Provider Operations Specialist

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Sorry, this job was removed at 6:09 p.m. (EST) on Thursday, March 2, 2023
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WHAT YOU'LL BE DOING

    • Reporting and client deliverables
    • Regulatory and contract compliance for functions delegated to Arcadia
    • Analyze data and information, including written analysis
    • Provider relations activities and network management activities
    • Administrative tasks related to provider relations activities


WHAT SUCCESS LOOKS LIKE

    • In 3 months
    • Learn applicable systems
    • Provider Operations workflows
    • Provider record entry
    • Consistently enter an average of 10 provider adds per hour using the Provider Add Module
    • In 6 months
    • Provider return mail
    • Assist Provider Operations Coordinators with capitation mailings
    • Assist Provider Operations and Auditing Compliance Operations with submission oversight reports
    • Consistently enter an average of 18 provider adds per hour using the Provider Add Module
    • In 12 months
    • Considered a subject matter expert for provider record entry
    • Assisting Provider Operations Coordinator with additional workflows and processes
    • Other duties assigned by the manager of the department
    • Consistently enter an average of 25 provider adds per hour, or 2-3 minutes per provider add, uding the Provider Add Module


WHAT YOU'LL NEED TO HAVE

    • At least 2 - 5+ years of related work experience in the healthcare network management field
    • Analytical thinking and planning skills
    • Ability to manage multiple priorities in a dynamic environment
    • Ability to adapt to an evolving work environment
    • Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and Access
    • Ability to ensure completion of projects and assignments.
    • Able to problem solve, exercise initiative and make decisions.
    • Excellent communication skills with outgoing client personality.


WOULD LOVE FOR YOU HAVE

    • Associate's Degree, or equivalent in education and experience in healthcare field
    • Expert level experience with all Microsoft Office applications, including Word, Excel and Access
    • Experience and knowledge with Medicare Advantage strongly encouraged
    • Experience with reading and writing provider payment contracts


WHAT YOU GET

    • Learn the life of a Contract Management firm with Independent Physician Associations across Illinois.
    • Encouragement to bring ideas to the table.
    • Receive cash compensation with health, dental, and other benefits
    • Be an integral part of a desired team within Arcadia's Value Based Services.
    • Opportunity to be part of a team creating automated processes to drastically improve healthcare.
    • Extraordinary work environment and culture.
    • Competitive compensation.
    • Amazing benefits package including flextime time off.
    • Flexible work environment


This position is responsible for following all Security policies and procedures in order to protect all PHI under Arcadia's custodianship as well as Arcadia Intellectual Properties. For any security-specific roles, the responsibilities would be further defined by the hiring manager.
About Arcadia
Arcadia.io helps innovative healthcare systems and health plans around the country transform healthcare to reduce cost while improving patient health. We do this by aggregating massive amounts of clinical and claims data, applying algorithms to identify opportunities to provide better patient care, and making those opportunities actionable by physicians at the point of care in near-real time. We are passionate about helping our customers drive meaningful outcomes. We are growing fast and have emerged as the market leader in the highly competitive population health management software and value-based care services markets, and we have been recognized by industry analysts KLAS, IDC, Forrester and Chilmark for our leadership. For a better sense of our brand and products, please explore our website , our online resources , and our interactive Data Gallery .
This position is responsible for following all Security policies and procedures in order to protect all PHI under Arcadia's custodianship as well as Arcadia Intellectual Properties. For any security-specific roles, the responsibilities would be further defined by the hiring manager.

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Technology we use

  • Engineering
  • Product
  • Sales & Marketing
    • JavaLanguages
    • JavascriptLanguages
    • PythonLanguages
    • RubyLanguages
    • ScalaLanguages
    • SqlLanguages
    • jQueryLibraries
    • jQuery UILibraries
    • ReactLibraries
    • ReduxLibraries
    • HadoopFrameworks
    • Node.jsFrameworks
    • Ruby on RailsFrameworks
    • SparkFrameworks
    • TensorFlowFrameworks
    • PostgreSQLDatabases
    • HadoopDatabases
    • SQLDatabases
    • Google AnalyticsAnalytics
    • IllustratorDesign
    • PhotoshopDesign
    • PixelmatorDesign
    • AsanaManagement
    • ConfluenceManagement
    • JIRAManagement
    • WordpressCMS
    • HubSpotCRM
    • SalesforceCRM
    • HubspotEmail
    • HubspotLead Gen

Location

Our new corporate headquarters is located in Downtown Boston, a short walk from South Station. Easily accessible by public transit (MBTA, commuter rail, South Station Bus Terminal) and a short 30 minute Uber from Logan airport. A close walk to nearby coffee shops, restaurants, bars, and sights.

An Insider's view of Arcadia

What's something quirky about your company?

Arcadia's Got Talent (AGT) is an annual talent show that I won last year. The best part about AGT was that it encouraged me to work on something I am passionate about outside of work. All of the entries were amazing & I think it's really awesome that the company does things to bring people together and celebrate our passions outside of the office.

Gary

Engineering Manager

What does your typical day look like?

Every day is a little bit different, which I really love and helps keep me engaged! Most days I have a combination of phone screens and meetings with my hiring managers or team. I also help manage a lot of our brand partnerships that have projects through out the year and play a part in helping construct Arcadia's company culture as we scale.

Julie

Talent Acquisition Manager

How do you make yourself accessible to the rest of the team?

It's as easy as making time. I meet with my team members for one on ones to understand where their stressors are. Sometimes it's personal and I support with flexibility, time, or PeopleOps other times it's professional and these I tactically work with the team to coach or intervene.

Geo

Director, Engineering

How does the company support your career growth?

Arcadia is incredibly generous when it comes to career growth. I receive regular mentorship from my manager and leadership team. I also have a continuing education stipend that I use to take courses and attend conferences to further my skillset. My career path is mapped out and regularly adjusted with my professional interests and personal growth.

Mike

Senior Manager, Content

What are Arcadia Perks + Benefits

Arcadia Benefits Overview

Flexible working options, hybrid teams, and unlimited vacations are only a few of the incredible benefits you'll get at Arcadia. As a leader in HealthIT and data, we're making a mark on the standards of work-life balance. Take a look at some of the incredible perks of being an Arcadian.

Culture
Volunteer in local community
Partners with nonprofits
Open door policy
OKR operational model
Pair programming
Employee resource groups
Employee-led culture committees
Employee awards
Flexible work schedule
Remote work program
Diversity
Highly diverse management team
Diversity manifesto
Hiring practices that promote diversity
Health Insurance + Wellness
Flexible Spending Account (FSA)
Disability insurance
Dental insurance
Vision insurance
Health insurance
Life insurance
Pet insurance
Wellness programs
Team workouts
We offer biweekly Yoga and guided cardio workout sessions as well as have a Fitness and Fun video library with prior classes for reference.
Mental health benefits
We have an EAP (Employee Assistance Program) in place and an ongoing webinars focusing on mental health, coping with COVID, and emotional well-being.
Financial & Retirement
401(K)
401(K) matching
Performance bonus
Child Care & Parental Leave
Generous parental leave
Family medical leave
Company sponsored family events
Vacation + Time Off
Unlimited vacation policy
Generous PTO
Paid holidays
Paid sick days
Flexible time off
Bereavement leave benefits
Office Perks
Company-sponsored outings
Free snacks and drinks
Some meals provided
Company-sponsored happy hours
Onsite office parking
Pet friendly
Fitness stipend
Home-office stipend for remote employees
We work with all of our employees to ensure they have an functional and comfortable home office with a focus on ergonomics.
Professional Development
Job training & conferences
Tuition reimbursement
Lunch and learns
Promote from within
Continuing education available during work hours
Online course subscriptions available
Customized development tracks
Paid industry certifications

Additional Perks + Benefits

At Arcadia we create programs and opportunities that allow connection with one another and bridge the work from home gap. We host themed events, contests with prizes, and provide resources for shared personal and professional interests.

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