Risk Management Claims Representative - Administration at Providence Health Care, Inc

Irvine, California, United States -

Full Time

Start Date

Immediate

Expiry Date

21 Jun, 26

Salary

37.98

Posted On

23 Mar, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Risk Management, Claims Administration, Datix, Application Administration, Data Distribution, Report Generation, Decision Making Tools, Stakeholder Coordination, Process Improvement, Interpersonal Skills, Database Systems, Data Analysis, Maintenance

Industry

Hospitals and Health Care

Description

Responsible for ongoing administration of Risk application software, currently Datix or similar system. Familiar with all aspects of the application and related modules and will operate administrative functions for the application. Develops and distributes data/reports and decision making tools used throughout the organization. Coordinates with end users and project stakeholders to continue to make enhancements to the application. Manages the day to day operations of the application including maintenance of active reports. Seeks to streamline and create efficiencies within the application through the use of process improvement methodologies. Expected to demonstrate strong interpersonal skills via participation in work groups with all levels of staff. Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required qualifications: * Associate's Degree or equivalent education/experience * 1 year of experience with use of database systems and analysis of data. Preferred qualifications: * Bachelor’s Degree in Healthcare Administration or related field Why Join Providence? Our best-in-class benefits [https://nam11.safelinks.protection.outlook.com/?url=https%3A%2F%2Fprovidence.jobs%2Fbenefits%2F&data=05%7C01%7Cethelleah.torres1%40providence.org%7C6da11282629946c936bc08dbf64b1e78%7C2e3190869a2646a3865f615bed576786%7C0%7C0%7C638374574718197112%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=CHUc7JRL0t6AAExYx6UfCEVEH8gfmaw9cEOZ4wX0%2BZU%3D&reserved=0] are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission [https://providence.jobs/mission/] of caring for everyone, especially the most vulnerable in our communities. At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits [https://providence.jobs/benefits/]. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act [https://s3-us-west-2.amazonaws.com/images.provhealth.org/HR-onboarding/LA_County_Fair_Chance_Ordinance_2024.pdf]. Providence Clinical Network (PCN) is a service line within Providence serving patients across seven states with quality, compassionate, coordinated care. Collectively, our medical groups and affiliate practices are the third largest group in the country with over 11,000 providers, 900 clinics and 30,000 caregivers. PCN is comprised of Providence Medical Group in Alaska, Washington, Montana and Oregon; Swedish Medical Group in Washington’s greater Puget Sound area, Pacific Medical Centers in western Washington; Kadlec in southeast Washington; Providence’s St. John’s Medical Foundation in Southern California; Providence Medical Institute in Southern California; Providence Facey Medical Foundation in Southern California; Providence Medical Foundation in Northern and Southern California; and Covenant Medical Group and Covenant Health Partners in west Texas and eastern New Mexico. Providence is proud to be an Equal Opportunity Employer [https://www.providenceiscalling.jobs/eeo/]. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity [https://providence.jobs/diversity/] makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

Responsibilities

This role is responsible for the ongoing administration of Risk application software, such as Datix, managing its administrative functions, and developing/distributing data and reports used across the organization. The representative will coordinate enhancements with end users and stakeholders while managing daily operations and seeking process efficiencies.