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Clever Care Health Plan · 5 days ago

Network Operations Coordinator

Huntington Beach, CA

Full-time

Hybrid

New Grad, Entry Level

$20/hr - $24/hr

Clever Care Health Plan is one of Southern California’s fastest-growing Medicare Advantage plans, dedicated to transforming healthcare for underserved communities. The Network Operations Coordinator will support the Provider Network and Provider Configuration teams by maintaining the Provider Directory and managing data from contracted groups.

Health Care

H1B Sponsor Likely

Responsibilities

Execute quarterly outreach to all contracted IPAs/Groups and organize accordingly

Manage and maintain rosters for directly contracted hospitals and directly contracted acupuncturists

Conduct roster validation which include but is not limited to license, NPI, and credentialing data

Manage, store and validate attestations from delegated entities with each roster receival

Provide internal communication and distribution to Provider Configuration and Network Analytics departments to support directory upload and network adequacy

Properly notify and track all that each roster has been validated and properly distributed with Supervisor via bi-weekly meetings

Conduct and log Access & Availability studies on a quarterly basis

Distribute Type II PCP IDs to every IPA/Group monthly

Provide Outreach and log for Absent Terminations from roster ingestion

Same-day processing and tracking of all internal notification for immediate PCP terminations

Qualification

Microsoft ExcelData managementProject managementCommunication skillsPresentation skills

Required

High school diploma required

Microsoft Excel knowledge and experience

Previous experience with data management

Demonstrated ability to manage multiple projects and meet deadlines

Strong communication and presentation skills with ability to effectively communicate with all levels of the organization, internally and externally

Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Must be able to travel when needed or required

Ability to operate a keyboard, mouse, phone and perform repetitive motion (keyboard); writing (note-taking)

Ability to sit for long periods; stand, sit, reach, bend, lift up to fifteen (15) lbs

Ability to express or exchange ideas to impart information to the public and to convey detailed instructions to staff accurately and quickly

Company

Clever Care Health Plan

Clever Care Health Plan is a healthcare company that provides health insurance for medicare services.

Founded in 2018

Huntington Beach, California, USA

201-500 employees

https://clevercarehealthplan.com

H1B Sponsorship

Clever Care Health Plan has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (2)

2023 (4)

2022 (3)