Jobs: MEDPOINT MANAGEMENT

Job DescriptionJob DescriptionSummaryMedPOINT Management is committed to conducting its business and operations in accordance with the highest legal and ethical standards. Our Code of Conduct sets forth our expectations of management, employees, and contractors to act in accordance with applicable laws and Company policy. MedPOINT’s Compliance Department...

Job DescriptionJob Description Summary MedPOINT Management is committed to conducting its business and operations following the highest legal and ethical standards. Our Code of Conduct sets forth our expectations of management, employees, and contractors to act under applicable laws and Company policy. MedPOINT’s Compliance Department ensures our culture...

Job DescriptionJob DescriptionSummaryUnder the general direction of the Provider Network Operations (PNO) Delegation Specialist, the Compliance Coordinator supports the day-to-day audit and monitoring processes to ensure the department delivers high-quality reviews and results. They will assist with coordinating large department projects or lead special...

Job DescriptionJob DescriptionSummaryUnder the general direction of the Provider Network Operations (PNO) Delegation Specialist, the Compliance Coordinator supports the day-to-day audit and monitoring processes to ensure the department delivers high-quality reviews and results. They will assist with coordinating large department projects or lead special...

Job DescriptionJob Description MedPOINT ManagementTitle: Inpatient Nurse - Delegated Plans =====================================================================================MedPOINT, a large MSO in the San Fernando Valley offers competitive salaries and benefits in a collaborative working environment. For immediate consideration of this position, please...

Job DescriptionJob DescriptionSummaryUnder the general direction of the Provider Network Operations (PNO) – Network Management Supervisor, the In-House IPA Representative serves as the liaison between the IPA clients, IPA client’s contracted providers and health plan(s). They will be responsible for the executing the provider onboarding, update, and...

Job DescriptionJob DescriptionSummaryThe Project Coordinator, UM is responsible for coordinating initiatives and process improvement projects in conjunction with MedPOINT’s Utilization Management department. Under the supervision of Project Manager, UM, the Project Coordinator, UM will be responsible to support strategic UM initiatives and reporting. This...

Job DescriptionJob Description SummaryUnder 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...

Job DescriptionJob Description MedPOINT Management (MPM)Department: Utilization Management (UM)Title Associate Medical Director SummaryThe Associate Medical Director is responsible for providing medical interpretation and decisions about appropriateness of services provided by other healthcare professionals in compliance with Utilization Management...

Job Description Job Description MedPOINT Management (MPM) Department: Utilization Management (UM) Title Associate Medical Director Summary The Associate Medical Director is responsible for providing medical interpretation and decisions about appropriateness of services provided by other healthcare professionals in compliance with Utilization Management...

Job DescriptionJob Description MedPOINT Management (MPM)Department: Utilization Management (UM)Title Associate Medical Director SummaryThe Associate Medical Director is responsible for providing medical interpretation and decisions about appropriateness of services provided by other healthcare professionals in compliance with Utilization Management...

Job DescriptionJob Description    The Quality Management department is seeking a HEDIS/STARs Specialist to assist with clinic engagement in quality performance and patient experience programs. This is a position that may include field work to train staff and providers as well as performing chart abstracts. Duties and Responsibilities:1. Assume primary...

Job DescriptionJob DescriptionThe claims examiner is responsible for the adjudication of claims, in accordance with outside regulations and the contractual obligations of the Health Plans and/or the Hospital Client. Researches, reviews and contacts provider services for problem claims and issues, as needed. Suggests process improvements to management and is...

Job DescriptionJob DescriptionSummaryThe claims adjuster is responsible for the adjusting of claims, in accordance with outside regulations and the contractual obligations of the Health Plans and/or the IPAs. Researches, reviews and contacts provider services for problem claims and issues, as needed. Suggests process improvements to management and is a...

Job DescriptionJob Description SummaryUnder 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...

**Summary**: Under the direction of the Supervisor, Clinical Operations (COPS), the Specialist, COPS primary responsibility is to support a strategic approach to the development of actionable recommendations that improve the quality, access, and sustainability of MedPOINT’s clients’ network. **Duties and Responsibilities**: - Member of MPM’s COPS...

Job Description MedPOINT Management Title: Business Analyst, IT ===== Summary: The HIT department is seeking a Business Analyst to be an advanced professional who can partner effectively with all levels of the organization, lead projects, drive results, proactively identify and resolve problems, and make challenging decisions. This individual will solicit,...

Job DescriptionJob DescriptionThe Senior Software Engineer is responsible for designing, developing, analyzing, and managing the data infrastructure needed to support Business Intelligence and Reporting at MedPOINT Management. This position will be involved in all aspects of the software development life cycle. This individual will work closely with Software...

Job DescriptionJob DescriptionSummaryResponsible for accurate review and input of claims in accordance with outside regulation, internal production standards and contractual obligations of the organization. Duties and Responsibilities1. Accurately review all incoming claims to verify if required fields are populated.2. Process claims information into the...

Job DescriptionJob Description Summary Under the general direction of the Claims, Director of Operations, The Director of Hospital Operation’s primary responsibility is the development and implementation of Hospital business strategy. Provide oversight, direction, and support to ensure Hospital Operations are following regulatory requirements. Duties...