The liaison facilitates out-of-network contract negotiations and coordinates with the utilization management team to support authorization requests. They also track contract statuses, ensure regulatory compliance, and collaborate with internal teams to resolve billing and authorization issues.
Benefits:
401(k)
401(k) matching
Bonus based on performance
Company parties
Dental insurance
Employee discounts
Health insurance
Opportunity for advancement
Paid time off
Parental leave
Savings bank
Training & development
Vision insurance
Wellness resources
About the Role:
MedPOINT Management is looking for a detail-oriented and driven UM Out-of-Network Contract Liaison to join our team in Sherman Oaks, CA. In this critical role, you'll serve as the bridge between utilization management and out-of-network providers, ensuring seamless contract negotiations and authorizations. If you thrive in a fast-paced managed care environment and have a passion for healthcare operations, we want to hear from you!
Responsibilities:
Facilitate out-of-network (OON) contract negotiations between providers and health plans
Coordinate with the Utilization Management (UM) team to support OON authorization requests and approvals
Communicate with out-of-network providers regarding single-case agreements and reimbursement terms
Track and document OON contract statuses, agreements, and correspondence in internal systems
Collaborate with claims, UM, and network development teams to resolve OON billing and authorization issues
Ensure compliance with state and federal regulations related to OON services and managed care contracting
Prepare and maintain reports on OON activity, trends, and cost containment outcomes
Requirements:
2+ years of experience in managed care, utilization management, or healthcare contracting
Familiarity with out-of-network provider negotiations and single-case agreements
Knowledge of IPA, HMO, and managed care operations strongly preferred
Strong understanding of medical terminology, CPT/ICD-10 codes, and authorization processes
Excellent communication and negotiation skills with internal and external stakeholders
Proficiency in healthcare management systems and Microsoft Office Suite
Highly organized, detail-oriented, and able to manage multiple priorities simultaneously
About Us:
MedPOINT Management is a leading Independent Practice Association (IPA) management company based in Sherman Oaks, CA, with decades of experience supporting physician organizations across Southern California. Our clients trust us for our expertise in managed care operations, and our team members love working here for our collaborative culture, commitment to excellence, and meaningful impact on patient care. Join a company where your work truly makes a difference in the healthcare community.
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