North American Medical Management (NAMM) California, Inc., part of OptumCare®, develops and manages provider networks, offering a full range of services to assist physicians and other providers in their managed care and business operations (the “Clients”). For over 25 years, NAMM has been an innovator in health care with a track record for quality, financial stability, extraordinary services and superior electronic capabilities. NAMM is well positioned to continually invest in its infrastructure and systems for the benefit of its Clients and to accommodate the impending changes that will come forth from healthcare reform. The NAMM Clients represent a network of over 600 primary care physicians and 1,500 specialists and work with the premier hospitals in their respective markets.

Health Care

Insurance

Medical Devices

NAMM California

NAMM California's headquarters in Ontario, CA, United States

Jamie Phillips

Rod st.

Diane Gephart

Patricia Gutierrez

The Medical Management Team at NAMM California is responsible for optimizing patient care and physician performance within the provider network. By leveraging data analytics, IT systems, and hands-on medical knowledge, the team ensures efficient utilization management, resolves denials and appeals, and provides training to enhance physician connectivity. Their efforts support the delivery of high-quality healthcare services and contribute to the financial stability of the organization.

Medical Management Team

The Medical and Credentialing Team at NAMM California oversees the verification and accreditation of healthcare providers, ensuring they meet all necessary professional standards and regulations. They collaborate closely with medical leadership to uphold the highest quality of care within the network, and support physicians and specialists in adhering to compliance and operational protocols.

Medical and Credentialing Team

The Claims and Coding team at NAMM California is responsible for ensuring the accurate processing and adjudication of medical claims, as well as verifying and assigning proper coding for medical procedures and diagnoses. This team works closely with healthcare providers to ensure compliance with billing regulations, optimize reimbursement, and support the integrity of financial operations within the managed care environment.

Claims and Coding

The Analysts team at NAMM California is responsible for evaluating and interpreting data to provide actionable insights that aid in the management of provider networks. They support the company's business operations by analyzing market trends, optimizing processes, and ensuring the effective use of electronic capabilities. This team plays a crucial role in driving data-driven decision-making to improve quality and financial stability for NAMM's Clients.

Analysts

The Leadership Team at NAMM California, composed of the President, Vice President of Human Resources, and Chief Medical Officer (CMO), spearheads the strategic direction and operational oversight of the company. This team ensures alignment with NAMM's goals of maintaining quality services, financial stability, and adapting to healthcare reforms, while managing provider networks to optimize both care delivery and client satisfaction.

NAMM California

Org chart

Teams

Medical Management Team

Medical and Credentialing Team

Claims and Coding

Analysts

Leadership Team

Offices

NAMM California

Org chart

Teams

Medical Management Team

Medical and Credentialing Team

Claims and Coding

Analysts

Leadership Team

Offices

Related companies