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Manager Provider Engagement
Job Posting Manager Provider Engagement Job Details Job Type
Full-time
Greensboro, NC • Provider Relations Description Job Summary
The Manager Provider Engagement is responsible for helping develop the physician performance strategy and plan; creating and distributing content and communications for education and awareness; measuring and collaborating with physicians, practices, and accountable care organizations on practice performance including quality, CMS Stars, and risk performance. This position is key to HTA value-based contracting and population health strategies and helping the company meet its goals and objectives.
Major Work Activities
Work with the company leadership to develop the strategy and drive high physician satisfaction and engagement leading to increased member satisfaction and growth, including but not limited to: physician and office staff onboarding, education, and training Develop and implement a performance and improvement plan using key performance metrics to measure physician, practice, and accountable care organization performance against desired goals and outcomes, including but not limited to quality, Medicare Stars measures, HEDIS, CAHPS, HOS, and risk adjustment Develop relationships with clinical providers/staff and communicate performance, quality, coding, and documentation guidelines Deliver presentations to providers and office staff on health plan quality and coding initiatives guidelines and requirements of the CMS Star measures and risk adjustment program to ensure correct coding and documentation Facilitate and lead joint operating committee (JOC) and joint clinical committee (JCC) meetings with practices and accountable care organizations, collaborating with key areas of the company to ensure performance Be the key point of contact for physicians, practices, and accountable care organizations to help resolve their inquiries related to utilization management, benefits, claims, and contracting Work with leaders of the company on provider contracting, credentialing committee, and provider oversight committee Collaborate with company leaders on product development and performance to identify provider abrasion Assist with the development, implementation, and measurement of physician incentive plans Manage and supervise assigned staff and intercompany support relationships to accomplish the goals of the Company Ability to drive within assigned areas, travel 75-85 % in the market region to providers' offices Capacity to attend provider meetings day/evening/weekends as needed within assigned areas Ability to adapt to changing health services landscape and pivot based on business needs of the organization Other duties as assigned
Requirements Requirements
Minimum Qualifications
Required Education
Bachelor’s degree in business administration health care administration or related field, or five plus years’ equivalent healthcare work experience or any combination of education and experience which would provide an equivalent background
Required Licensure/Certification
Annual Flu Vaccine COVID-19 Vaccine Required Experience and Knowledge
Five plus years of experience in provider engagement, population health, or provider performance Three plus years of management/leadership experience One year or more experience working with healthcare data Prior experience as a physician practice administrator or working with physician practices strongly preferred Working knowledge of industry-leading value-based contracting strategies Knowledge of healthcare operations Knowledge of Medicare Advantage, including Stars, HEDIS, risk adjustment Required Skills, and Abilities
Proven quantitative and qualitative analytical skills and scenario planning Excellent written and verbal communication in one-on-one settings and in public Highly effective at building rapport, credibility, and trust across multiple audiences Strong decision-making and problem-solving skills Proficient in business software (e.g., MS Office products) Preferred Education
Master’s degree in business or healthcare-related field
Required Licensure/Certification
Certified Coding Specialist
Time: Full time
Salary: Salary
Category: Administration
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Updated: 7/15/2022 2:39:17 PM
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