialist is pivotal in delivering outstanding service to our clientele. We seek an individual who excels in teamwork and possesses comprehensive knowledge of products, coverage options, and insurance carriers. A valid California State Insurance License in good standing and a minimum of 5 years of...
-
Pulmonary Medicine Faculty Position
6 days ago
Redlands, California, United States Provider Healthcare Full timePosition Overview:We are seeking a dedicated and skilled Pulmonary Medicine Faculty member to join our esteemed team at Provider Healthcare. This role is essential in providing comprehensive care to patients with complex medical needs.Key Responsibilities:The selected candidate will engage in the management of patients in the Intensive Care Unit (ICU),...
-
Inventory Specialist
3 months ago
Redlands, United States Advanced Innovative Technology Corp Full timeJob DescriptionJob DescriptionWe are a marketing and distribution company for automotive parts and are the leading supplier of CV Axles to the Automotive Aftermarket in North America. We also offer a broad coverage of Window Regulators, Drive Shafts, and ATV Axles. We sell to Warehouse Distributors and mass retailers throughout North America and are a...
-
Academic Research Physician
1 week ago
Redlands, California, United States Provider Healthcare Full timeFULL-TIME PULMONOLOGIST POSITIONLocation: Southern CaliforniaOverview:We are seeking a dedicated and skilled Pulmonologist to join our esteemed healthcare team. This role involves providing comprehensive care to patients with complex medical needs, particularly in the areas of post-operative management and critical care.Key Responsibilities:Engage in the...