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Provider Network Operations Assistant

Company: Evolent Health, Inc.
Location: Miramar
Posted on: June 12, 2021

Job Description:

It's Time For A Change

Your Future Evolves Here

At New Century Health we are pioneering a new era of specialty care, focused on engaging with payers and providers to improve the quality of care for patients diagnosed with cancer and heart disease. Our evidence-based care delivery model supports patients during their most vulnerable times, a responsibility we are both humbled by and passionate about.

With nearly two decades of proven results in Oncology and Cardiovascular care, New Century Health improves quality and lowers costs for the 6M+ patients whose care we manage. Our approach is based on a proven clinical model that engages Oncology and Cardiovascular specialists through value-based care delivery. We believe the highest quality care is also the lowest cost care over time, improving outcomes and delivering financial savings to our partners. The New Century Health model has been proven across Medicare, Medicaid, and Commercial populations. New Century Health joined the Evolent Health family in 2018, joining the mission to change the health of the nation.

Are we growing? Absolutely. We have seen about 30% average growth over the last three years. Are we recognized? Definitely. We were named one of "Becker's 150 Great Places to Work in Healthcare" in 2016, 2017, 2018 and 2019 and are proud to be recognized as a leader in driving important Diversity and Inclusion (D&I) efforts. Evolent achieved a 95% score on its first-ever submission to the Human Rights Campaign's Corporate Equality Index, was named on the Best Companies for Women to Advance List 2020 by Parity.org, and we publish an annual Diversity and Inclusion Annual Report to share our progress on how we're building an equitable workplace. We recognize employees that live our values, give back to our communities each year, and are champions for bringing our whole selves to work each day. If you're looking for a place where your work can be personally and professionally rewarding, don't just join a company with a mission. Join a mission with a company behind it.

What You'll Be Doing:

This position is responsible for assisting the Provider Solutions team with provider and contract loading. Duties include: handling incoming specialists and PCP provider calls and responding accordingly; maintenance of credentialing logs, provider master rosters, and contract logs; updating of network rosters and submission of updates to health plans; gathering all contracting documentation and submission of Provider Routing Sheet to data management and other affected departments for loading; coordination of provider inservicepackets also serves as the assistant to the Provider Solution team in special projects as assigned.

The Experience You'll Need (Required):

  • High School Diploma/GED
  • 1-2 years relevant work experience
  • Strong customer service skills
  • Strong verbal and written communication skills
  • Strong attention to detail and organization/prioritization skills
  • Knowledge of Microsoft Office Suite (Word, Outlook, Excel, PowerPoint)

Finishing Touches (Preferred):

  • Bilingual in English & Spanish
  • Ability to handle multiple projects with a strong attention to detail

Technical requirements:

Currently, Evolent employees work remotely temporarily due to COVID-19. As such, we require that all employees have the following technical capability at their home: High speed internet over 10 MBPS and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.

Evolent Health is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.

Keywords: Evolent Health, Inc., Hollywood , Provider Network Operations Assistant, Other , Miramar, Florida

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