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Provider Relations Project Coordinator

2 months ago

Fairfield California, United States Partnership HealthPlan of California Full time

Overview:
This role is dedicated to overseeing Provider Relations initiatives, facilitating the development, execution, and

monitoring of inventory management processes, tools, and systems essential for the collection,

tracking, and administration of data pertaining to staff performance, compliance reports, and audits. Collaborates

closely with leadership and team members to ensure timely completion of tasks while providing both routine and complex

administrative assistance to the department.

Responsibilities:
Manages and supervises the inventory control process within Provider Relations, which includes assigning inventory

identifiers, tracking, investigating, and reporting on inventory aging through various tracking

systems.

Contributes to the design and enhancement of inventory systems. Suggests tools to

optimize inventory tracking and reporting processes.

Follows up with team members regarding aging inventory and communicates status updates to management.

Utilizes SUGAR + and other necessary Provider Relations systems to support daily operational activities.

Collaborates with the Audit team to develop data collection tools and is accountable

for preparing individual performance metrics based on Provider Relations department standards.

Monitors the timely submission of performance data and engages with staff and

managers to ensure adherence to reporting deadlines.

Collects and reviews departmental operational reports and presents insights to management.

Assists in the monthly tracking and reporting of documentation required for regulatory audits,

ensuring that documentation is well-organized and readily accessible.

Acts as a lead or backup to the Provider Relations Administrative Assistant for tasks utilizing

internal systems such as SharePoint, PowerDSM, SUGAR+, Workfront, and inventory

management systems. Provides training and support to staff in the effective use of these systems.

Records Provider Representative visits in Sugar+.

Engages in departmental process evaluations, recommends enhancements, and

participates in the implementation of new procedures.

Documents and maintains operational procedures.

Facilitates the weekly Provider Re-organization meeting, ensuring follow-up with

Provider Relations staff on all outstanding matters. Monitors timelines to ensure compliance. Develops

PowerPoint presentations, forms, and other materials for internal staff training and/or

onboarding as directed by Provider Relations management.

Provides general administrative support, including organizing confidential correspondence and

contracts, distributing provider communications via fax, email, and mail, and creating and

distributing provider manuals on CD.

Offers additional administrative assistance to the Provider Relations management team as needed

and provides backup coverage for the Provider Relations Administrative Assistant.

Qualifications:
Education and Experience

A Bachelor's degree is preferred in Business, Administration, Health Care

Administration, or a related field, along with a minimum of two (2) years of

administrative experience; or an equivalent combination of education and

experience.

Special Skills, Licenses, and Certifications

Proficient in various software applications for creating

correspondence, forms, reports, graphs, and visual presentations,

including Outlook, Word, Excel, and PowerPoint. Typing speed of 60

wpm and proficient use of a 10-key calculator. Comprehensive knowledge of

generally accepted professional office equipment and practices.

A valid California driver's license and proof of current automobile

insurance compliant with company policy are required for vehicle operation

and travel for business purposes.

Performance-Based Competencies

Exceptional oral and written communication skills. Strong organizational

abilities with the capacity to prioritize and manage multiple assignments

simultaneously while meeting deadlines. Ability to create and implement

effective tracking and filing systems. Demonstrates sound judgment and

handles sensitive matters with discretion and diplomacy.

Work Environment and Physical Demands

Ability to operate a computer. More than 80% of work time is spent in

front of a computer monitor. Ability to move, carry, or lift objects of

varying sizes, weighing up to 30 lbs.

All employees are expected to:
Deliver the highest possible level of service to clients;

Encourage teamwork and collaborative efforts among colleagues;

Maintain safe practices; and

Adhere to company policies and procedures, which may be updated periodically.

HIRING RANGE:
$ $33.84

IMPORTANT DISCLAIMER NOTICE


The job duties, elements, responsibilities, skills, functions, experience, educational factors, and the requirements and conditions listed in this job description are representative only and not exhaustive of the tasks that an employee may be required to perform.

The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.