Coordinator, Provider Data

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Full Time Boston, MA, US

Salary Range: $33.08 To $38.87 Hourly

Community Care Cooperative (C3) is a 501(c)(3) non-profit multi-service organization governed by Federally Quality Health Centers (FQHCs). Our mission is to leverage the collective strengths of FQHCs to improve the health and wellness of the people we serve. We fulfill two primary business functions for the FQHCs we work with. First, we are an FQHC-led accountable care organization (ACO); second, we are a Management Services Organization (MSO) for FQHCs.

As an ACO, we negotiate value-based payor contracts on behalf of our FQHCs, hold and operate those contracts (including fulfilling many compliance, financial management, and population health management functions), and maximize the return to FQHCs of any incentive dollars earned. We are proud to be the market leader in the Mass Health ACO Program. We are the largest Medicaid ACO in Massachusetts, and we operate a variety of business offerings nationwide.

As an MSO, we (along with our subsidiary companies, which are also FQHC-led non-profits) provide several financial, operational, and technological services to groups of FQHCs. These services include Epic EHR licensing and implementation; pharmacy operations consulting as well as the building and direct operation of on-site retail pharmacies; billing and credentialing; employer-sponsored insurance; and others.

We are a fast-growing, dynamic organization developing new partnerships and programs to improve the health of members and communities, and to strengthen our health center partners.

The Provider Data Coordinator is responsible for data processing, reporting, and ongoing maintenance of network provider data in database and online systems as well as supporting affiliation activities within the network as necessary and applicable. This individual ensures adequate engagement with participating FQHCs and Affiliated Participating Providers and timely data management and submission of necessary paperwork to regulatory, contractual and network entities.

The Coordinator is responsible for provider data accuracy, reconciliation activities, reporting, and compliance.

• Organizes files, loads database and updates online systems with new provider information based on provider rosters and applications received from our network of FQHCs and providers
• Ensures that the data loads meet quality standards and participates in reconciliation and audit activities related to data integrity and accuracy
• Investigates and resolves provider file discrepancies, and coordinates activities with other departments, FQHCs, affiliated providers, and regulatory agencies entities as necessary
• Provides an input on updating internal processes that support the provider data management activities
• Supports development, maintenance, and implementation of policies and procedures that support organizational processes related to provider data management
• Assists with provider training, documentation, and template development and provides based on internal processes and regulatory requirements
• Coordinates with credentialing departments within our network to identify and update provider data based on provider credentialing efforts
• Works closely with multiple internal and external entities to maintain a good relationship
• Develops reports for the organization and external entities as necessary
• Participates in reporting and system validation to ensure improvements and quality of data and reporting
• Performs other tasks, duties, or projects as assigned

• Health industry and network…