Title: Provider Onboarding Specialist

Location: Fountain Valley, CA / Hybrid

Department: IPA – Provider Network

Status: Full-Time

Shift: Days (8hr)

Pay Range*: $24.49/hr - $35.50/hr

MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups – consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models.

Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation, and teamwork.

Position Summary

The Provider Onboarding Specialist is the primary liaison and point of contact for newly employed or contracted internal providers. The Provider Onboarding Specialists handles all aspects of State and Federal program enrollment including Medicare and Medi-Cal for internal providers and the group. The Provider Onboarding Specialist is responsible for timely outreach to the provider in order to obtain the documents necessary for the provider to become credentialed and affiliated with all health plans. It is the responsibility of the Provider Onboarding Specialist to make sure the provider has completed all aspects of the onboarding process before their start date. This position is responsible for all initial hospital privileging when applicable for new providers and includes working with the Hospitalist Medical Director to provide ongoing status updates.

Essential Functions and Responsibilities of the Job

1. Must be able to interact and communicate effectively with individuals at all levels of the organization including providers and recruitment staff.
2. Ability to work and manage multiple projects and prioritize based on importance and urgency
3. Pays close attention to detail, accuracy and completeness, and meets deadlines
4. Maintains high level of productivity and self-direction
5. Takes personal responsibility for job performance
6. Adheres to departmental and organizational policies and procedures
7. Candidate must have a valid CA driver’s license, proof of insurance, and reliable transportation.
8. Be at work and be on time.
9. Follow company policies, procedures and directives
10. Interact in a positive and constructive manner
11. Prioritize and multitask

*Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. Health and wellness is our passion at MemorialCare—that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there’s more...Check out our MemorialCare Benefits for more information about our Benefits and Rewards.

Minimum Requirements

Qualifications/Work Experience:

• Minimum of three years healthcare experience working in a managed care setting is required.
• Epic or equivalent Managed Care electronic medical record system and provider portal applications knowledge preferred.
• Experience with various healthcare industry regulatory agencies and requirements including but not limited to CMS, NCQA, DMHC, ICE, DHCS, preferred.
• Proficiency in Microsoft Office applications including Word, Power Point, Excel, and Outlook is required. Experience with Microsoft Access is also preferred.

Education/Licensure/Certification:

• High school graduate or equivalent required.
• Bachelor’s degree preferred.