Provider Engagement Manager
About The Position
The Provider Engagement Manager leads provider pod meetings for assigned provider organizations, manages performance reviews and action planning, and serves as the strategic liaison between provider organizations and the MSO. The role builds relationships with physician leaders and practice administrators, identifies operational barriers, coordinates resources to address provider concerns, and promotes adoption of MSO programs, tools, and best practices. The manager analyzes provider performance trends and develops and monitors action plans intended to improve financial and clinical outcomes. The role presents performance dashboards, findings, and recommendations, and collaborates with teams across the organization to support provider performance.
Requirements
- Bachelor's degree and three years of related experience, or an equivalent combination of education and work experience.
- Experience facilitating leadership and senior leadership meetings.
- Strong knowledge of healthcare reimbursement models.
- Two years of leadership experience.
Responsibilities
- Lead recurring Provider Pod meetings for assigned provider organizations; develop agendas, facilitate discussions, coordinate internal subject matter expert participation, and track action items through completion.
- Aggregate data with the Senior Financial Analyst and Senior Data Analyst, and present findings in Pod meetings to rank-and-file providers.
- Lead performance reviews and action planning for revenue cycle optimization and issue resolution; Medicare STAR quality gap closure; RAF optimization; suspect condition validation and documentation improvement; HCC coding opportunities; cost-of-care reduction; emergency department utilization; hospital admissions; readmission reduction; specialist referral optimization; preventive care performance; and clinical quality measures.
- Build trusted relationships with physician leaders and practice administrators.
- Serve as the primary strategic liaison between provider organizations, IPAs, systems, or ACOs and the MSO.
- Identify operational barriers affecting provider performance and coordinate internal resources to resolve provider concerns.
- Promote adoption of MSO programs, tools, and best practices.
- Analyze provider performance trends; develop action plans to improve financial and clinical outcomes; monitor progress toward established performance goals; and present performance dashboards and recommendations.
- Partner with Revenue Cycle, Clinical Operations, Care Management, Coding and Documentation, Quality Improvement, Provider Contracting, Population Health, Analytics, Pharmacy, and Network Operations teams.
- Perform other miscellaneous responsibilities and duties as assigned or directed.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
