Arcadia Healthcare Solutions

  • Client Operations Specialist

  • Overview

    Responsible for the day to day administration of operational aspects between Arcadia, client and assigned heath plan.  Be familiar with client health plan contract obligations.


    • Reporting and client deliverables
    • Medical management operations (only operational, not clinical aspects)
    • Regulatory and contract compliance for functions delegated to Arcadia
    • ​Analyze data and information, including written analysis
    • Establish and maintain excellent rapport with clients
    • Eligibility and Capitation processes and reconciliations
    • Provider relations activities and network management activities


    • Associate’s Degree, or equivalent in education and experience in healthcare field
    • Minimum of 3 years of relevant experience in managed care healthcare industry.
    • Experience in the health solutions industry, with specific experience in account management with an understanding of managed care preferred.
    • Experience managing mid-size to large scale projects preferred
    • Experience in high level decision making preferred
    • Analytical thinking and planning skills
    • Ability to manage multiple priorities in a dynamic environment
    • Ability to adapt to an evolving work environment
    • Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and Access
    • Ability to ensure completion of projects and assignments.
    • Able to problem solve, exercise initiative and make decisions.
    • Excellent communication skills with outgoing client personality


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