Operations Manager – MSO/IPA

Operations Manager – MSO/IPA

Job Qualifications & Requirements

· Office-based position with travel to affiliated provider practices.

· Ability to attend meetings at multiple practice locations.

· Valid driver's license and reliable transportation.

· Current, active knowledge of the daily operations of a Management Services Organization (MSO) or Independent Practice Association (IPA).

· Current knowledge of Medicare Risk Adjustment, HEDIS, Medicare Advantage, and quality improvement initiatives.

· Excellent communication, organizational, and interpersonal skills.

· Ability to work independently while managing multiple priorities.

Job Responsibilities

· Coordinate provider onboarding and orientation for newly affiliated providers.

· Serve as the primary liaison between providers and health plans by building and maintaining strong professional relationships with affiliated providers and physician practices.

· Support provider engagement initiatives through education, training, performance monitoring, and practice improvement activities.

· Provide compliance training to providers and office staff and ensure completion of all required compliance requirements.

· Assist physician practices in achieving quality goals by closing care gaps through chart reviews, medical record collection, member outreach, and documentation improvement.

· Coordinate and support in-office quality events, including eye exams, Dexa scans, Annual Wellness Visits, and other preventive care services designed to close open care gaps.

· Conduct monthly meetings with providers to review quality performance, operational issues, and health plan initiatives. Document meeting attendees, discussion topics, action items, and follow-up plans.

· Research and resolve claims issues by coordinating with the appropriate internal departments and health plans.

· Receive, investigate, and respond promptly to provider questions, concerns, and emails.

· Investigate and communicate provider and practice staff changes to the appropriate internal departments and contracted health plans.

· Monitor provider performance and assist practices in meeting HEDIS, Medicare Risk Adjustment, and quality performance goals.

· Collaborate with internal departments to improve operational efficiency, provider satisfaction, and patient outcomes.

· Maintain confidentiality and ensure compliance with CMS, HIPAA, health plan requirements, and organizational policies.

Job Type

Full-time

Pay: $50,000.00 - $55,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Experience:

• MRA: 1 year (Preferred)
• MSO and IPA: 1 year (Preferred)
• Supervising: 1 year (Preferred)
• HEDIS: 1 year (Preferred)

Willingness to travel:

• 25% (Preferred)

Work Location: In person