Provider Network Operations- Database Management Support- HYBRID
4 weeks ago
Summary
Under the Provider Network Operations (PNO) Database Management Supervisor's general direction, the PNO Database Management Support I is responsible for ensuring accurate, timely, and efficient provider profile creation in all Client IPA databases. This position's primary function is to create provider profiles in the database for newly contracted providers within each Client IPAs' provider network, ensuring that all processes and procedures are completed according to established MedPOINT Management (MPM) policies and procedures, and contracted terms.
Duties and Responsibilities
• Responsible for creating provider profile in Client databases
• Ensure valid documentation from CPPA, CAQH, Client Liaison or PNO Contract Team is available before creating provider profile
• Follow-up with providers to gather all onboarding required documents
• Respond to emails, phone calls and written requests from provider offices and internal MPM teammates while providing consistent and clear communication
• Work closely with the Credentialing, PNO Contract and Network Management team to ensure provider onboarding process is efficient and complete
• Accurately track daily activities through detail workflow queues to meet established productivity and timeliness standards
• Maintain accurate Client databases by completing regular review and audits
• Foster open lines of communication with Leadership on any network changes or issues
• Provide exceptional customer service to ensure both IPA client and contracted provider satisfaction with the IPA
• Assist in various mandatory projects such as data cleanup, workflow revisions, database maintenance and other projects as assigned
• Perform additional duties/assignments as needed
Minimum Job Requirements
• High School Diploma or GED required, Bachelor’s degree in healthcare, human services or related field preferred
• 1+ years Managed Care or Healthcare experience in Network Management, a plus
• EZ-CAP knowledge and experience preferred
• Proficient in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook)
Skills and Abilities
• Strong communication skills, including both oral and written
• Ability to maintain multiple priorities and deadlines, with strong follow through
• Highly motivated with excellent attention to detail
• Ability to work independently and take direction
• Ability to quickly learn and use new software tools
• Demonstrate commitment to the organization’s core values
• Ability to provide and receive constructive job-related feedback
-
Provider Directory Assurance Analyst- Hybrid
3 weeks ago
Los Angeles, United States MedPOINT Management Full timeJob DescriptionJob DescriptionSummaryUnder the general direction of Provider Network Operations (PNO) Project Manager, the Provider Directory Assurance Analyst is responsible for ensuring accurate, timely, and efficient reporting of Client IPA provider network data to the Health Plans, State or Federal entities. This position's primary functions are...
-
Network Operations Center Team Manager
3 days ago
Los Angeles, United States China Unicom americas Operations Limited Full timeJob DescriptionJob DescriptionNetwork Operations Center Team ManagerMain Job Duties: Responsible for 1. NOC Team Management; 2. Network Maintenance and optimization;3. Network maintenance Process Improvement; 4. Manage the daily operations of the NOC, including monitoring, incident detection, and resolution; 5. Customer supportQualifications and...
-
Provider Network Account Manager III
3 days ago
Los Angeles, United States L.A. Care Health Plan Full timeProvider Network Account Manager III Job Category: Administrative, HR, Business Professionals Department: Provider Network Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 11704 Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent...
-
Provider Network Account Manager II
3 days ago
Los Angeles, United States L.A. Care Health Plan Full timeProvider Network Account Manager II Job Category: Provider Relations Department: Provider Network Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 11562 Salary Range: $77,265.00 (Min.) - $100,445.00 (Mid.) - $123,625.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by...
-
Provider Directory Assurance Analyst- Hybrid
2 days ago
Los Angeles, United States ZipRecruiter Full timeJob DescriptionSummaryUnder the general direction of Provider Network Operations (PNO) Project Manager, the Provider Directory Assurance Analyst is responsible for ensuring accurate, timely, and efficient reporting of Client IPA provider network data to the Health Plans, State or Federal entities. This position's primary functions are managing scheduled and...
-
Provider Network Account Manager III
3 months ago
Los Angeles, United States L.A. Care Health Plan Full timeSalary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million...
-
Network Operations Specialist
1 month ago
Los Angeles, California, United States CoreSite Full timeJob SummaryWe are seeking a highly skilled Network Operations Specialist to join our team at CoreSite. As a key member of our Operations Support Center (OSC), you will be responsible for providing technical support and troubleshooting for our network infrastructure.Key ResponsibilitiesProvide 24/7 on-call support for network-related issuesRespond to SNMP...
-
Network Operations Center Engineer
1 month ago
Los Angeles, California, United States ShiftCode Analytics Full timeJob SummaryWe are seeking a highly skilled Network Operations Center (NOC) Engineer II to join our team at ShiftCode Analytics. The successful candidate will be responsible for monitoring and maintaining the health of our IT infrastructure, ensuring seamless operation of our systems and applications.Key Responsibilities:Monitor and troubleshoot servers,...
-
Provider Network Management Director-CA
4 months ago
Los Angeles, United States Elevance Health Full timeJob Description : Provider Network Management Director-CA L ocation: This position will work a hybrid model (remote and office). Must reside within 50 miles/1 hour commute from the following Elevance Health locations: Costa Mesa, Walnut Creek, Woodland Hills, or Palo Alto, CA. The Provider Network Management Director-CA develops the provider...
-
Provider Network Assistant
6 months ago
Los Angeles, United States Los Angeles Jewish Home Full timeWe value our employees! We offer long term employment opportunities with job stability, including supporting and encouraging career growth advancement. We offer Health, Dental and Vision insurance, Paid Time Off, 9 Paid Holidays, 403(b) with Matching Retirement Plan, Life insurance (paid by the company) and a team spirit workplace culture! Provider...
-
Network Manager
1 month ago
Los Angeles, United States Robert Half Full timeJob DescriptionJob DescriptionWe are looking for a skilled Network Manager to join our team in Chatsworth, California. In this role, you will be responsible for managing and maintaining our networking systems, ensuring high performance and availability. This role offers a long-term contract employment opportunity, ideal for individuals with a strong...
-
Network Manager
3 weeks ago
Los Angeles, United States Robert Half Full timeJob DescriptionJob DescriptionWe are looking for a skilled Network Manager to join our team in Chatsworth, California. In this role, you will be responsible for managing and maintaining our networking systems, ensuring high performance and availability. This role offers a long-term contract employment opportunity, ideal for individuals with a strong...
-
Database DevOps Engineer
2 weeks ago
Los Angeles, United States Convoso Full timeJob DescriptionJob DescriptionConvoso is a CCaaS leader of contact center software for sales and lead generation teams. Since 2006, Convoso has continuously innovated its cloud based dialer solutions to drive customer growth, while supporting regulatory compliance. Who We Are:Convoso is a leading provider of omnichannel contact center software. The company...
-
Desktop Support Analyst
2 months ago
Los Angeles, United States Helion Technologies Full timeJob DetailsJob Location Remote - Los Angeles, CA - Los Angeles, CA Position Type Full Time Travel Percentage None Job Category Information Technology Company Overview Helion Technologies is one of the nation's fastest growing and largest IT Managed Service Providers. With a focus on servicing the automotive and heavy trucking dealership industry, we have...
-
Network Engineer
2 months ago
Los Angeles, United States Ekman Associates, Inc Full timeJob Description Title: Network Engineer Location: Hybrid Onsite / Los Angeles, CA Ekman Associates is a management consulting firm that specializes in developing business, digital, and technology strategy, delivering solutions, and addressing human resource demands. Summary: We are currently seeking a network engineer for our IT Operations Team to...
-
Senior SQL Database Administrator
4 weeks ago
Los Angeles, California, United States SMS Data Products Group Full timeSMS Data Products Group is seeking a highly skilled Sr. SQL Administrator to provide support staff to execute day-to-day operations and maintenance within the Network Operations Center (NOC).This effort provides support to the network/server infrastructure and equipment within the AFRL Rocket Lab.As a dynamic systems integrator, SMS offers proven solutions...
-
Senior Network Operations Manager
4 weeks ago
Los Angeles, California, United States OnPoint Search Consultants Full timeAs a seasoned Network Engineer Team Lead, you will have the opportunity to lead a team of 7 NetOps Engineers at a top-ranked hospital in the U.S. with exceptional benefits, including a pension plan option.The role involves 75% leadership and 25% hands-on work, focusing on network operations management, LAN/WAN, Cisco Routers & Switches, network security, and...
-
Network Engineer
3 weeks ago
Los Angeles, United States Robert Half Full timeJob DescriptionJob DescriptionHow to ApplyIf you are a seasoned network engineer with strong experience in Palo Alto, Cisco, and Azure, and you’re local to the Century City area, please reach out to Valerie Nielsen on LinkedIn for more information and to apply directly. We look forward to hearing from you!Job Title: Senior Network EngineerLocation: Century...
-
Development Operations Manager
4 weeks ago
Los Angeles, California, United States LA's BEST Full timeJob OverviewLA's BEST is seeking a highly skilled Development Operations Manager to join our team. This role is responsible for managing data across systems within the Development department, ensuring the integrity of contacts, revenue, and other data.The ideal candidate will have 5-7 years of experience with Salesforce database administration, preferably...
-
Provider Network Account Manager III
4 weeks ago
Los Angeles, California, United States L.A. Care Health Plan Full timeJob SummaryThe Provider Network Account Manager III is responsible for all aspects of the L.A. Care (LAC) provider contracting and relationship management process. This includes drafting, reviewing, negotiating, and implementing phases of contracts, as well as building, nurturing, and maintaining positive working relationships between LAC and its network of...