Teams at Humboldt-Del Norte Independent Practice Association

Processes and resolves medical and dental claims, including denials, adjustments, refunds, recoupments, and payment discrepancies. Maintains provider contracts, LOAs, vendor agreements, renewal tracking, and signature workflows. Analyzes operational data and prepares reports, dashboards, and regulatory submissions. Coordinates with providers, health plans, leadership, vendors, and legal partners while supporting organizational projects, compliance, facilities, and operational tracking systems.

Provide nursing leadership and program oversight for care coordination, utilization management, population health, and Priority Care programs. Supervise staff, coordinate intensive care for complex members, lead hospital rounding and ED follow-up, develop nursing protocols, drive quality improvement, and support regulatory reporting and community partnerships.