MSO Operations Associate

This is a fully remote position, open to applicants in United States.

📋 Description

• Act as a resource and support for team members as they navigate operational workflows.

• Oversee and monitor the status of Payment Exceptions, including PE, UST/config, and Tier 3 issues.

• Participate in regular claims status meetings and ensure prompt follow-up on action items.

• Implement the Contract Signature Workflow, which encompasses Medication Adherence, Docusign/bilateral, CAQH checks, and preparation for handoff to Network Operations.

• Evaluate Growth Leads obtained via website, direct inquiries, Salesforce, and additional channels.

• Track and manage Contract Signature-to-Activation workflows.

• Direct and triage escalations from field teams to the appropriate internal stakeholders.

• Assist with provider activation workflows, including tracking intake, readiness of documentation, and coordination for go-live.

• Monitor Clover Home Care referrals and other onboarding milestones, proactively identifying and flagging delays.

• Regularly update MSO reporting sources, ensuring accuracy and timely completion by deadlines.

• Maintain dashboards and tracking tools to enhance visibility of team performance.

• Attend routine and ad-hoc operational meetings and carry out other assigned tasks.

• Manage document organization, storage, and maintenance.

⛳️ Requirements

• Experience in an administrative or operational support role, ideally within a healthcare or managed care environment.

• Highly organized with exceptional time-management skills and the ability to handle multiple active workflows simultaneously.

• Strong attention to detail, particularly concerning claims tracking, reporting accuracy, and completeness of documentation.

• Proficient in Google Sheets, SharePoint, CRM systems, and tools for updating metrics and generating reports.

• Basic understanding of healthcare concepts, including HEDIS, claims processing, EHRs, medical billing and coding, reimbursement models, and Medicare/Medicare Advantage (preferred).

• Proactive, self-driven team player capable of following through with minimal supervision.

• Clear communication abilities and effective collaboration across teams.

🏝️ Benefits

• Competitive base salary.

• Equity opportunities.

• Performance-based bonus program.

• 401k matching.

• Regular compensation reviews.

• Comprehensive medical, dental, and vision coverage.

• No-Meeting Fridays.

• Monthly company holidays.

• Mental health resources.

• Generous flexible time-off policy.

• Remote-first culture.

• Learning programs.

• Mentorship.

• Professional development funding.

• Regular performance feedback and reviews.

• Employee Stock Purchase Plan (ESPP) providing discounted equity opportunities.

• Reimbursement for office setup expenses.

• Monthly cell phone & internet stipend.

• Paid parental leave for all new parents.