Cross-Functional Provider Engagement & Outreach Spec-Remote Opt

Partners Behavioral Health Management•Kannapolis, NC

29d•Remote

About The Position

The Cross-Functional Provider Engagement & Outreach Specialist serves as a liaison between Partners Health Management and healthcare/physical health providers to drive quality improvement, practice transformation, and provider engagement. This role supports physical health providers in implementing evidence-based workflows, optimizing care delivery models, and aligning with value-based care initiatives. The Specialist also leads outreach efforts to foster collaborative relationships, deliver educational resources, and support providers in meeting performance and compliance with benchmarks. This role serves as a co-supporter of provider education, training, and development in support of quality, performance, and strategic initiatives.

Requirements

Deep understanding of value-based care models, and healthcare quality programs.
Experience in healthcare practice transformation, care delivery redesign or clinical operations
Experience engaging and coaching clinical teams (physicians, nurses, and practice managers)
Familiarity with health equity initiatives and strategies to address social drivers of health.
Experience in Project Management and familiarity in process mapping and workflow analysis tools.
Knowledge of and ability to explain and apply the provisions of contractual practices adopted by Partners Health Management and required by NC Division of Health Benefits.
Demonstrate working knowledge of HEDIS quality measures and reporting requirements to support accurate provider education and engagement
Collaborate with providers and internal teams to close care gaps and ensure compliance with HEDIS and other quality initiatives.
Experience working with large multi-site practices.
Ability to analyze clinical and operational data to drive improvement initiatives.
Excellent facilitation and project management skills and familiarity in process mapping and workflow analysis tools.
Strong problem solving, decision-making and negotiating skills.
Exceptional interpersonal skills and strong written and verbal communication skills.
Excellent organizational skills.
Ability to multi-task and meet deadlines.
Considerable knowledge of the laws, regulations and policies that govern the program, which includes and is not limited to, contractual requirements adopted by NC Division of Health Benefits and other governmental oversight agencies.
Strong problem solving, negotiation, arbitration, and conflict resolution skills.
Excellent computer skills and proficiency in Microsoft Office products (such as Word, Excel, Outlook, and PowerPoint.
Demonstrated ability to verify documents for accuracy and completeness; to understand and apply laws, rules and regulations to various situations; to apply regulations and policies for maintenance of consumer medical records, personnel records, and facility licensure requirements.
Ability to make prompt independent decisions based upon relevant facts.
Ability to establish rapport and maintain effective working relationships.
Ability to act with tact and diplomacy in all situations.
Ability to maintain strict confidentiality in all areas of work.
Experience with Electronic Health Records (HER) for clinical processes
Ability to rack, monitory, and report training participation, completion, and evaluation data
Ability to support provider training in healthcare, Medicaid, or value-base care environments
Ability to support virtual collaboratives or large-scale trainings
Bachelor’s degree and a minimum of four years of experience in managed care or a related field with a healthcare provider or insurer/payer. Relevant areas may include provider relations, network development or design, provider engagement services, contract management, or patient financial services. Experience in auditing, accounting, or finance is also applicable.
Must reside in North Carolina or within 40 miles of the NC border.

Nice To Haves

Bachelor’s degree in Nursing, Public Health, Healthcare Administration, or a related field (Master’s degree preferred). Deep understanding of value-based care models, healthcare quality programs, and population health initiatives. Demonstrated experience in practice transformation roles and practice support.

Responsibilities

Support medical providers in transforming care delivery through implementation of patient-centered medical home (PCMH), value-based care models, and quality improvement initiatives.
Engage directly with providers and healthcare teams across North Carolina to build strong partnerships, understand their unique challenges, and provide tailored assistance
Conduct on-site and virtual practice visits to assess workflows, identify improvement opportunities, and provide technical assistance and resources.
Analyze and utilize performance data (e.g., HEDIS, Medicaid measures) to collaborate with providers to design targeted interventions that improve care quality and patient outcomes.
Assist practices with change management strategies to enhance patient outcomes and operational efficiency
Act as a liaison n supporting providers in adopting value-based care practices, that enhance clinical efficiency and patient outcomes
Develop and disseminate outreach materials, toolkits, and communication strategies to strengthen provider relationships.
Stay abreast of emerging best practices, payer requirements, and regulatory changes affecting provider performance and transformation.
Deliver training and coaching on practice transformation topics, data use, and workflow redesign
Track provider progress, document interactions, and report outcomes and barriers to leadership for continuous program improvement.
Workdirectly with physicians, clinical teams, and administrative staff to improve care delivery, enhance patient outcomes, and increase performance.
Collaborate with internal stakeholders to align resources and interventions
Support practice transformation initiatives that drive sustained improvements in care quality and operational efficiency
Work with providers to encourage preventive service utilization and effective chronic condition management among their patient populations
Assist clinicians achieve measurable improvements in health outcomes and patient satisfaction by fostering patient engagement and adherence to recommended care plans
Serve as a primary liaison between internal departments and external organizations to plan, schedule, and execute approved training and provider engagement events.
Co-manage and maintain PN Department training repository, including the development and upkeep of the training modules, plans, reports, staff communications, and content revisions, troubleshooting, and provider support.
Support the co-devolvement and implementation of provider and partners training programs, including training plans, presentations, communications, postings, scheduling, and facilitation, in partnership with the Provider Engagement Training Specialist
Interface with learning and collaboration technology platforms to create, host, or co-host trainings and collaboratives; manage and promote sessions, monitor participation, and analyze and report training related data