Provider Engagement Executive - Remote Salt Lake City
About The Position
Become a part of our caring community and help us put health first The Provider Engagement leader develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the contracted working relationship with the health plan. The Provider Engagement leader works on problems of diverse scope and complexity ranging from moderate to substantial. The Provider Engagement leader represents the scope of health plan/provider relationship across such areas as financial performance, incentive programs, quality and clinical management, population health, data sharing, connectivity, documentation and coding, HEDIS and STARs performance, operational improvements and other areas as they relate to provider performance, member experience, market growth, provider experience and operational excellence. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action. INCUMBENT MUST RESIDE IN SALT LAKE CITY METRO AREA.
Requirements
- A minimum of five years of healthcare or managed care experience, preferably in a primary care practice
- Operational experience with managing value-based contracts, population health, or other healthcare performance improvement
- Proven planning, preparation and presenting skills, with established knowledge of clinician reimbursement and bonus methodologies
- Demonstrated ability to manage multiple projects and meet deadlines
- Comprehensive knowledge of all Microsoft Office applications
- Ability to operate independently in support of this market.
- STARS experience
- Proven success in managing Value Based Care contracts.
- Experience in MSO, Payor Org.
- Experience in Medicare Risk Adjustment, Cost Management, Utilization Management.
- Advanced organizational skills and/or project management
- Ability to travel as needed
Nice To Haves
- Bachelor and/or Master's Degree
- Proficiency in analyzing and interpreting financial trends for health care costs, administrative expenses, and quality/bonus performance
- Comprehensive knowledge of Medicare policies, processes, and procedures
Responsibilities
- Responsible for Practice Engagement
- Training staff on programs, technology and processes.
- Onboarding new practices.
- Improving performance of practices.
- Evaluate practice workflow
- Review and analyze data and make recommendations
- Responsible for performance management
Benefits
- Health benefits effective day 1
- Paid time off, holidays, volunteer time and jury duty pay
- Recognition pay
- 401(k) retirement savings plan with employer match
- Tuition assistance
- Scholarships for eligible dependents
- Parental and caregiver leave
- Employee charity matching program
- Network Resource Groups (NRGs)
- Career development opportunities
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
