Canopy Health is currently hiring for the following positions:
Claims Operations Oversight Director
Our partners at Conifer Health Solutions are looking for a strategic leader that can direct and oversee the Claims Department and assigned Claims staff to provide leadership with direction to ensure services are delivered accurately, timely, and in accordance to contractual and regulatory requirements to client(s). This position will be located in the Canopy Health Headquarters in Emeryville, CA.
Clinical Program Coordinator
The primary focus of the Clinical Program Coordinator is to work in collaboration with Canopy Health’s internal teams and external customers to enhance the day to day operations of the Transitions of Care Team. The ideal candidate will have a strong attention to detail, at least 2 years’ experience working in a health plan, medical groups, hospital or clinical care setting, and knowledge of medical terminology and HIPAA rules and regulations.
The primary focus of the Compliance Manager is to implement and administer programs, policies, procedures, and practices to ensure that Canopy Health complies with federal, state, and local health care regulations and NCQA standards. In addition, this role also supports internal and external audits, prepares reports, responds to inquiries from stakeholders, including the DMHC and parent plan partners, facilitates the resolution of corrective action plans, and communicates findings to internal Committees and staff. The ideal candidate will have a strong organizational, analytic, and strategic-thinking skills and at least 5-7 years of experience working in the managed care field for the provider (Medical Group), payer (Health Plan), and have experience in healthcare compliance and with regulators like DMHC and CMS.