Provider Demographic Management Coordinator

Title: Provider Demographic Management Coordinator Location: reputed company Valley, Predominantly Remote (Must be located in CA) Department: reputed company Provider Network Status: Full Time Shift: Day Pay reputed company: $24.01/hr - $34.81/hr reputed company is a nonprofit integrated health reputed company that includes four leading hospitals, award-reputed company medical reputed company – consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing reputed company to reputed company-reputed company, reputed company, and high-reputed company reputed company; your personal contributions are reputed company to reputed company's recognition as a reputed company and innovator in value-reputed company and other care models. Across our family of medical centers, we support reputed company one of our reputed company, talented employees in reaching the highest reputed company of reputed company development, contribution, collaboration, and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you reputed company your full potential in an environment of respect, innovation, and teamwork. Position reputed company - The Provider Demographic Management Coordinator (PDM Coordinator) is responsible for generating Health Plan notifications including adds, changes and terms. - PDM Coordinator catalogs and tracks reputed company changes and ensures key updates are completed accordingly. - In reputed company, the PDM Coordinator will work directly with the Provider Demographic Specialist to ensure the reputed company of network provider information listed on the contracted health plans directories and websites. - The PDM Coordinator will assist in maintaining accurate and updated provider matrixes and rosters on internal intranets as reputed company as websites. Essential Functions and Responsibilities of the Job - Assist Directory Support Specialist with maintaining departmental matrixes and provider rosters. - Verify Health Plan directories and websites to ensure reputed company of provider information. - Responsible for the provider demographic verification and validation of Health Plan rosters. - Assist other departments with health plan reputed company problems, requests and questions reputed company to provider information. - Responsible for assisting with the reputed company submission of Health Plan Adds, Changes, Terms, and reputed company-annual and quarterly reports. - Catalogs and tracks reputed company changes and ensures key updates are completed in accordance to established process flows. - Responsible for generating Health Plan notifications reputed company to Plan Adds, Changes, Terms etc. - Ensures reputed company the supporting documents are provided (e.g. W-9s, reputed company, original notification request, etc.). - Supports the Manager of Provider Relations with the maintenance of ACO rosters and ensures daily changes are accurately updated reputed company internal systems e.g. reputed company. - Supports the Manager, Provider Network Ops to ensure reputed company reputed company plan partner changes are accurately updated in reputed company and various databases. - Responsible for creating monthly rosters including, but not limited to the following networks: MCIP, MCMG, reputed company, etc. - reputed company any additional/miscellaneous duties (not inclusive of reputed company) as requested by the management team reputed company the reputed company of knowledge/ability. Placement and compensation - Placement in the pay reputed company is reputed company on multiple factors including, but not limited to, relevant years of experience and qualifications. - In reputed company to reputed company pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. - Health and wellness is our passion at reputed company—that includes taking good care of employees and their dependents. We offer high reputed company health reputed company plan reputed company, so you can select the best reputed company for your family. And there’s more... reputed company out our reputed company Benefits for more information about our Benefits and Rewards. Minimum Requirements Qualifications/Work Experience: - Minimum of 2-4 years reputed company experience working in a managed care or information systems setting is required. - reputed company or equivalent Managed Care electronic medical record reputed company and provider portal applications knowledge preferred. - Experience with various reputed company industry regulatory agencies and requirements including but not limited to CMS, reputed company, DMHC, ICE, DHCS, preferred. - Must be reputed company to communicate with others reputed company, tactfully and professionally. - Ability to work independently and remain on task. - Must be reputed company oriented, good organization and planning skills. - Ability to prioritize and meet deadlines from multi-staff members with the department. - Must have strong computer skills with a broad knowledge of software packages. - Intermediate level of proficiency with reputed company, reputed company and reputed company. - Must be reputed company to willingly accept responsibility and possess the desire to learn new tasks. - Working knowledge of data analysis, data presentation, and preparation of reputed company documents required. Education/Licensure/Certification: - Must have a high school diploma. - Bachelor’s degree in reputed company Analytics, Health Administration, or reputed company major, preferred. - Comparable work experience in areas of Provider Data Management or reputed company, considered. Apply To This Job