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PIM Supervisor in Orange at Prospect Medical Systems

Date Posted: 7/2/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    600 City Parkway West
    Orange
  • Job Type:
    Management
  • Experience:
    Not Specified
  • Date Posted:
    7/2/2018
  • Job ID:
    9915

Job Description



PIM Supervisor

We are hospitals and affiliated medical groups, working closely together for the benefit of every person who comes to us for care. We build comprehensive networks of quality healthcare services that are designed to offer our patients highly coordinated, personalized care and help them live healthier lives. Through collaboration, we strive to provide all of our patients and medical group members with the quality, affordable healthcare they need and deserve.

The Supervisor of Provider Information Management (PIM) supervises the PIM team and acts as a liaison between our IPAs, contracted health plans, internal departments and manages provider data.



Job Responsibilities/Duties

  • Supervises production of each member of the unit and ensuring each member is meeting their performance objectives.
  • Review quality from each employee to ensure timely and accurate processing of provider change forms.
  • Ensuring accuracy of provider information stored in database,
  • Thorough investigation and seeking the assistance of Contracting and Network Management departments when necessary.
  • Data projects as assigned.
  • Provider outreach; reaching out to provider/provider offices to acquire necessary documentation to ensure update information in all systems, and necessary for submission to health plans.
  • Management of requests/inquiries that come in from the health plans as well as from other Prospect Medical departments.
  • Responsible for the managing the data/rosters that is sent/received from Senator.
  • Responsible for validation of provider rosters; verifying the accuracy and ensuring roster is completed within the format requested by the specific health plan, and meeting health plans deadline.
  • Provider roster Production; assist with constructing provider rosters to specifications ensure completion with then health plan deadline


Qualifications

Minimum Education: Bachelors in Business Administration or equivalent from a four year college or technical school.

Minimum Experience: Five (5) years' experience and/or training in credentialing and/or contracting in a hospital or IPA setting; or equivalent combination of education and experience.

Req. Certification/Licensure: None. 



Employee Value Proposition

Prospect Medical Holdings, Inc., is guided by a diverse and highly experienced leadership core. This group maintains the vision that has made Prospect a needed difference-maker in the lives of so many patients today, and many executives contribute to our continued efforts. As a member of our highly effective team of professionals you will receive:

  • Company 401K
  • Medical, dental, vision insurance
  • Paid time-off
  • Life insurance


How to Apply

To apply for this role, or search our other openings, please visit http://pmh.com/careers/ and click on a location to begin your journey to a new career with us!

We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources.

EEOC is the Law: https://www1.eeoc.gov/employers/poster.cfm

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