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 Data Analyst, Novato

This position gathers, researches and analyzes clinical and claims data for the Meritage Medical Network as compared to the industry in order to identify, understand and compare best and current practices and trends in areas such as: • Clinical Quality improvement: Identify areas of opportunity to increase adherence to quality metrics by individual providers and the overall network. • Outlying costs: Identify high/low cost physicians, facilities, home health agencies. • Identify practices of high performing organizations for potential adoption. • Population health management: Coordinate strategies and efforts. • Medical coding: Identify opportunities for improvement among the Meritage coding team and provider office coding practices. The analyst will present data, findings and recommendations to leadership, medical directors and identified committees (e.g., QA) in order to support desired changes, outcomes and goals. The analyst will research the effectiveness and use of models and/or tools that can reliably predict, identify or segment high-risk, high-utilization practices, patients and populations. • Minimum two years of clinical analytics experience. • Experience working in one or more of the following areas preferred: HMO Health plan Medicare Utilization Management Case Management

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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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Director of Care Management, Novato

The Director of Care Management and Quality Assurance is a leadership role which, in collaboration with the Chief Medical Officer and Medical Director, develops, manages, and directs the organization’s Care Management and Quality Assurance programs. The specific programs the director oversees include complex care management, care transitions, utilization management, correct coding, ACO programs, as well as quality improvement programs and initiatives. The director is responsible for the development and adherence to policies and procedures related to each of the areas of responsibility to assure compliance with all health plan and government requirements. The director maintains active relationships with key health plan representatives and is responsible to ensure the organization passes all required audits, which include HEIDS and NCQA. Education and Experience Bachelor of Science Degree in health care related field; Nursing preferred Minimum of ten years of managed care experience, with strong knowledge of operations Minimum of five years of management experience, preferably with increasing level of responsibility Previous experience in quality reporting Previous experience in discharge planning, utilization management, care management and population health preferred Previous experience in developing clinical and/or quality programs

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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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Patient Health Assessment Supervisor, Novato

The Health Assessment Supervisor works with the Risk Adjustment Medical Director, Director of Care Management & Quality, Care management manager and other members of leadership to develop, implement, track and refine Meritage Medical Network’s Risk Adjustment operations. The position will directly report to the Director of Quality & Care management and supervise the Wellness Program Coordinator, Coding and Documentation Specialists, and the Mid-level provider team who conduct wellness visits at patient’s homes. Works in a collegial and collaborative manner with network providers involved in the Meritage Wellness At Home program to ensure patient health assessments are qualitatively aligned with the Risk Adjustment program. QUALIFICATIONS Education •Bachelor’s Degree Healthcare Administration, Management or related field required, or equivalent combination of academic education and related work experience. •Masters’ Degree Healthcare Administration, Public Administration or related field desired Experience •Minimum 5 years healthcare experience with demonstrated supervisory and/or leadership experience. •Operational expertise. •Excellent at critical thinking. •Creative planning problem solving skills and abilities that deliver desired outcomes and results.

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