HealthCare Partners, MSO - Open Positions

Administration

Executive Administrative Assistant

Reporting to the Chief Physician Officer, the Executive Administrative Assistant (EAA) will provide full administrative support to the Executive Leadership Team supporting day-to-day operations relating to high-impact and valued projects. The EAA will be flexible, proactive, resourceful, and efficient, with a high level of professionalism and confidentiality.

Business Intelligence

Data Analyst II

The Business Intelligence Data Analyst II plays a pivotal role in driving data-driven decision-making processes within the organization. This advanced-level data analyst position requires strong proficiency in SQL, SSRS reporting, Power BI, Python, and VBA. The successful candidate will possess excellent problem-solving skills, the ability to debug and troubleshoot, strong process documentation skills, and a deep understanding of data structures & algorithms.

Claims

Claims Audit Coordinator

The Claims Audit Coordinator is responsible for auditing claims processing activities to ensure compliance with HCP guidelines, specifically focusing on payment and procedural accuracy. This role plays a critical part in safeguarding the accuracy of completed claims before payment is issued, identifying trends, and recommending process improvements.

Finance

Financial Accountant

Under the direction of the Director of Budgeting, Planning and Analysis, the Financial Accountant will maintain the Generally Accepted Accounting Principles (GAAP) Financial Reporting on a monthly basis. The ideal candidate will lead the development and maintenance of revenue and expense of all Health Plans, as well as accruals for Administrative Expenses for Healthcare Partners. This position is responsible recording, analyzing and reporting financial data that is accurate, timely and relevant for senior management to utilize in identifying and managing their strategic objectives. The ideal candidate will have experience with healthcare financial data, data reconciliation, data analysis and visualization. In addition, the candidate should maintain and adhere to strict confidentiality of all HealthCare Partners members, providers and Health plan information to which the Accountant of Financial Reporting has access.

Financial Analyst

The Financial Analyst will assist the Director of Financial Operations in recording, analyzing and reporting financial information that is accurate, timely and relevant for senior management to utilize in identifying and managing the organization's strategic objectives. This position will also directly support the Director of Financial Operations, the VP of Finance and Corporate Controller and the Manager of Financial Reporting and Analysis by aiding in day to day accounts payable operations, participating in the General Ledger reconciliation process. This position is responsible for managing, coordinating, and implementation initiatives and processes to improve the overall integrity of the reconciliation processes. The ideal candidate will have extensive experience and knowledge working with healthcare financial data, data reconciliation, data analysis, excellent communication, presentation, and visualization. In addition, maintain strict confidence of all HealthCare Partners member, provider and health plan information to which the Financial Analyst has access.

Medical Management

Manager, Clinical Care Management RN

The Manager of Care Management has oversight for all aspects of the Care Management (CM) team, aimed at achieving long-term and short-term goals in a manner consistent with the mission, values and strategic goals of the organization. This position reports to the Vice President of Care Management, and provides leadership and oversight of clinical and non-clinical operations, analyzes utilization and performance trends while ensuring timely and cost effective delivery of care.

Nurse Case Manager, RN (Case Management)

The Nurse Case Manager is responsible for engaging members enrolled in case management to provide comprehensive care coordination and education aimed at improving health outcomes. This role involves assessing medical needs, developing individualized care plans, and collaborating with healthcare professionals to address barriers and ensure continuity of care. The Nurse Case Manager also monitors progress, adjusts care plans as necessary, and supports members in navigating the healthcare system to achieve optimal wellness.

Nurse Case Manager, RN (Inpatient Utilization)

The Inpatient Case Manager is responsible for ensuring the delivery of healthcare services with a focus on quality, cost-efficiency, and regulatory compliance. This role oversees care management and discharge planning, ensuring that patients receive medically necessary care while supporting timely and effective transitions from inpatient to post-hospital care.

Network Relations

Provider Relations Specialist - Brooklyn

The Provider Relations Specialist is the mission-critical linchpin between HealthCare Partners and our network of primary care physicians. This role focuses on fostering strong working relationships with PCPs and staff in an ongoing effort to advance HCP's organizational objectives, facilitate value based care, and improve both provider satisfaction and member health. The Provider Relations Specialist leverages data and knowledge of the primary care setting to identify PCP opportunities and tailor strategic action plans to support success. The Provider Relations Specialist serves as an internal subject matter expert with regard to their territory and collaborates cross departmentally to engage physicians optimally. This unique role blends a service and consultative approach to ensure HCP achieves its mission.

Quality

Quality Specialist

The Quality Specialist (QS) works with the Director of Quality, provider engagement team, care management and other internal teams to develop resources for engagement, training, and educating providers to improve Healthcare Effectiveness Data and Information Set (HEDIS) performance rates for Medicare, Medicaid, and our Commercial lines of business. The QS will also support CAHPS activities that pertain to the member experience surveys. The QS will assist in supporting member and provider outreach campaigns. The QS will collaborate with provider engagement representatives to train and share best practices related to improving Quality.  The QS supports measure-specific initiatives utilizing the Plan Do Study Act (PDSA) model and performs member and/or provider outreach, education and engagement, data analysis, medical record abstraction and data entry to support continuous quality improvement in HEDIS.