Network Coordinator

2 weeks ago

San Bernardino, California, United States Regal Medical Group Full time
Job Description

Position Summary:

The Coordinator, Network Management is responsible for working as the internal liaison in maintaining, processing and reviewing department databases and reporting on a daily basis to assist the Network Management Department in meeting the overall network growth and development goals.

Essential Duties and Responsibilities include the following:
  • Assist in Network growth and development to include preparation of contract packets for recruitment projects.
  • Responsible to work with Network Managers and providers to obtain proper signatures and documentation to effectively process newly recruited or existing providers.
  • Maintaining and updating the appropriate databases and department tools with statuses.
  • Coordinate receipt and processing of all provider contracts, credentialing, and correspondence.
  • Responsible for timely and accurate completion of PACF's related to incoming documentation received from providers regarding changes to their demographic information in the credentialing and provider network databases.
  • Responsible for initial review of all credentialing applications prior to submittal to RMG Contracts for completion and accuracy.
  • Working collaboratively with Network Managers during the contracting process to ensure department goals and requirements are being met.
  • Responsible for the initial submittal of provider profiles to the Health Plans and follow-up (as requested) to ensure PCP's are active in databases.
  • Limited contract negotiations under the direction of the Director, Network Management and/or Vice President of Regional Operations.
  • Daily interaction with regional providers.
  • Ensure contract compliance and adherence to DMHC, DHS, CMS and other regulatory agencies as required by contracting HMOs.
  • Internal network liaison for Database, Claims, Customer Service, Medical Management, and Provider Relation Departments.
  • Perform on-site visits (as required) to physicians, physician groups, hospitals and ancillary providers.
  • Facilitate the scheduling of meetings with providers.
  • Oversight of database maintenance and accuracy through use of audits.
  • Ensure accurate and timely data reporting requirements are being met.
  • Know and follow the Employee Handbook policies and procedures.
  • Maintain patient confidentiality so that HIPPAA compliance is observed at all times.
  • All other duties as directed by management.
Distribution of work:
  • Daily production will vary from day to day. All assigned work must be completed by the end of business day in order to maintain turnaround time compliance.
Special Projects:
  • Assist with any special projects.
The pay range for this position at commencement of employment is expected to be between $21-$23 per hour; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience.

The total compensation package for this position may also include other elements, including a sign-on bonus and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered.

Details of participation in these benefit plans will be provided if an employee receives an offer of employment.

If hired, employee will be in an "at-will position" and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.

As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.

Full Time Position Benefits:

The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life.

Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options.

Health and Wellness:
  • Employer-paid comprehensive medical, pharmacy, and dental for employees
  • Vision insurance
  • Zero co-payments for employed physician office visits
  • Flexible Spending Account (FSA)
  • Employer-Paid Life Insurance
  • Employee Assistance Program (EAP)
  • Behavioral Health Services
Savings and Retirement:
  • 401k Retirement Savings Plan
  • Income Protection Insurance
Other Benefits:
  • Vacation Time
  • Company celebrations
  • Employee Assistance Program
  • Employee Referral Bonus
  • Tuition Reimbursement
  • License Renewal CEU Cost Reimbursement Program
  • Business-casual working environment
  • Sick days
  • Paid holidays
  • Mileage
Requirements

Education and / or Experience:
  • Minimum of 2 years relevant work experience in Network Management in a managed care setting, health plan or large medical group administration.
  • Knowledge of contracting principles/tools.
  • Excellent verbal and written communication skills.
  • Proficient in MS Office programs (i.e., Word, Excel, Outlook, Access and Power Point)

  • Early Start Family Resource Network Training Coordinator

    3 weeks ago

    San Bernardino, California, United States St. Elizabeth's Medical Center Part time

    SUMMARY: Under general supervision of the Early Start Family Resource Network (ESFRN)/Family Empowerment Center (FEC) Manager, the Training Coordinator is responsible for coordinating and facilitating all ESFRN/FEC presentations, trainings, workshops, and conferences. Some travel may be necessary. Has no supervisory responsibility. This is a part-time...

  • Network and Systems Administrator

    2 weeks ago

    San Bernardino, California, United States San Bernardino Municipal Water Department Full time

    Salary : $101,406.96 - $129,423.84 Annually Location : San Bernardino, CA Job Type: Full-Time Job Number: W2410-00003 Division: Administration Section: Information Technology Opening Date: 10/21/2024 Job Summary Are you looking for an opportunity for professional growth and development? Consider joining the City of San Bernardino Municipal Water Department...

  • IT Coordinator

    7 days ago

    San Bernardino, California, United States Ledgent Technology Full time

    We are hiring an IT Coordinator to start immediately for a Law Firm. This is a 4 months contract position, 100% on site. Essential Duties Configure and install new or replacement PCs, smart phones, printers, video conference units, telephones, and other technology tools. Ability to support various software and hardware environments, operating system...

  • Healthcare Network Coordinator

    5 days ago

    San Francisco, California, United States Behavioral Health Tech, Inc. Full time

    About Us">Behavioral Health Tech, Inc. is a leading provider of virtual, evidence-based eating disorder treatment solutions.We are dedicated to ensuring that everyone with an eating disorder can access effective care, regardless of their background or circumstances.The Role">We are seeking a highly skilled Referral Coordinator to join our team and play a key...

  • Transportation Coordinator Lead

    2 days ago

    San Bernardino, California, United States Bob's Discount Furniture Full time

    Job DescriptionThe Transportation Coordinator Lead plays a critical role in ensuring the smooth operation of our logistics network. Key responsibilities include evaluating fleet needs, coordinating with vendors, and recruiting and training drivers. This position also requires strong analytical skills to track vehicle movement and meet shipping...

  • Operations and Logistics Coordinator

    7 days ago

    San Diego, California, United States Event Network Full time

    Purchasing Operations Manager Job DescriptionThe Purchasing Operations Manager will play a vital role in managing key functions within the Purchasing Department at Event Network. This position involves developing and implementing business processes, leading Merchandise Coordinators, and collaborating with internal teams and vendors.About the Role:Develop and...

  • Marketing and Events Coordinator

    4 days ago

    San Bernardino, California, United States CSUSB Full time

    Position Summary Temporary, Full Time, Non-Exempt, Benefited position through 6/30/2024 (Appointment may be renewed annually based upon availability of funds, availability of work and satisfactory job performance).  Salary:  $3,814.00-$4,167.00 per month. Location: San Bernardino. Work Schedule 40 hours per week. Typically, Monday-Friday from...

  • Engineering Project Coordinator

    7 days ago

    San Bernardino, California, United States Design West Engineering Full time

    Job OverviewAs a Technology Project Manager at Design West Engineering, you will be part of a multidisciplinary team that prides itself on staying current with technologies and adapting to industry trends. We strive to provide a fundamental commitment to mentorship for all employees and offer a fun and inclusive atmosphere with a people-first philosophy.The...

  • Marketing and Events Coordinator

    5 days ago

    San Bernardino, California, United States The California State University Full time

    About University Enterprises Corporation at CSUSB (This is not a state position) University Enterprises Corporation at CSUSB ("UEC") supports the university's educational mission by providing quality services that complement the instructional program. The University depends upon UEC to provide services that cannot be supported with state funds. We're...

  • Contracts Coordinator

    3 days ago

    San Francisco, California, United States Homeless Children's Network Full time

    Job Description Job Description Salary: $70,000AGENCY: Homeless Childrens NetworkTITLE: Contracts Coordinator SALARY: 70KSCHEDULE: Full-time position. Onsite/HybridBENEFITS: Health, Dental, and Vision insurance; Commuter stipendSTART DATE:Homeless Childrens Network MissionThe mission of Homeless Childrens Network is to decrease the trauma of homelessness and...

  • Medical Office Coordinator

    5 days ago

    San Marcos, California, United States Integrated Oncology Network Full time

    Job SummaryWe are seeking a highly skilled and detail-oriented Medical Office Coordinator to join our team at Integrated Oncology Network. As a key member of our administrative staff, you will play a crucial role in supporting our healthcare providers and ensuring seamless patient care.About UsIntegrated Oncology Network is committed to delivering...

  • Psychosocial Rehabilitation Coordinator

    4 days ago

    San Quentin, California, United States Health Advocates Network, Inc. Full time

    Patient Care Coordinator:We are seeking a skilled Patient Advocacy and Support Services professional to join our team at Health Advocates Network, Inc. As a Patient Care Coordinator, you will play a critical role in ensuring the highest level of care for patients.Key Responsibilities:Assesses patient needs and develops individualized treatment...

  • Program Coordinator

    4 days ago

    San Diego, California, United States Engineering Services Network Full time

    As a trusted solutions provider for the nation's defense, Engineering Services Network requires a skilled Financial Analyst to support our Naval Warfare Center - Atlantic and Pacific efforts.This role involves providing financial support and analysis for various fiscal efforts throughout the year.Key Responsibilities:Coordinating financial activities and...

  • Care Transitions Coordinator

    7 days ago

    San Leandro, California, United States Community Health Center Network Full time

    Job OverviewThe Community Health Center Network is seeking a skilled Care Transitions Coordinator to provide critical support to patients transitioning between healthcare settings. This role requires excellent communication and interpersonal skills, as the individual will work closely with hospital staff, community health teams, and patients to ensure...

  • Training Coordinator/IESBDC

    4 days ago

    San Bernardino, California, United States CSUSB Full time

    Position Summary Temporary, Full Time, Non-Exempt, Benefited position through 12/31/2024 (Appointment may be renewed annually based upon availability of funds, availability of work and satisfactory job performance).  Salary:  $3,119.94-$6,066.55 per month Location:  Hybrid position with allowable work from home options. Main office locations either...

  • family resource coordinator

    1 week ago

    San Francisco, California, United States Donor Network West Full time

    Donor Network West's mission is to save and heal lives through organ and tissue donation for transplantation and research. At Donor Network West, we're looking for people who embody our core values: passion, excellence, equity and inclusion, and relationships. We welcome diverse perspectives and foster an environment of collaboration and service. GENERAL JOB...

  • Organ Donation Coordinator

    2 days ago

    San Francisco, California, United States Donor Network West Full time

    Job Description:The Family Resource Coordinator I role at Donor Network West is a critical position that requires strong interpersonal skills, effective communication, and empathy. The successful candidate will work closely with hospital staff, physicians, and donor families to facilitate the donation discussion and authorization process.Key...

  • Fertility Care Coordinator

    7 days ago

    San Francisco, California, United States RMA Network Full time

    RMA Network is committed to delivering exceptional fertility care, and we need a dedicated Registered Nurse to join our team in San Francisco. As a key member of our patient care team, you will play a vital role in ensuring that our patients receive the highest level of care and attention.About the RoleDeliver high-quality patient care, working...

  • Network Engineer

    4 days ago

    San Diego, California, United States Kratos Defense and Security Solutions Full time

    Kratos Defense and Rocket Support Services is currently seeking an enthusiastic, versatile, and resourceful Network Engineer (Level II) to work in San Diego, CA. You will be a team member of a small team at a U.S. Navy lab required to support development efforts, including design, integration, lab testing, and field testing. You will also be required to...

  • Linux Network Engineer

    52 minutes ago

    San Diego, California, United States Piper Companies Full time

    Job DescriptionWe are seeking a highly skilled Sr Linux System Administrator to join our team at Piper Companies.This onsite position in San Diego, CA requires a strong background in Linux administration and network security.Install, configure, and support local area networks (LAN), wide area networks (WAN), and Internet systems or a segment of a network...