IPA Accounts Coordinator

About the role

The IPA Coordinator plays a key role in supporting the IPA and Health Plan Accounts Manager by ensuring smooth operations between the health plan and contracted Independent Physician Associations (IPAs).

Responsibilities

• Track and ensure timely receipt of provider rosters from contracted IPAs.
• Maintain organized records of roster submissions and audit findings.
• Communicate with IPA representatives to resolve discrepancies and ensure timely updates.
• Aid with random and ad hoc tasks related to IPA operations, including reporting, documentation, and coordination with other departments.
• Support internal teams by providing updated IPA information and responding to inquiries.
• Participate in process improvement initiatives to enhance IPA coordination and data integrity.
• Ensure compliance with CMS, DHCS, and other regulatory guidelines as they pertain to IPA management.

Qualifications

• High school diploma or equivalent required; Associate’s or Bachelor’s degree preferred.
• Minimum 2 years of experience in healthcare administration, provider network operations, or managed care.
• Familiarity with IPA structures and provider data management.
• Strong attention to detail and organizational skills.
• Proficiency in Microsoft suite and other data management tools.
• Ability to work independently and manage multiple priorities.
• Fast learner with the ability to quickly adapt to changing priorities and processes.
• Highly organized and able to juggle multiple projects simultaneously while meeting deadlines.
• Excellent verbal and written communication skills for interacting with internal teams and IPA representatives.

Preferred Skills

• Proficiency in Microsoft Office Suite, including Word, Outlook, and Excel, with the ability to manage and analyze data effectively.
• Familiarity with Medicare and Medi-Cal terminology and processes (preferred).
• Strong communication skills, with the ability to read, write, speak, and comprehend English clearly and effectively to interact with members, providers, and internal staff.
• Ability to follow written and verbal instructions accurately and efficiently.
• Commitment to confidentiality, with a strong understanding of privacy standards and the importance of safeguarding sensitive information.
• Professional demeanor, with the ability to collaborate effectively with internal teams, external partners, and members in both individual and team settings.
• Adaptability and multitasking skills, with the capacity to manage multiple responsibilities and respond positively to shifting priorities.
• Sound judgment and decision-making abilities, with a proactive approach to problem-solving within the scope of assigned duties.
• Strong organizational and prioritization skills, ensuring timely and accurate completion of tasks.
• Self-motivated and proactive, with a demonstrated ability to take initiative and work independently.
• Understanding of regulatory compliance, including Federal, State, and local healthcare regulations and guidelines.