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 track the status of Payment Exceptions, which includes PE, UST/config, and Tier 3 issues.

• Participate in regular claims status meetings and follow up on assigned action items.

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

• Evaluate Growth Leads obtained through the website, direct channels, Salesforce, and other sources.

• Manage and monitor the workflow from Contract Signature to Activation.

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

• Assist in provider activation workflows by tracking intake, ensuring documentation is ready, and coordinating the steps for go-live.

• Track Clover Home Care referrals and other onboarding milestones, proactively identifying any delays.

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

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

• Attend both routine and ad-hoc operational meetings as needed.

• Manage document organization, storage, and upkeep.

⛳️ Requirements

• Prior experience in an administrative or operational support position, ideally in a healthcare or managed care environment.

• Highly organized with strong time-management abilities and capacity to handle multiple active workflows at once.

• Exceptional attention to detail, particularly in 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 such as HEDIS, claims processing, EHRs, medical billing and coding, reimbursement models, and Medicare/Medicare Advantage (preferred).

• Proactive, self-driven team player who is capable of following through with little supervision.

• Strong communication skills and effective collaboration capabilities across internal 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 opportunities.

• Funding for professional development.

• Regular performance feedback and reviews.

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

• Reimbursement for office setup expenses.

• Monthly stipend for cell phone and internet costs.

• Paid parental leave for all new parents.