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Provider Network Data Associate II
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- Department: Provider Data Management
- The Provider Network Data Associate II is in support of the L.A. Care Health Plan's Medi-Cal, Healthy Families Program, Healthy Kids, Direct Medi-Cal, Special Needs Plan (SNP) and Duals Pilot Product Lines with sole responsibility for monitoring and evaluating the movement of providers across all Plan Partners and Participating Physician Groups (PPG's).
- Other duties include generating required reports to be submitted to the Department of Managed Care (DMC), Managed Risk Medical Insurance Board (MRMIB) and Geo Access.
- Support of the L.A. Care Health Plan's Medi-Cal, Healthy Families Program, Healthy Kids, Direct Medi-Cal, SNP and Duals Pilot Product Lines with sole responsibility for monitoring and evaluating the movement of providers across all Plan Partners and Participating Physician Groups (PPG's).
- Work closely with Member Services to effectively coordinate member re-assignment upon termination of a Primary Care Provider (PCP).
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