Provider Engagement Manager
- Hiring from
- United States
- Work type
- Hybrid
- Posted
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- Provider Pod Leadership
- Lead recurring Provider Pod meetings for assigned provider organizations.
- Develop meeting agendas and facilitate productive discussions.
- Coordinate participation from internal subject matter experts.
- Track action items and ensure accountability for completion.
- Aggregate data with the Senior Financial Analyst and the Senior Data Analyst.
- Present findings in the POD meetings to rank-and-file providers.
- Value-Based Performance Management
- Lead performance reviews and action planning related to:
- Revenue cycle optimization and issue resolution
- Medicare STAR quality gap closure opportunities
- Risk Adjustment Factor (RAF) optimization
- Suspect condition validation and documentation improvement
- HCC coding opportunities
- Cost of care reduction initiatives
- Emergency Department utilization
- Hospital admissions
- Readmission reduction
- Specialist referral optimization
- Preventive care performance
- Clinical quality measures
- Lead performance reviews and action planning related to:
- Provider Relationship Management
- Build trusted relationships with physician leaders and practice administrators.
- Serve as the primary strategic liaison between the (provider organization / IPAs / Systems / ACOs) and the MSO.
- Identify operational barriers impacting provider performance.
- Coordinate internal resources to resolve provider concerns.
- Promote adoption of MSO programs, tools, and best practices.
- Performance Improvement
- Analyze provider performance trends.
- Develop action plans to improve financial and clinical outcomes.
- Monitor progress toward established performance goals.
- Present performance dashboards and recommendations.
- Cross-Functional Collaboration
- Partner with teams responsible for:
- Revenue Cycle
- Clinical Operations
- Care Management
- Coding and Documentation
- Quality Improvement
- Provider Contracting
- Population Health
- Analytics
- Pharmacy
- Network Operations
- Partner with teams responsible for:
- Performs all other miscellaneous responsibilities and duties as assigned or directed.
- Bachelor's degree and three years of related experience; or an equivalent combination of education and work experience.
- Experience facilitating leadership and sr. leadership meetings.
- Strong knowledge of healthcare reimbursement models.
- Two years of leadership experience.
