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1 UM Member Liaison Job in Woodland, CA

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MEDPOINT MANAGEMENT
Woodland, CA | Full Time
$97k-124k (estimate)
2 Weeks Ago
UM Member Liaison
$97k-124k (estimate)
Full Time 2 Weeks Ago
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MEDPOINT MANAGEMENT is Hiring an UM Member Liaison Near Woodland, CA

Summary

The UM Member Liaison acts as an advocate on behalf of the member to address any concerns or questions they may have regarding their medical care relationship(s) with providers. The Liaison also works closely with the health plans with member assignment and access to care. The UM Member Liaison reports directly to the Outpatient UM Manager.

Duties and Responsibilities:

  • Assist members on realigning to a new Health Plan or Primary Care Physician (PCP)
  • Notify Health Plan or state entity when members are outside of the county area or move out of state
  • Educates members and their families re: managed care process and Health Plan Options/Programs
  • Verifies health insurance coverage for members
  • Facilitates communication between members and their physicians
  • Submit request to health plan to realign member when PCP requests dissolution from member permanently
  • Collaborates with Provider Network Operations team on provider and member disputes
  • Assists in special projects, as needed

Minimum Job Requirements:

  • Minimum 1-year experience in managed care or medical field
  • Knowledge of medical terminology
  • Fluency in both English and Spanish
  • Proficiency Microsoft Office, especially Excel and Word
  • Knowledge of EZ-CAP a plus

Skills and Abilities Required:

  • Strong verbal and written communication skills
  • Ability to empathize with complex cases
  • Strong customer service skills with good telephone rapport
  • Ability to multi-task while remaining adaptable and flexible to fast-paced environment

Job Summary

JOB TYPE

Full Time

SALARY

$97k-124k (estimate)

POST DATE

04/24/2024

EXPIRATION DATE

06/23/2024

WEBSITE

medpointmanagement.com

HEADQUARTERS

WOODLAND HILLS, CA

SIZE

25 - 50

FOUNDED

1988

CEO

SHELDON LEWENFUFF PREIDENT

REVENUE

$10M - $50M

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About MEDPOINT MANAGEMENT

MedPoint Management provides IPA management, development and consulting services as well as comprehensive claims processing, medical affairs and financial operations. Clients receive the services of a large medical system in a smaller, more personal setting. MedPOINT Management, Inc. (MPM) provides all aspects of managed care management services to Independent Practice Associations (IPAs) and hospital clients. Our customized management approach meets the unique needs of each of our clients which allows us to successfully manage smaller groups comprised of single physician practices along with ...large groups of FQHC clinics and all practice models in between. Our experienced and knowledgeable staff provides a consistently high level of healthcare management services and strategies. Innovation and commitment to high quality, cost-effective care contribute to the overall satisfaction of our clients and members. Founded in 1987, MedPOINT currently represents a client base of over 4,000 contracted providers throughout California. Our managed IPAs are responsible for coordinating care for over 950,000 members in multiple contracted health plans. The contracts represent various payer mixes including Commercial HMO/PPO, Medi-Cal, Covered California (Exchange), Medicare Advantage and Medi-Medi including CalMedi Connect product lines. Understanding the power of information, MPM has made a significant investment in sophisticated IT systems enabling our management, clinical and administrative staff to efficiently work to coordinate high quality, cost effective, integrated care. The ability to readily track and trend utilization and quality metrics has been a vital component in improving overall health management, impacting the delivery of chronic and episodic care, yielding favorable health outcomes, and assisting our provider networks to meet or exceed health plan benchmarks for HEDIS, STARs and P4P programs. MedPOINTs full range of services are consistently delivered with the same high quality standards that has built our reputation. Flexibility, innovation and an openness to change are what the future demands of us as the nation moves into a new era of Health Care reform. The services MPM is delivering today will continue to embrace these notions to add value to our current and future client base. More
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