Network Administrator Jobs at Heritage Provider Network with Visa Sponsorship
Heritage Provider Network hires Network Administrators to keep clinical and administrative systems running across its managed care infrastructure. The company sponsors multiple work visa types for this function, making it a viable target if you're an international candidate with networking, systems, or security expertise in healthcare IT environments.
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Get Access To All JobsPosition Summary:
The Clinical Nurse Reviewer is focus on auditing the IP UM process and identifying process improvement measures to assist in meeting regulatory requirements and maintaining compliance with the organization's Policies and procedures. The position will work collaboratively with the IP leadership team to streamline processes and support optimal medical management and clinical service delivery for members. This position will also track and trend progress of the IP team on responding to errors, CAPS and improvement measures.
Essential Duties and Responsibilities include the following:
-
The Clinical Nurse Reviewer will specifically run analysis on the different reports in Inpatient Case Management and report findings to Senior Director of Regulatory Compliance and VP of Clinical operations.
-
Performs departmental and program-specific audits and analyses related to records review and clinical practices.
-
Manages audit reports and CAP responses.
-
Collaborate with existing inpatient team to ensure proper implementation of UM process in compliance with the Policy and Procedure.
-
Identify opportunities for the development and implementation of new approaches that improve efficiencies and production while maintaining quality.
-
Work in collaboration with the Senior Director of Regulatory Compliance and Support and leadership team to thoroughly review different authorizations done in IP Case Management.
-
Serve as front line support to the Inpatient and Transfer Team staff in aligning daily UM activities with current process according to Policies and Procedures.
-
Identify errors on authorization in a timely manner and sends findings to IP and TT leadership for timely correction.
-
Together with the Senior Director of Regulatory support and compliance, assesses and develops a plan to address recurring errors in report and issue Corrective Action Plan to appropriate team as needed.
-
Effectively review authorizations to ensure that it follows compliance requirement as identified in our Policy and procedure.
-
Collaboration with clinical team to ensure synchronization of sub-areas' operations to reach organizational goals set forth by the department.
-
Maintaining and updating the appropriate databases and department tools with current information.
-
Ensure contract compliance and adherence to DMHC, DHS, CMS and other regulatory agencies as required by company policy and contracting HMOs.
-
Oversight of database maintenance and accuracy through use of audits.
-
Ensure accurate and timely data reporting requirements are being met. Know and follow the Employee Handbook policies and procedures.
-
Maintain patient confidentiality so that HIPPAA compliance is observed at all times.
-
All other duties as directed by management.
The pay range for this position at commencement of employment is expected to be between RN's $45 - $50 per hour; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience.
The total compensation package for this position may also include other elements, including a sign-on bonus and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered.
Details of participation in these benefit plans will be provided if an employee receives an offer of employment.
If hired, employee will be in an “at-will position” and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.
As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.
Full Time Position Benefits:
The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life.
Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options.
Health and Wellness:
-
Employer-paid comprehensive medical, pharmacy, and dental for employees
-
Vision insurance
-
Zero co-payments for employed physician office visits
-
Flexible Spending Account (FSA)
-
Employer-Paid Life Insurance
-
Employee Assistance Program (EAP)
-
Behavioral Health Services
Savings and Retirement:
-
401k Retirement Savings Plan
-
Income Protection Insurance
Other Benefits:
-
Vacation Time
-
Company celebrations
-
Employee Assistance Program
-
Employee Referral Bonus
-
Tuition Reimbursement
-
License Renewal CEU Cost Reimbursement Program
-
Business-casual working environment
-
Sick days
-
Paid holidays
-
Mileage
Employer will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the LA City Fair Chance Initiative for Hiring Ordinance.
Requirements
Education and / or Experience:
-
Graduate from an accredited Registered Nursing (RN) program.
-
Current California license.
-
Minimum of 2 years relevant work experience in a managed care setting, health plan, or large medical group administration.
-
Knowledge of the prior authorization process.
-
Knowledge of contracting principles/tools. (preferred)
-
Excellent verbal and written communication skills.
-
Proficient in MS Office programs (i.e., Word, Excel, Outlook, Access and Power Point).
-
Must be able to travel within service area and have valid driver's license and insurance (preferred).
Position Summary:
The Clinical Nurse Reviewer is focus on auditing the IP UM process and identifying process improvement measures to assist in meeting regulatory requirements and maintaining compliance with the organization's Policies and procedures. The position will work collaboratively with the IP leadership team to streamline processes and support optimal medical management and clinical service delivery for members. This position will also track and trend progress of the IP team on responding to errors, CAPS and improvement measures.
Essential Duties and Responsibilities include the following:
-
The Clinical Nurse Reviewer will specifically run analysis on the different reports in Inpatient Case Management and report findings to Senior Director of Regulatory Compliance and VP of Clinical operations.
-
Performs departmental and program-specific audits and analyses related to records review and clinical practices.
-
Manages audit reports and CAP responses.
-
Collaborate with existing inpatient team to ensure proper implementation of UM process in compliance with the Policy and Procedure.
-
Identify opportunities for the development and implementation of new approaches that improve efficiencies and production while maintaining quality.
-
Work in collaboration with the Senior Director of Regulatory Compliance and Support and leadership team to thoroughly review different authorizations done in IP Case Management.
-
Serve as front line support to the Inpatient and Transfer Team staff in aligning daily UM activities with current process according to Policies and Procedures.
-
Identify errors on authorization in a timely manner and sends findings to IP and TT leadership for timely correction.
-
Together with the Senior Director of Regulatory support and compliance, assesses and develops a plan to address recurring errors in report and issue Corrective Action Plan to appropriate team as needed.
-
Effectively review authorizations to ensure that it follows compliance requirement as identified in our Policy and procedure.
-
Collaboration with clinical team to ensure synchronization of sub-areas' operations to reach organizational goals set forth by the department.
-
Maintaining and updating the appropriate databases and department tools with current information.
-
Ensure contract compliance and adherence to DMHC, DHS, CMS and other regulatory agencies as required by company policy and contracting HMOs.
-
Oversight of database maintenance and accuracy through use of audits.
-
Ensure accurate and timely data reporting requirements are being met. Know and follow the Employee Handbook policies and procedures.
-
Maintain patient confidentiality so that HIPPAA compliance is observed at all times.
-
All other duties as directed by management.
The pay range for this position at commencement of employment is expected to be between RN's $45 - $50 per hour; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience.
The total compensation package for this position may also include other elements, including a sign-on bonus and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered.
Details of participation in these benefit plans will be provided if an employee receives an offer of employment.
If hired, employee will be in an “at-will position” and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.
As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.
Full Time Position Benefits:
The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life.
Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options.
Health and Wellness:
-
Employer-paid comprehensive medical, pharmacy, and dental for employees
-
Vision insurance
-
Zero co-payments for employed physician office visits
-
Flexible Spending Account (FSA)
-
Employer-Paid Life Insurance
-
Employee Assistance Program (EAP)
-
Behavioral Health Services
Savings and Retirement:
-
401k Retirement Savings Plan
-
Income Protection Insurance
Other Benefits:
-
Vacation Time
-
Company celebrations
-
Employee Assistance Program
-
Employee Referral Bonus
-
Tuition Reimbursement
-
License Renewal CEU Cost Reimbursement Program
-
Business-casual working environment
-
Sick days
-
Paid holidays
-
Mileage
Employer will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the LA City Fair Chance Initiative for Hiring Ordinance.
Requirements
Education and / or Experience:
-
Graduate from an accredited Registered Nursing (RN) program.
-
Current California license.
-
Minimum of 2 years relevant work experience in a managed care setting, health plan, or large medical group administration.
-
Knowledge of the prior authorization process.
-
Knowledge of contracting principles/tools. (preferred)
-
Excellent verbal and written communication skills.
-
Proficient in MS Office programs (i.e., Word, Excel, Outlook, Access and Power Point).
-
Must be able to travel within service area and have valid driver's license and insurance (preferred).
See all 30+ Network Administrator at Heritage Provider Network jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Network Administrator at Heritage Provider Network roles.
Get Access To All JobsTips for Finding Network Administrator Jobs at Heritage Provider Network Jobs
Certify Your Healthcare IT Credentials First
CCIE, CCNP, or CompTIA Security+ credentials carry weight in healthcare networks where HIPAA compliance is non-negotiable. Before applying, verify your certifications are current and that your transcripts are ready for a potential credential evaluation.
Research Heritage's Managed Care Network Footprint
Heritage Provider Network operates across a broad physician network in California. Target roles tied to regional clinic infrastructure or IPO systems, where Network Administrator headcount tends to be highest and sponsorship activity is more consistent.
Align Your Resume to HIPAA-Regulated Environments
Heritage's IT team supports systems that handle protected health information. Highlight direct experience securing and maintaining PHI-compliant networks, including firewall configuration, VPN management, or access control in a clinical or hospital setting.
Confirm LCA Filing Stage Before Accepting an Offer
For H-1B sponsorship, Heritage's HR team must file a Labor Condition Application with DOL before USCIS can process your petition. Ask the recruiter where they are in this process so you can set a realistic start date.
Use Migrate Mate to Surface Verified Openings
Network Administrator roles with active sponsorship at Heritage Provider Network don't always appear on general job boards. Search Migrate Mate to find verified listings where visa sponsorship is confirmed, so you're not chasing postings that won't support your status.
Network Administrator at Heritage Provider Network jobs are hiring across the US. Find yours.
Find Network Administrator at Heritage Provider Network JobsFrequently Asked Questions
Does Heritage Provider Network sponsor H-1B visas for Network Administrators?
Yes, Heritage Provider Network has a track record of sponsoring H-1B visas for Network Administrator roles. The process requires your employer to first file a certified Labor Condition Application with the DOL, followed by an I-129 petition with USCIS. Because the H-1B is subject to an annual cap and lottery, timing your application cycle correctly is critical, especially for roles starting October 1.
How do I apply for Network Administrator jobs at Heritage Provider Network?
You can find verified Network Administrator openings at Heritage Provider Network through Migrate Mate, which filters specifically for roles with visa sponsorship confirmed. Once you identify a role, apply directly through Heritage's careers portal. Tailor your application to healthcare IT experience, particularly anything involving HIPAA-compliant infrastructure, clinical networks, or managed care systems, since that context is directly relevant to Heritage's environment.
Which visa types does Heritage Provider Network commonly use for Network Administrator roles?
Heritage Provider Network sponsors H-1B, TN, F-1 OPT, and F-1 CPT for Network Administrator positions, as well as employment-based Green Card pathways including EB-2 and EB-3. TN is a practical option for Canadian or Mexican nationals with qualifying IT credentials. F-1 OPT or CPT can serve as a bridge into full H-1B sponsorship for recent graduates working in a qualifying STEM role.
What qualifications does Heritage Provider Network expect for Network Administrator roles?
Expect Heritage to look for hands-on experience with enterprise networking equipment, system administration, and security protocols relevant to a healthcare environment. Familiarity with HIPAA compliance requirements, network monitoring tools, and VPN infrastructure is highly relevant given their managed care footprint. Industry certifications such as CCNA, CCNP, or CompTIA Network+ typically strengthen a Network Administrator application in this sector.
How long does the visa sponsorship process take for a Network Administrator role at Heritage Provider Network?
Timeline depends on the visa type. H-1B standard processing through USCIS can take three to six months after the petition is filed, with premium processing reducing that to 15 business days. TN status for Canadians can often be obtained at a port of entry in a single day. For EB-2 or EB-3 Green Card sponsorship, PERM labor certification alone can take 12 to 18 months before the immigrant petition is even filed.
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