Find & Apply For Corporate Development Analyst / Manager Jobs in Spring Hill, Florida

Operations Manager - MSO/IPA Job Qualifications & Requirements

• Office-based position with travel to affiliated provider practices.
• Ability to attend meetings at multiple practice locations.
• Valid driver's license and reliable transportation.
• Current, active knowledge of the daily operations of a Management Services Organization (MSO) or Independent Practice Association (IPA).
• Current knowledge of Medicare Risk Adjustment, HEDIS, Medicare Advantage, and quality improvement initiatives.
• Excellent communication, organizational, and interpersonal skills.
• Ability to work independently while managing multiple priorities. Job Responsibilities
• Coordinate provider onboarding and orientation for newly affiliated providers.
• Serve as the primary liaison between providers and health plans by building and maintaining strong professional relationships with affiliated providers and physician practices.
• Support provider engagement initiatives through education, training, performance monitoring, and practice improvement activities.
• Provide compliance training to providers and office staff and ensure completion of all required compliance requirements.
• Assist physician practices in achieving quality goals by closing care gaps through chart reviews, medical record collection, member outreach, and documentation improvement.
• Coordinate and support in-office quality events, including eye exams, Dexa scans, Annual Wellness Visits, and other preventive care services designed to close open care gaps.
• Conduct monthly meetings with providers to review quality performance, operational issues, and health plan initiatives. Document meeting attendees, discussion topics, action items, and follow-up plans.
• Research and resolve claims issues by coordinating with the appropriate internal departments and health plans.
• Receive, investigate, and respond promptly to provider questions, concerns, and emails.
• Investigate and communicate provider and practice staff changes to the appropriate internal departments and contracted health plans.
• Monitor provider performance and assist practices in meeting HEDIS, Medicare Risk Adjustment, and quality performance goals.
• Collaborate with internal departments to improve operational efficiency, provider satisfaction, and patient outcomes.
• Maintain confidentiality and ensure compliance with CMS, HIPAA, health plan requirements, and organizational policies.

Job Type:

Full-time Pay:

$50,000.00 - $55,000.00 per year

Benefits:

401(k) Dental insurance Health insurance Paid time off Vision insurance

Experience:

MRA:

1 year (Preferred)

MSO and IPA:

1 year (Preferred)

Supervising:

1 year (Preferred)

HEDIS:

1 year (Preferred) Willingness to travel: 25% (Preferred)

Work Location:

In person