Field Network Operations Coordinator II

CareAllies Inc.; Houston (TX); Hybrid; USD 42,000 - 93,000; Full time

Benefits offered by this job

Health and wellness benefits

401(k) savings plan

Pension plan

Paid time off

Paid parental leave

Disability insurance

Supplemental life insurance

Employee assistance program

Paid holidays

Tuition reimbursement

Plus other incentives

Job summary

HCSC is seeking a field-oriented professional to oversee provider network operations, quality measures, and data integrity across a broad health care network. You will engage with providers, manage contracts and credentialing, and collaborate with internal teams to improve performance metrics.

The role requires a bachelor degree or equivalent health care experience, strong analysis, and effective communication.

Qualifications

• Bachelor degree OR 4 years of experience in the health care industry.
• 2 years of experience with Provider Network contracting and credentialing systems.
• Strong written and verbal communication skills with internal and external customers.
• Analytical and quantitative skills.
• Ability to take initiative and work independently.

Responsibilities

• Overall Performance/HEDIS Quality Measures.
• Medicare Annual Wellness Visit/Attestation Completion.
• Provider Relationship Management.
• Operations and Systems (Pop Health Platform, Salesforce updates, cross-functional collaboration with internal and external stakeholders) and maintenance of professional provider data to support key value-based care initiatives, membership and network operations.
• Building relations with the provider community.
• Promoting high-quality initiatives to support data integrity.
• Owning and leading highly specialized operational and provider support duties requiring independent initiative and problem-solving.
• Participating in internal provider meetings and work groups.
• Researching problems related to provider performance/engagement, data and network participation.

Skills

Written communication

Verbal communication

Analytical thinking

Initiative

Education

Bachelor degree or equivalent experience

Tools

Population Health Management

Microsoft Excel

PowerPoint

Job description

HCSC is seeking a field-oriented professional to oversee provider network operations, quality measures, and data integrity across a broad health care network. You will engage with providers, manage contracts and credentialing, and collaborate with internal teams to improve performance metrics.

The role requires a bachelor degree or equivalent health care experience, strong analysis, and effective communication.