Representative, Client Network Management / Southern CA (Orange County)
Company: Conifer Health Solutions
Posted on: November 19, 2021
As a part of the Tenet and Catholic Health Initiatives family,
Conifer Health brings 30 years of healthcare industry expertise to
clients in more than 135 local regions nationwide. We help our
clients strengthen their financial and clinical performance, serve
their communities and succeed at the business of healthcare.
Conifer Health helps organizations transition from volume to
value-based care, enhance the consumer and patient healthcare
experience and improve quality, cost and access to healthcare. Are
you ready to be part of our solutions? Welcome to the company that
gives you the resources and incentives to redefine healthcare
services, with a competitive benefits package and leadership to
take your career to the next step!JOB SUMMARYAccountable for a wide
range of duties in support of complete and accurate client provider
networks, including but not limited to, provider office trainings
and visits, provider recruitment and membership maintenance and
growth.ESSENTIAL DUTIES AND RESPONSIBILITIESInclude the following.
Others may be assigned.
- Accountable to visit on a regular and constant basis all client
primary and specialty provider offices for all clients as assigned,
including but not limited to, quality performance domains.
- Responsible to inform provider and office manager of client
notices, payor updates, and regulatory requirements, including but
not limited to, review of gaps in care, encounter submission
volumes, access and availability requirements.
- Accountable to grow the provider network and client membership
through new provider recruitment and business development
opportunities. Responsible to gather and prepare presentation
materials for the office visits.
- Responsible to organize and conduct office managers in-service,
including but not limited to, providing the quality training and
- Accountable to maintain visit and activity logs of provider
visits and identify and track issues raised by provider or office
manager during the visit. Responsible to escalate issues to
practice manager/director for tracking and issue
resolution.SUPERVISORY RESPONSIBILITIESThis position reports to the
Manager, Provider Quality Performance and requires moderate degree
of supervision to ensure provider visits and office manager forums
occur as required and scheduled.Qualifications:KNOWLEDGE, SKILLS,
ABILITIESCandidates that exhibit most of the following preferred
qualifications will be well suited for this position. However,
- 2-4 years of health plan or management service organization
experience in provider relations or related area
- 2+ years in managed care experience preferredEDUCATION /
- High School Diploma or GEDREQUIRED CERTIFICATIONS/LICENSURE
- NoPHYSICAL DEMANDSThe physical demands described here are
representative of those that must be met by an employee to
successfully perform the essential functions of this job.
Reasonable accommodations may be made to enable individuals with
disabilities to perform the essential functions.
- Must be able to work in a sitting position, use a computer and
- Light physical effort (lift to 10 lbs.).
- The home office for this position will be located in Encino,
CA.WORK ENVIRONMENTThe work environment characteristics described
here are representative of those an employee encounters while
performing the essential functions of this job. Reasonable
accommodations may be made to enable individuals with disabilities
to perform the essential functions.
- Office Work Environment
- Hospital Work EnvironmentTRAVEL
- This position requires local travel (within 50-mile radius) at
least 80% of the time.JOB:Conifer Health SolutionsPRIMARY
LOCATION:Orange, CaliforniaJOB TYPE:Full-TimeSHIFT
TYPE:DaysEmployment practices will not be influenced or affected by
an applicant's or employee's race, color, religion, sex (including
pregnancy), national origin, age, disability, genetic information,
sexual orientation, gender identity or expression, veteran status
or any other legally protected status. Tenet will make reasonable
accommodations for qualified individuals with disabilities unless
doing so would result in an undue hardship.
Keywords: Conifer Health Solutions, Orange , Representative, Client Network Management / Southern CA (Orange County), Executive , Orange, California
Didn't find what you're looking for? Search again!