CareAllies · 10 hours ago
Network Operations Coordinator II - Provider Performance - Houston, TX
TX - Houston
Full-time
Hybrid
Mid Level
$48K/yr - $86K/yr
4+ years expCareAllies is dedicated to empowering employees and fostering fulfilling careers. The Network Operations Coordinator II will work closely with providers to enhance their transition to value-based care while managing patient health. Responsibilities include contracting, credentialing, and maintaining provider data to support various business lines.
Health CareInformation Technology
No H1B
Responsibilities
Work closely with providers to accelerate their transition to value-based care and to help them manage the long-term health of their patients
Uses a consultative approach, emphasizing physician engagement, delivery system organization and culture change, actionable data and analytics, as well as patient engagement to support treatment plans
Collaborate with providers to drive change and ensure success in a value-based market
Responsible for the contracting, credentialing, and maintenance of professional provider data to support marketing, membership and network contracting across all lines of business
Building relations with the provider community
Promoting high quality initiatives to support data integrity
Accepting ownership and leading highly specialized operational and customer support duties that require independent initiative
Participating in internal provider meetings and work groups
Researching problems related to provider credentialing, data and network participation
Qualification
Required
Bachelor degree OR 4 years of experience in the Health Care industry
2 years of experience with Provider Network contracting and credentialing systems
Written and verbal communication skills to interact with internal and external customers
Analytical and quantitative skills
Ability to take initiative and work independently
Preferred
Subject Matter Expert for the Professional Provider Credentialing Process
Experience with Microsoft Office applications including Excel, Access, and Power Point
Previous HEDIS and/or CMS STARs experience
Solid understanding of health insurance, customer messaging/design and project management
Strong experience using Microsoft products, including Excel (knowledge of pivot tables, VLOOKUP, etc.) and PowerPoint
Experience in financial/trend analysis
Team player with proven ability to foster and manage working relationships within a matrix environment to obtain buy-in and drive results
Benefits
Health and wellness benefits
401(k) savings plan
Pension plan
A minimum of 15 days’ of paid time off
Paid parental leave
Disability insurance
Supplemental life insurance
Employee assistance program
Paid holidays
Tuition reimbursement
Plus other incentives
Company
CareAllies
CareAllies works side-by-side with health care providers to help improve the quality, value and experience of care for their patients, to make health care better for everyone.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
unknown2024-01-31Acquired
Leadership Team
Elisabeth DelGrosso, MBA
Vice President, Strategy, Partnerships & Product
Joe Nicholson
Chief Medical Officer
Recent News
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