Network Integrity & Compliance Coordinator

AllCare Health, Inc.; Grants Pass (OR); On-site; USD 33,062 - 35,817; Full time

Benefits offered by this job

Mileage reimbursement

Cell phone stipend

Job summary

AllCare Health, Inc. is seeking a Network Integrity Program Coordinator in Grants Pass, Oregon. This role involves ensuring provider network adequacy and compliance with regulatory agencies, including OHA and CMS. Responsibilities include auditing network standards, preparing regulatory reports, and collaborating across teams to resolve network issues.

The ideal candidate will have a high school diploma, with 2-4 years of relevant experience in healthcare compliance and data analysis, along with exceptional skills in communication and organization.

Qualifications

• Two to four years of experience in healthcare provider network management or regulatory compliance.
• Ability to perform job duties with reasonable accommodations if needed.

Responsibilities

• Assist with provider network adequacy audits.
• Oversee audit preparation and submission processes.
• Monitor regulatory updates affecting network adequacy.

Skills

Healthcare knowledge

Writing and editing skills

Organization

Time management

Data analysis

Customer service

Education

High school diploma or GED

Tools

Microsoft Office Suite

Job description

AllCare Health, Inc. is seeking a Network Integrity Program Coordinator in Grants Pass, Oregon. This role involves ensuring provider network adequacy and compliance with regulatory agencies, including OHA and CMS. Responsibilities include auditing network standards, preparing regulatory reports, and collaborating across teams to resolve network issues.

The ideal candidate will have a high school diploma, with 2-4 years of relevant experience in healthcare compliance and data analysis, along with exceptional skills in communication and organization.