Work Setting: Hybrid (Remote + On-site)
Work Location: 3611 14th Ave, Brooklyn, 11218
About NSIPA:
Network Solutions IPA (NSIPA) is a leading New York–based Independent Practice Association with a diverse, multi-specialty provider network. The organization has grown to more than 600 physician members, serving over 100,000 patients across New York City, Nassau, Suffolk, and Westchester counties.
We are committed to helping independent providers succeed in the transition to value-based care.
Through strategic partnerships, operational support, and robust payer relationships, NSIPA delivers the tools, resources, and expertise that allow practices to grow, perform, and succeed in today’s complex healthcare landscape without sacrificing independence. We achieve this by collaborating with payers to deliver Quality Incentive Programs, Shared Savings arrangements, and Risk-Based Contracts. Contracted with over 21+ Payers for over 600+ Providers.
NSIPA provides a comprehensive suite of services, including credentialing and network operations, provider engagement, and contracting; care coordination and member outreach; and provider-and patient centered programs. As part of New York State’s 1115 Medicaid Waiver, NSIPA plays a key role in identifying, screening, and addressing health-related social needs by connecting Medicaid members to community-based resources and care supports. These services are designed to strengthen provider efficiency, address health related social care needs, and advance value‑based care and population health opportunities. Recognized as one of New York’s fastest‑growing IPAs, NSIPA supports improved clinical outcomes, enhanced provider performance, and cost savings for payers through its robust infrastructure and operational expertise.
Position Overview:
The medical assistant at NSIPA plays a pivotal role in advancing member health outcomes and quality performance across the IPA’s provider network operating at the intersection of clinical support, care coordination, and community health. This hybrid role is focused on proactive member engagement, closure of clinical care gaps, coordination of health-related social needs (HRSN) services under the Medicaid 1115 waiver, and identification of non-utilizing members who have disengaged from the healthcare system. The MA serves as a critical link between members, providers, and the broader care team to ensure equitable access to preventive primary care services.
Roles & Responsibilities:
Care Gap Closure
· Identify members with open quality care gaps using health plan reports, registry data, and EHR dashboards.
· Proactively contact members via phone, text, mail or in person to close care gaps including preventative screenings, lab work, immunizations, and chronic condition management follow-ups.
· Coordinate and schedule needed services in collaboration with the care team and provider offices.
· Document all care gap closure activities accurately and in a timely manner within the EHR and care management platforms.
Annual Wellness Visit (AWV)
· Identify members due for annual wellness visits through care gap files or health plan performance reports.
· Facilitate AWV workflows with providers, ensuring screenings, referrals, and follow-up orders are completed and documented.
· Conduct targeted outreach to members to schedule and confirm AWV appointments.
Outreach to Non-Utilizing Members
· Identify members who have not sought medical services within a defined period (non-utilizers).
· Design and execute targeted outreach campaigns to reengage non-utilizing members and connect them to primary care and preventive services.
· Partner with community health workers and care navigators to conduct field-based outreach for members who are difficult to reach through standard channels.
· Document all outreach attempts and outcomes, escalating complex cases to care management teams as appropriate.
1115 Waiver & HRSN Services Coordination
· Identify members’ Health‑Related Social Needs (HRSN) using validated screening tools and document findings in the HER.
· Transfer members with identified HRSN needs to the 1115 team or to one of the screeners/navigators on the 1115 team for further assessment and support.
· Collaborate with the 1115 team, social workers, and community health workers to ensure members receive seamless navigation and timely access to services.
Provider Practice Assistance
· Assist provider with intake responsibilities for members under NSIPA.
· Ensure proper documentation and coding standards are being followed.
· Address VBC payer performance opportunities and develop action plan to improve performance.
Skills & Competencies:
· Proficiency in EHR platforms and care management tools.
· Excellent verbal and written communication skills.
· Ability to engage diverse member populations with empathy and cultural competence.
Required Qualifications:
· Minimum 1-3 years of experience as a Medical Assistant in a clinical, IPA, managed care or health plan environment
· Prior experience with member outreach, community health, or case management workflows preferred.
· Ability to manage multiple priorities, meet quality targets, and work independently in a hybrid/remote environment.
Why Join NSIPA?
· High-impact leadership role with direct influence on organizational strategy.
· Opportunity to shape the future of value-based care across diverse populations.
· Collaborative, mission-driven environment focused on improving patient outcomes.
· Visibility, growth, and the ability to build and scale performance programs.
Physical Demands:
The physical demands described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable qualified individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to stand; walk; sit for extended periods of time; use hands to finger, handle, or feel; make precisely coordinated movements of the fingers of one or both hands to grasp, manipulate, or utilize computer equipment; reach with hands and arms; and talk or hear. The employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by this job include close vision, distance vision, ability to adjust focus and ability to match or detect differences between colors, including shades of color and brightness.
EEO Statement: