Contract Operations Coordinator

SUMMARY

Physicians Medical Group of San Jose / Excel MSO is looking for the best and brightest professionals to handle the business side of medical practice so “doctors can be doctors.” We are fortunate to have experienced unprecedented growth in the last few years – and we’re just getting started. As the largest Independent Physicians Association in Santa Clara County, not only do we partner with the most health plans, but we’re also the first, and only, Clinically Integrated Network in Silicon Valley.

We deeply trust and value our dedicated physicians and employees who provide compassionate care to our 100,000+ patients every day. If you are looking for a rewarding opportunity with an innovative, collaborative, and inspirational team, join us at PMGSJ / Excel MSO, and help us continue to be trailblazers in the transformation of health care.

We are looking for a Contract Operations Coordinator who will support the day-to-day activities for the Network Operations department pertaining to provider inquiries and updates. You will ensure the accuracy and completeness of provider data in systems and provider directory.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

· Works closely with provider relations staff to capture and process provider demographic changes accurately

· Assist in various projects regarding provider participation with various product lines and/or payors

· Assist in the coordination of the roster validation and audit processes

· Complete monthly and quarterly rosters for several health plans

· Ensure reports and rosters are up to date as needed

· Follow up and assist with email inquiries and managing several shared email boxes

· Collaborate with various departments when needed to complete time sensitive projects

· Facilitate or assist with special projects and other initiatives to ensure provider data is complete and accurate.

· Provider portal access in a timely manner for providers and practice staff.

· Follow up with providers and health plans as needed.

· Provide department cross coverage.

· Attend department meetings as required.

· Perform additional duties as assigned.

QUALIFICATIONS:

· Bachelor’s degree preferred.

· One year of health care experience

· Proficient with Microsoft Excel

· Excellent verbal and written communication skills

· Problem solving and critical thinking skills.

· Must be organized, detail oriented and have excellent follow up skills.

· Self-motivated with good time management skills.

PHYSICAL DEMANDS

• Sitting: 100% of the workday; standing is optional.
• Headset optional.
• Must be able to use keyboard frequently and intermittently throughout the day.
• Lifts infrequent, up to 25 lbs. weight.

Job Type: Full-time

Pay: $27.00 - $30.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Parental leave
• Professional development assistance
• Referral program
• Tuition reimbursement
• Vision insurance

Schedule:

• Monday to Friday

Ability to commute/relocate:

• San Jose, CA 95131: Reliably commute or planning to relocate before starting work (Required)

Work Location: In person