Complete Health seeks a Medical Office Transformation Specialist to provide comprehensive operational and administrative support for Practice Transformation initiatives. Under the direction of Practice Transformation leadership, you will support membership optimization and patient experience strategies across all markets. Your daily work will focus on maintaining accurate membership records and ensuring continuity of care.

What You'll Do

Support payer transitions, attribution clean-up, and roster correction initiatives to ensure accurate VBC alignment and data integrity.
Participate in roster data verification and validation to ensure attribution accuracy.
Process PCP change forms and assist with payer submissions.
Track attribution updates and support internal audits.
Validate and update insurance information in Athena.
Assist with other practice transformation efforts and related projects.
Manage calls to the Patient Relations line about coverage, cost, or plan concerns.
Facilitate warm hand-offs to licensed brokers if needed.
Support VBC retention and conversion initiatives.
Support patient enrollment and retention efforts during all Medicare enrollment periods (AEP, OEP, and ROY) by identifying eligible patients.
Internally support clinics and staff on plan coverage details.
Facilitate broker hand-offs to improve patient experience and continuity of care.
Track interactions, outcomes, and enrollment confirmations according to department processes.
Ensure accurate payer alignment and attribution with Medicare Advantage plans.
Work closely with the Practice Transformation leadership team for direction and prioritization of tasks and projects.
Collaborate with internal and external stakeholders including Patient Advocates, Patient Access Center staff, and clinic leadership.
Participate in meetings, workshops, and training sessions.
Maintain professionalism, service excellence, and respectful communication.
Ensure compliance with HIPAA and all company policies and procedures.