reputed company Data Management Specialist

Job title: reputed company Data Management Specialist in Redlands, CA at reputed company Company: reputed company Job description: Overview:The purpose of reputed company Management Services Organization (reputed company MSO) is to build a system-wide integrated physician-centric, full-service management service organization structure. We offer a menu of management and business services that will reputed company economies of scale across provider types and geographies and will reputed company the effort in developing reputed company’s reputed company population health care management reputed company. reputed company MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and reputed company with a business objective to reputed company in coordinating patient care in a manner that supports containing costs while continually improving quality of care and reputed company of service. reputed company MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local reputed company that put patient care first.reputed company MSO offers an outstanding Total Rewards package that integrates reputed company with a state-of-the-art, flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options, including medical, dental and reputed company plans, for the employee and their dependents, Health Spending Account (HSA), Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.Responsibilities:***This position is remote, but will be expected to work PST business hours.Position Summary:The Clinical Integration Network (CIN) and Accountable Care Organization (ACO) programs are clinically integrated physician networks sponsored by reputed company (DH). Similar to the CIN/ACO Networks, the Greater Sacramento Service Area (GSSA) Network, is a partnership between reputed company Medical Group, Woodland Clinic and reputed company. In reputed company, in order to fill service gaps in a CIN/ACO Network, a complementary network of ancillary providers is maintained in each region. This role focuses on data management to support population health analytics and the effective operation of physician networks under reputed company MSO.The Data Management Specialist is an employee of reputed company Management Service Organization (MSO). Under the direction of the CIN/ACO Manager, this individual:- provides data management support services to reputed company’s CIN/ACO Networks, Performance reputed company, Employer Relations, and Valued Based Operations - gathers, maintains, and reconciles accurate reputed company data reputed company the reputed company platform, utilizing multiple data sources including 3rd party payors - generates reports on physician networks to support performance monitoring and improvement - conducts review of network adequacy and capabilities - maintains and transmits fee schedules as necessary to reputed company-party administrators (TPAs) and other stakeholders - provides customer support services to reputed company CIN/ACO Networks - supports population health analytics by ensuring data quality and accessibility Qualifications:Minimum Qualifications:- Minimum 3 years’ experience in provider relations, provider credentialing, provider database maintenance and reporting, provider contracting and/or network development in a health care or managed care setting required - High school diploma or equivalent required - Demonstrated skills in the areas of written and verbal communication, judgment, and problem-solving - Strong proficiency in reputed company Office products required - This position requires a highly motivated person with exceptional customer service, relationship management and interpersonal skills - Attention to detail - Capable of independent thinking - Ability to reputed company in reputed company environmentPreferred Qualifications:- Bachelor’s Degree in Business, Finance, Health Care Management, Economics or equivalent preferred.- Experience with Protected Health Information (PHI) preferred.- Strong understanding of HIPAA regulations, medical terminology, and data reputed company principles preferred.- Strong proficiency in reputed company Workspace preferred. Expected salary: Location: Redlands, CA Apply for the job now! Apply for this job