Develops and maintains long-term relationships and client satisfaction by serving as the primary liaison between the external client and internal cross-functional departments.
Organizes cross-functional teams and workflows to proactively identify and resolve potential problems.
Monitors compliance with health plan procedures and policies.
Acts as the main point of contact regarding all constituent issues surrounding practices, clinic, physicians, and patient operations.
Responsible for training and coaching users on how to use the population health technology platform to achieve excellent performance in the physician engagement priorities and focus areas.
Responsible for driving success in plan focus areas, including the following: Access to Care, Quality Metrics, and HCC Risk Adjustment.
Compiles, analyzes, interprets, and presents data related to clinical performance to influence value-based care, cost, utilization, and quality care improvement processes.
Development and implementation of initiatives to improve performance against value-based contract metrics.
Requirements
Minimum of 5 years of client-facing experience within the healthcare domain and experience working with physician practices including; provider relations, provider education, practice transformation and/or practice management
Demonstrated subject matter expertise in any of the following areas: Medicare advantage, managed care regulations, quality reporting, care management, population management, and supporting providers in risk-based contracts.
Strategic and entrepreneurial outlook with strong collaboration skills
Demonstrated change management expertise
Ability to operate independently and lead complex client interactions
Ability to operate in a fast-paced and dynamic environment
Team player, excellent communication skills
Demonstrated understanding of healthcare metrics and use of analytical skills
Extensive knowledge of the U.S. healthcare system
Exceptional client-facing skills
Excellent presentation skills.
Benefits
Medical, Vision and Dental Plans
Tax-Advantage Savings Accounts (FSA & HSA)
Life Insurance and Disability Insurance
Paid Time Off (PTO, Sick Time, Paid Leave, Volunteer & Wellness Days)