Provider Operations Specialist

Arcadia is dedicated to happier, healthier days for all. We transform diverse data into a unified fabric for health. Our platform delivers actionable insights for our customers to advance care and research, drive strategic growth, and achieve financial success. For more information, visit arcadia.io.
Why This Role Is Important To ArcadiaThis position is responsible for the day to day administrative duties associated with the operational aspects between Arcadia, client and assigned heath plan.
What Success Looks Like:In 3 months- Learn applicable systems- Provider Operations workflows- Provider record entry- Consistently enter an average of 10 provider adds per hour using the Provider Add Module
In 6 months- Provider return mail- Assist Provider Operations Coordinators with capitation mailings- Assist Provider Operations and Auditing Compliance Operations with submission oversight reports- Consistently enter an average of 18 provider adds per hour using the Provider Add Module
In 12 months- Considered a subject matter expert for provider record entry- Assisting Provider Operations Coordinator with additional workflows and processes - Other duties assigned by the manager of the department- Consistently enter an average of 25 provider adds per hour, or 2-3 minutes per provider add, uding the Provider Add Module

What You'll Be Doing

• Reporting and client deliverables
• Regulatory and contract compliance for functions delegated to Arcadia
• Analyze data and information, including written analysis
• Provider relations activities and network management activities
• Administrative tasks related to provider relations activities

What You'll Need To Have

• At least 2 – 5+ years of related work experience in the healthcare network management field
• Analytical thinking and planning skills
• Ability to manage multiple priorities in a dynamic environment 
• Ability to adapt to an evolving work environment
• Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and Access
• Ability to ensure completion of projects and assignments.
• Able to problem solve, exercise initiative and make decisions.
• Excellent communication skills with outgoing client personality.

Would Love For You To Have

• Associate’s Degree, or equivalent in education and experience in healthcare field
• Expert level experience with all Microsoft Office applications, including Word, Excel and Access
• Experience and knowledge with Medicare Advantage strongly encouraged
• Experience with reading and writing provider payment contracts

What You'll Get

• Learn the life of a Contract Management firm with Independent Physician Associations across Illinois
• Encouragement to bring ideas to the table
• Receive cash compensation with health, dental, and other benefits
• Be an integral part of a desired team within Arcadia’s Value Based Services
• Opportunity to be part of a team creating automated processes to drastically improve healthcare
• Extraordinary work environment and culture.
• Competitive compensation
• Amazing benefits package including flextime time off
• Flexible work environment

This position is responsible for following all Security policies and procedures in order to protect all PHI under Arcadia's custodianship as well as Arcadia Intellectual Properties.  For any security-specific roles, the responsibilities would be further defined by the hiring manager.
About ArcadiaArcadia.io helps innovative healthcare systems and health plans around the country transform healthcare to reduce cost while improving patient health.   We do this by aggregating massive amounts of clinical and claims data, applying algorithms to identify opportunities to provide better patient care, and making those opportunities actionable by physicians at the point of care in near-real time.  We are passionate about helping our customers drive meaningful outcomes. We are growing fast and have emerged as the market leader in the highly competitive population health management software and value-based care services markets, and we have been recognized by industry analysts KLAS, IDC, Forrester and Chilmark for our leadership. For a better sense of our brand and products, please explore our website, our online resources, and our interactive Data Gallery.
This position is responsible for following all Security policies and procedures in order to protect all PHI under Arcadia's custodianship as well as Arcadia Intellectual Properties.  For any secur