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CommonSpirit Health Provider Network Coordinator in CLIVE, Iowa

Overview

MercyOne is a connected system of health care facilities and services dedicated to helping individuals live their best life.

With 420 care locations, our clinics, medical centers and affiliates are never too far from home, allowing us to improve the lives of individuals and communities across the state of Iowa and beyond.

MercyOne’s Central Iowa Region includes medical centers in Des Moines, West Des Moines, Newton and Centerville and two specialty hospitals – MercyOne Children’s Hospital in Des Moines and MercyOne Rehabilitation Hospital in Clive – along with more than 20 additional facilities that house more than 50 primary care, pediatric, internal medicine and specialty clinics. Founded by the Sisters of Mercy in 1893, MercyOne Central Iowa has the longest continually operating hospital in Des Moines.

Responsibilities

Job Summary:

Provides oversight and management for the MercyOne Provider Network Directory. Assists with aligning MercyOne Provider Network Standards and NCQA requirements. Serves as a liaison between PHSO administration, Chapters, Medical Staff Offices, employment offices, and MercyOne Partnered Provider organizations and their clinicians.

Essential Position Expectations:

  • Provider Network Directory

  • Serves as the key resource to implement and maintain an accurate, NCQA-compliant Provider Network Directory.

  • Develops and maintains intake/assessment forms to gather key information to support the Provider Network Directory.

  • Coordinates with Medical Staff Offices, Physician Recruitment and Employment, and Clinic Managers to obtain all required information.

  • Governance Support

  • Supports maintenance of and participation in monthly Provider Network Council meetings and related governance structures.

  • Assists with Provider Network Council agenda creation, presentation of materials, and taking of minutes.

  • Assists with Provider Network report-outs to the Provider Network Council and PHSO Board of Managers.

  • Network Communications & Contracting

  • Assists with development of PHSO Newsletter content.

  • Assists in the management of PHSO Participant Agreements and Network Contracting.

  • Assists in the recruitment of new Partnered Provider organizations and clinicians.

  • Member Inquiries

  • In collaboration with compliance, assists in the investigation and response to member inquiries related to the Provider Network and Directory.

Knowledge & Skills:

  • Experience in PHSOs or ACOs and knowledge of value-based payment structures is preferred.

  • Demonstrated proficiency in Microsoft applications required.

  • Strong demonstrated verbal communication and critical thinking skills required.

  • Demonstrated presentation skills.

  • Excellent verbal and writing skills required, as well as excellent planning and negotiating skills.

  • Excellent project management skills.

  • Demonstrated ability in policy development.

  • Demonstrated proficiency in credentialing software and enrollment reports.

#LI-CHI

#missioncritical

Qualifications

MINIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED :

Education: Bachelor’s degree preferred. In lieu of educational requirements previous work history and years of experience may be considered.

Experience: Minimum of one year of experience with a healthcare system, health plan or healthcare accrediting body. Prior experience in provider network management preferred.

Connect With Us!

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CommonSpirit Health participates in E-verify.

Requisition ID 2021-155027

Employment Type Full Time

Department General & Administrative

Hours / Pay Period 80

Shift Day

Standard Hours Monday - Friday (8:00 AM - 5:00 PM)

Facility / Process Level : Name MercyOne Des Moines Medical Center

Location IA-CLIVE

Equal Opportunity CommonSpirit Health™ is an Equal Opportunity/ Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law.

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