Outreach, Enrollment & Provider Network Manager

- Collaborate with clinical operations and IDT teams on care transitions - Coordinate centralized referral workflows and external appointment scheduling - Coordinate delegated credentialing and compliance requirements - Coordinate intake staffing to meet monthly enrollment targets - Ensure specialty scheduling visit note retrieval and participant follow through - Escalate enrollment issues to maintain eligibility continuity - Handle provider relations issue resolution and escalations - Maintain training materials and job aids for intake workflows - Manage participant enrollment and disenrollment workflows - Monitor network adequacy and service level concerns - Perform OIG exclusion checks and required attestations monitoring - Supervise coach and develop intake and outreach coordinators - Support provider network operations including provider data maintenance credentialing coordination and access management - Support workforce and process improvement initiatives - Track CMS and DHCS submission and documentation - Track provider contract compliance including medical record return timeliness - Verify Medi Cal and Medicare eligibility and redetermination Perks/Benefits: - Acupuncture coverage - Chiropractic coverage - Commuter benefits - Dependent care assistance - Flexible spending account - Health, dental, and vision insurance - Long-term disability insurance - Paid Holidays - Paid time off - Retirement plan contribution