Job Title: Provider Grid Operations Coordinator

Department: Operations- Provider Data Management

About the Role:

ApolloMed is looking for a Providers Grid Operations Coordinator to join our fast growing Dynamic Team. The Providers Grid Operations Coordinator will be responsible for acting as a liaison between internal departments that include but not limited to Contracting, Credentialing, Provider Relations, Terms and Conditions, Eligibility, Provider Data Management and external (Health Plans) entities to effectively communicate and follow-up in a timely manner to resolve provider inquiries and requests.

You are:

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  Comfortable with ambiguity and biased towards action
• Relentlessly resourceful
• Growth-oriented
• Mission-driven

What You'll Do:

The Provider Grid Operations Coordinator will follow established procedures to assist, validate, and uphold the integrity of provider database adhering to compliance and will be reporting directly to the Manager.

Minimum qualifications:

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  Act as liaison between internal departments (Contracting, Credentialing, Provider Relations, Terms and Conditions, Eligibility, PDM) and external (Health Plans) entities to effectively communicate and follow-up in a timely manner to resolve provider inquiries and requests.
• Review providers add, termination, and demographic update requests.
• Maintain and update providers’ health plan unique identification numbers across all lines of business.
• Identify providers’ data error and coordinate with responsible parties to correct.
• Accurately log all providers’ requests and be able to provide monthly summary to Director and Team Lead.
• Audit providers’ membership assignment based on Shared/Full Risk contract and PPG codes.
• Adhere to corporate standards for performance metrics, data integrity, and reporting format to ensure high quality, meaningful output.
• Collect and submit correct documentation to Health Plans in order to add new providers to database/network
• Perform other duties as necessary or assigned by the Director or Team Lead.

You're a great for this role if:

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  You are detail oriented and have good organizational skills.

• You have the ability to comply and follow company policies and procedures.
• You are a strong team player.
• You are proficient in Microsoft Excel and Words applications.
• You are able to keep an organized and neat work area.
• You have the ability to multitask and problem solve in a fast pace work environment.

Who We Are:

ApolloMed (NASDAQ: AMEH) is a physician-centric, technology-powered healthcare management company. We are building and operating a novel, integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner. Our mission is to combine our clinical experience, best-in-class delivery network, and technological expertise in order to improve patient outcomes, increase access to healthcare, and make the US healthcare system more efficient.

Our platform currently empowers over 10,000 physicians to provide care for over 1.2 million patients nationwide. Our rapid growth and unique position at the intersection of all major healthcare stakeholders (payer, provider, and patient) gives us an unparalleled opportunity to combine clinical and technological expertise in order to improve patient outcomes, increase access to quality healthcare, and reduce the waste in the US healthcare system.

Our Values:

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  Patients First
• Empowering the Independent Provider
• Be Innovative
• Operate with Integrity & Deliver Excellence
• Team of One

Environmental Job Requirements and Working Conditions:

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  This position is in office. The office is located at: 1600 Corporate Center Dr., Monterey Park, CA 91754.

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  Work is performed in an office environment. Employee must be able to tolerate sitting or standing for long periods of time to perform different duties. Must be able to deal with busy, high pace work shifts. Pace of work may be rapid and intense especially when faced with deadlines.

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  The target pay range for this role is $18.00 - $36.00 per hour. This salary range represents our national target range for this role.

ApolloMed is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@networkmedicalmanagement.com to request an accommodation.

Additional Information:

The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change