PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook, Twitter, or Instagram.

The MSO Compliance & Network Coordinator is responsible for assisting with compliance and audit functions of PHP/ MSO (Management Services Organization), including, but not limited to, internal and external audit activities to the Claims, UM, Credentialing, CM functions, and quality improvement initiatives. Monitoring regulatory requirements and understanding how requirements impact MSO operations. Efficiently managing the workflow of policies and procedures, ensuring strict adherence to deadlines, uploading documents, and conducting follow-up reporting. Generating and reviewing policies for MSO, coupled with managing storage and handling of all policy documentation. Ensuring all IPA network provider additions, changes, and deletions are timely communicated and correctly reflected by the PHP network and contracted health plans. Maintaining the integrity of the provider management elements loaded in managed care application databases/software. Triaging all general provider relations issues and address as necessary. Partnering with other PHP departments and working special projects as assigned.