Responsible for the day to day administration of operational aspects between Arcadia, client and assigned heath plan. Be familiar with client health plan contract obligations.
- Reporting and client deliverables
- Medical management operations (only operational, not clinical aspects)
- Regulatory and contract compliance for functions delegated to Arcadia
- Analyze data and information, including written analysis
- Establish and maintain excellent rapport with clients
- Eligibility and Capitation processes and reconciliations
- Provider relations activities and network management activities