Meritage Medical Network

Career Opportunities

Interested job seekers can apply by clicking on the Apply button. Please include a cover letter with salary requirements and a current resume.

 

 



Accounts Payable Specialist, Novato

The Accounts Payable Specialist is responsible for processing high-volume, full-cycle Accounts Payable, check runs, vendor communications, and maintaining accurate accounts payable records. Essential Job Responsibilities Code Invoices Understanding of coding for prepaids, CIP, etc. Ensure invoices have proper back-up/approval. Input invoices into Great Plains Accounting Software (GP). Prepare monthly AP Accrual Print batches (review for accuracy: check document date, GL code, vendor ID, vendor address, and amount) Make sure there are no duplicate payments/late payments/miscoding/overpayments Check Vendor information for accuracy. Prepare checks to be mailed Communicate with vendors about past due payments/account inquiries. Reconcile invoices for all company credit card holders Research/resolve outstanding & lost checks. Work with Payroll and Human Resources to reconcile benefit invoices Generate GP reports as needed Prepare 1099’s and manage W-9’s Audit support for G/L Accountants Education/Experience: BA degree in Accounting, Business or related field and 2+ years' related work experience or an equivalent combination of education and experience. Prior Healthcare experience greatly desired. Experience with Accounting software, Great Plains Software is a plus. Strong grasp of basic mathematical functions. Strong skills in Microsoft Office Excel required. Experience with multiple company locations is preferred. Strong organizational skills, attention to detail and proven experience meeting deadlines.

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Clinical Review Specialist, Novato

Clinical Review Specialists are responsible for reviewing patient medical records for Medicare Advantage enrollees to identify chronic conditions to be prioritized and addressed by healthcare providers. The review process includes working with multiple electronic health records, completing of pre-appointment reviews, completing post appointment reviews and reviewing capture of chronic conditions for physician incentives. RESPONSIBILITIES: • Evaluate the patient's medical record and reports from the health plan to identify and document potential chronic conditions to be addressed by healthcare providers • Complete post-appointment review to assess HCC capture by providers and document findings • Work with team to ensure ICD10 codes submitted by physicians are supported by documentation and provide feedback to inform physician education • Review, assess and provide feedback to mid-level providers conducting home visits • Document any additional HCC codes, when clinically indicated, on the ICE file. • Report any findings of noncompliance for issues not related to HCC in the Secondary Pursuit file QUALIFICATIONS: Coding certification is required. Medical background/ chart review experience Knowledge about medical terminology, anatomy and physiology, disease processes and pharmacology

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Network Relations Intern, Novato

The Network Relations Intern provides administrative support to the Network Relations Department. Sets up and maintains network department databases, files and records. Assists with coordinating quarterly network-wide newsletters and ad hoc communications with the provider offices. Maintains a sound and comprehensive understanding of the Network Relations department and staff in order to assist internal customers to the department with service and information requests. Maintains a solid understanding of the Meritage Medical Network organization, services and staff and how such services and personnel support network physicians and practices. Receives and distributes incoming department mail. Assists with the development of physician and office staff information and education materials for distribution in the field. Assists with the coordination of the Network Quarterly newsletter. Assists with maintaining associated records and databases. As needed, assists with the credentialing and re-credentialing of network providers. Performs other duties as assigned Minimum Requirements and Competencies: Excellent customer services skills with a demonstrated genuine and friendly demeanor. Strong written and verbal communications skills. Strong organization skills with a detail orientation. Ability to multi-task and meet deadlines and agreed upon deliverables. Professional comportment and work style that projects a confident, open, capable and trustworthy persona that is able to be sustained and maintained in all initial and subsequent interactions with customers. Must possess strong listening skills with the ability to make customers feel as though they have been heard and that their input, concerns and suggestions are valued and will be taken seriously. Working knowledge and experience with office based computer equipment and systems including but not limited to: Word, Excel, PowerPoint, Outlook, Adobe and Publisher.

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Concurrent Review Nurse, Novato

This position coordinates concurrent review and case management activities for commercial and Medicare enrollees. The concurrent review nurse is knowledgeable about the Nurse Practice Act, JCAHO, NCQA, HMO and Medicare rules and pertinent state and federal regulations. The concurrent review nurse works as a team member in cooperation with the Medical Directors, UR RNs, benefits coordinators, hospital discharge planners and health plan reviewers. Current California RN License with no restrictions Bachelor Science Degree, Nursing Five years of clinical experience and two years of experience in Commercial HMO, health plan utilization management or Medicare Ability to understand and facilitate communication among team members, patients, families and physicians Ability to communicate effectively with health plans and outside agencies Good clinical judgment, critical thinking skills and independent problem resolution Ability to organize and prioritize workload to meet required turnaround times Basic proficiency using a PC in a Windows environment, including Microsoft Word, Excel and Electronic Medical Records

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PT or Per Diem Wellness NP/PA, Novato

Under supervision from the overseeing Medical Director, the Wellness NP/PA performs annual wellness visits for a primarily geriatric population, including assessments of chronic conditions and preventative care and educates patients regarding health promotion and illness prevention. Requirements Current CA RN and NP or PA licensure; CPR certification A minimum of 3 years current outpatient NP primary care experience is preferred. Current and unrestricted Driver’s License and car insurance; this job requires travel time to beneficiary homes- mileage is reimbursed by Meritage.

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Director Of Contracting, Novato

We have a current full-time career opportunity for a seasoned senior healthcare contracting director to handle all healthplan contract negotiations and administration (HMO, PPO and ancillary contracts), payer relationships, and associated programs (e.g. Pay for Performance), for the purpose of strategically positioning the company with payers and optimizing revenue. This position is responsible for ensuring all contract requirements are met, maintained and communicated appropriately to all appropriate parties. The director is also responsible for contract negotiations with all partner hospitals, ensuring strong and effective relationships are cultivated and maintained. In addition, the director is the primary negotiator for physician/provider contracting, ensuring primary care contracts are maintained and leads specialty contracts (e.g. capitated, case rate, FFS). This position also coordinates directly with Utilization Management to ensure a complete network of service offerings and contracts with non-network providers when necessary. Requirements: A Bachelor’s Degree, Master’s preferred, in a related business field with a minimum of 7 years current healthcare contracting, with a strong emphasis on direct health plan negotiations as well as a demonstrated ability to successfully communicate and negotiate directly with physicians. Experience with dual risk contracts as well as hospital partnerships preferred. Excellent negotiation skills, leadership abilities, attention to detail, and effective written and verbal communications are a must. In addition, strong data analytical and organizational skills are strongly preferred. Must possess a collaborative and proactive work style with a strong commitment to excellence, quality, efficiency, fiscal responsibility and personal accountability.

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