Network Operations Coordinator II - Provider Performance - Houston, TX - CareAllies : Job Details

At CareAllies, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Job Summary As a part of the Provider Engagement Team, this position will work closely with providers to accelerate their transition to value-based care and to help them manage the long-term health of their patients. This position 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. We collaborate with providers to drive change and ensure success in a value-based market. This position is also 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 is an important part of this role. responsibilities include promoting high quality initiatives to support data integrity. accepting ownership and leading highly specialized operational and customer support duties that require independent initiative. This role includes participating in internal provider meetings and work groups, researching problems related to provider credentialing, data and network participation. Required Job Qualifications:

• 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 - verbal, written and presentation.

Preferred Job Qualifications:

• 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.
• Client-site Location: This is a field based position in the Houston, TX market, including surrounding cities. The individual will be onsite at the corporate office and provider offices 3-5 times weekly.
• Schedule: Monday - Friday, typical business hours. Evening meetings may be required based on physician schedules.
• Sponsorship: Sponsorship is not available

INTC #LI-Hybrid #LI-JR2 EEO Statement: We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. Pay Transparency Statement: At CareAllies, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From 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, we offer a robust total rewards package for full-time employees. The salary offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. Min to Max Range: $46,600.00 - $84,300.00