Provider Demographic Mangement Coordinator na MemorialCare Medical Foundation

%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3E%3Cstrong%3ETitle:%3C/strong%3E Provider Demographic Management Coordinator%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3E%3Cstrong%3ELocation:%3C/strong%3E Fountain Valley, CA / Predominantly Remote%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3E%3Cstrong%3EDepartment:%3C/strong%3E IPA - Provider Network%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3E%3Cstrong%3EStatus:%3C/strong%3E Full-Time%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3E%3Cstrong%3EShift:%3C/strong%3E Days (8hr)%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cb style=%22mso-bidi-font-weight:normal;%22%3E%3Cspan style=%22line-height:107%;%22%3E%3Cstrong%3EPay Range*: %2424.01/hr - %2434.81/hr%3Co:p%3E%3C/o:p%3E%3C/strong%3E%3C/span%3E%3C/b%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3E%3Co:p%3E%26nbsp;%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3EMemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups – consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare%27s recognition as a market leader and innovator in value-based and other care models.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3EAcross our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability.%26nbsp;Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation, and teamwork.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cb style=%22mso-bidi-font-weight:normal;%22%3E%3Cspan style=%22line-height:107%;%22%3E%3Cstrong%3E%3Cu%3EPosition Summary%3Co:p%3E%3C/o:p%3E%3C/u%3E%3C/strong%3E%3C/span%3E%3C/b%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22background-color:white;color:black;font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3EThe Provider Demographic Management Coordinator (PDM Coordinator) is responsible for generating Health Plan notifications including adds, changes and terms.%26nbsp;%26nbsp;PDM Coordinator catalogs and tracks all changes and ensures key updates are completed accordingly. In addition the PDM Coordinator will work directly with the Provider Demographic Specialist to ensure the accuracy of network provider information listed on the contracted health plans directories and websites. The PDM Coordinator will assist in maintaining accurate and updated provider matrixes and rosters on internal intranets as well as websites.%3C/span%3E%3C/span%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cb style=%22mso-bidi-font-weight:normal;%22%3E%3Cspan style=%22line-height:107%;%22%3E%3Cstrong%3E%3Co:p%3E%3C/o:p%3E%3C/strong%3E%3C/span%3E%3C/b%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cb style=%22mso-bidi-font-weight:normal;%22%3E%3Cspan style=%22line-height:107%;%22%3E%3Cstrong%3EEssential Functions and Responsibilities of the Job%3Co:p%3E%3C/o:p%3E%3C/strong%3E%3C/span%3E%3C/b%3E%3C/span%3E%3C/p%3E%3Col%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22color:black;font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3EFamiliar with regulatory standards including but not limited to: NCQA, ICE, DMHC, DHCS, CMS, and contracted health plans.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22color:black;font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3EUse pertinent data and facts to identify and solve a range of problems within area of expertise.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22color:black;font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3EBe at work and be on time%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22color:black;font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3EFollow company policies, procedures and directives%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22color:black;font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3EInteract in a positive and constructive manner%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22color:black;font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3EPrioritize and multitask%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22color:black;font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3EEffectively establish and maintain working relationships, and proves able to continually follow up with appropriate parties in order to achieve optimal results%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22color:black;font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3ETrack, update, and audit provider information in database%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22color:black;font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3EAnalyze problems by gathering all relevant information and come up with appropriate solutions%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22color:black;font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3EPays close attention to detail, accuracy and completeness, and meets deadlines%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22color:black;font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3EMust understand basic computer logic, conditional statements%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3C/ol%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;%22%3E%3Co:p%3E%26nbsp;%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Ci%3E%3Cspan style=%22line-height:107%;%22%3E*Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. %3C/span%3E%3C/i%3E%3C/span%3E%3Cspan style=%22background-color:white;color:black;font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Ci%3E%3Cspan style=%22line-height:107%;%22%3EHealth and wellness is our passion at MemorialCare—that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there’s more...%3C/span%3E%3C/i%3E%3C/span%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Ci%3E%3Cspan style=%22line-height:107%;%22%3ECheck out our%26nbsp;%3C/span%3E%3C/i%3E%3C/span%3E%3Ca target=%22_blank%22 rel=%22noopener noreferrer%22 href=%22https://careers.memorialcare.org/benefits%22%3E%3Cspan style=%22color:windowtext;font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Ci%3E%3Cspan style=%22line-height:107%;%22%3EMemorialCare Benefits%26nbsp;%3C/span%3E%3C/i%3E%3C/span%3E%3C/a%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Ci%3E%3Cspan style=%22line-height:107%;%22%3Efor more information about our Benefits and Rewards.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/i%3E%3Cspan style=%22line-height:107%;mso-bidi-font-weight:bold;%22%3E%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E
%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cb style=%22mso-bidi-font-weight:normal;%22%3E%3Cspan style=%22line-height:107%;%22%3E%3Cstrong%3E%3Cu%3EMinimum Requirements%3Co:p%3E%3C/o:p%3E%3C/u%3E%3C/strong%3E%3C/span%3E%3C/b%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cb style=%22mso-bidi-font-weight:normal;%22%3E%3Cspan style=%22line-height:107%;%22%3E%3Cstrong%3EQualifications/Work Experience:%3Co:p%3E%3C/o:p%3E%3C/strong%3E%3C/span%3E%3C/b%3E%3C/span%3E%3C/p%3E%3Cul%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22color:black;font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3EMinimum of 2-4 years healthcare experience working in a managed care or information systems setting is required.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22color:black;font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3EEpic or equivalent Managed Care electronic medical record system and provider portal applications knowledge preferred.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22color:black;font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3EExperience with various healthcare industry regulatory agencies and requirements including but not limited to CMS, NCQA, DMHC, ICE, DHCS, preferred.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22color:black;font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3EMust be able to communicate with others clearly, tactfully and professionally.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22color:black;font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3EAbility to work independently and remain on task.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22color:black;font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3EMust be detail oriented, good organization and planning skills.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22color:black;font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3EAbility to prioritize and meet deadlines from multi-staff members with the department.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22color:black;font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3EMust have strong computer skills with a broad knowledge of software packages.%3C/span%3E%3Cspan style=%22line-height:107%;mso-fareast-font-family:%26quot;Times New Roman%26quot;;mso-spacerun:yes;%22%3E%26nbsp; %3C/span%3E%3Cspan style=%22line-height:107%;mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3EIntermediate level of proficiency with MS Word, Excel and Access.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22color:black;font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3EMust be able to willingly accept responsibility and possess the desire to learn new tasks.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22color:black;font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3EWorking knowledge of data analysis, data presentation, and preparation of professional documents required%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3C/ul%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cb style=%22mso-bidi-font-weight:normal;%22%3E%3Cspan style=%22line-height:107%;%22%3E%3Cstrong%3EEducation/Licensure/Certification:%3Co:p%3E%3C/o:p%3E%3C/strong%3E%3C/span%3E%3C/b%3E%3C/span%3E%3C/p%3E%3Cul%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;mso-bidi-font-weight:bold;%22%3EMust have a high school diploma.%3C/span%3E%3Cspan style=%22line-height:107%;mso-bidi-font-weight:bold;mso-spacerun:yes;%22%3E%26nbsp;%3C/span%3E%3Cspan style=%22line-height:107%;mso-bidi-font-weight:bold;%22%3E%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;mso-bidi-font-weight:bold;%22%3EBachelor’s degree in Healthcare Analytics, Health Administration, or related major, preferred%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:10.0pt;%22%3E%3Cspan style=%22line-height:107%;mso-bidi-font-weight:bold;%22%3EComparable work experience in areas of Provider Data Management or Provider Network Management, considered%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3C/ul%3E Candidatar-se agora