Title: Operations Coordinator

Report To: Operations Manager

FLSA Status: Non- exempt

Summary: The Operations Coordinator will assist in the day to day running of the IPA Operations Department and will be responsible for physician contract workflow, website oversight, updating and maintaining physician directories, event planning, generating physician reports, supporting the Operations team, keeping the department organized, and assisting with special projects as requested.

Skills:

- Strong interpersonal and oral communication skills including telephone and face to face etiquette.

- Ability to work as a team and also independently and remain on task.

- Good organization and planning skills.

- Ability to pay attention to details while multi-tasking.

- Ability to prioritize and multi-task in order to meet deadlines.

- Strong customer service skills.

- Ability to think creatively and solve problems quickly and independently.

- Knowledge of managed care, Medicare, MRA, HEDIS and how to work with Health Plans is preferred.

- Ability to keep confidential information private and to not share privileged information within and outside the company.

Duties and Responsibilities: Include but are not limited to:

- Coordination and management of managed care physician contracts including preparing packets for loading to health plans, contacting physicians for missing materials, reviewing contracts for completeness, routing to internal sources, and providing a copy back to the affiliate physician’s office.

- Pulling web-based physician reports and formatting in Excel for distribution.

- Maintaining physician directories with current information in Excel and distributing to internal resources on a monthly basis.

- Providing customer service concerning IPA and Health Plan issues to primary care offices via phone and e-mail.

- Managing IPA website including working with website vendor to load new materials to site, assisting offices with getting signed up for site, educating offices on how to use the site, managing relationship with web vendor and working with other IPA departments’ to educate them on the website and help load their materials.

- Assists with planning IPA physician meetings and other IPA events.

- Supporting the Operations Manager as necessary which may include, but not be limited to scheduling appointments, writing letters, filing, securing documents from physician offices and health plans, ordering supplies, and preparing materials for upcoming events and visits.

- Working on and managing special projects for the IPA and Health Plans as theneed arises including annual contracting and directory update projects.

Education and Experience:

High School Diploma required, 2 year college degree preferred

Job experience that shows progressive growth.
2 years experience in an administrative support role is preferred

Knowledge of HEDIS, MRA and Medicare Advantage plans

Experience in high stress situations that require detail oriented though process and multi-tasking.

Language Ability:

Must speak English
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals and the ability to write routine reports and correspondence. Ability to speak on phone and in person to Primary Care Physician office staff, doctors, and other departments within the company.

Computer Skills Required:

Microsoft Word, Excel (intermediate level or above), Outlook, PowerPoint

Computer Skills Preferred:
Web Site Management, Database Queries, Accureports, Health Plan Portal knowledge (Freedom, Optimum, Wellcare, Humana, Ultimate, Coventry)

Work Environment:

Office Setting, occasionally will need to run errands or attend outside of the office events.

Travel Requirements: The employee is constantly required to drive up to 25 miles and frequently up to 100 miles in order to carry out their duties. Occasionally the employee will be required to drive over 100 miles, including for overnight or out of town travel.

Job Type: Full-time

Pay: $15.00 - $18.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible schedule
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Referral program
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Ability to commute/relocate:

• Spring Hill, FL 34606: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Management: 1 year (Preferred)
• HEDIS: 1 year (Preferred)
• Microsoft Excel: 1 year (Required)
• Report writing: 1 year (Required)

Work Location: In person

Please Note :
clarksqn.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, clarksqn.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.