Provider Operations Coordinator - Omaha

P3 Health Partners•Omaha, NE

13d•Onsite

About The Position

The Provider Operations Coordinator (POC) manages operational support initiatives and special projects, with a focus on HEDIS quality gap closures, Risk Adjustment activities, and provider engagement. The role involves daily problem-solving, tracking, and coordination across departments to meet changing requirements. The coordinator oversees assigned affiliate groups and provides operational support to clinics, working with internal and external stakeholders and, as appropriate, patients to support preventive screenings, medication adherence, and follow-up with primary care providers. Depending on education and experience, the role may involve directly completing tasks for quality gap closure with patients. The position is 100% on-site, with the opportunity to work remotely on Fridays when field or office work is not needed. The coordinator must travel throughout the Omaha, Nebraska area and may work from multiple provider offices for up to 90% of the work schedule. Work hours are Monday through Friday, either 7:30 a.m.–4:30 p.m. or 8:00 a.m.–5:00 p.m.

Requirements

High school diploma or GED.
At least 2 years of experience in healthcare-related fields.
Experience with Microsoft Word, Excel, PowerPoint, Outlook, and general office equipment such as copiers and fax machines.
Experience with Electronic Health Records.
Knowledge of medical terminology.
Excellent interpersonal, rapport-building, and communication skills with patients, providers, and internal and external stakeholders.
Strong organizational and time-management skills.
Strong analytical, critical-thinking, and problem-solving skills.
Ability to present information and gain buy-in for recommendations.
Ability to work in a fast-paced environment and prioritize tasks by importance.
Ability to work independently or as part of a team.
Commitment to maintaining the confidentiality of patient records.
Knowledge of vital signs and other clinical skills related to direct patient care for quality gap closure.
Availability to travel within the assigned region and work from multiple provider offices for up to 90% of the work schedule.
Valid driver's license, safe driving record, and reliable transportation.

Nice To Haves

Associate degree in a related field or equivalent experience.
Clinical healthcare, managed care, or health plan experience.
Medical Assistant certification or experience as a Pharmacy Technician, Radiology Technician, Lab Technician, or similar.
Experience with data mining.
Experience with CPT II codes.
Current CPR certification.

Responsibilities

Build and maintain effective relationships with assigned affiliate groups to achieve goals and key initiatives.
Serve as a liaison between affiliate groups and P3 local, regional, and national departments.
Advise and support affiliate practices on quality (HEDIS/HOS) gaps and conditional documentation through outreach, chart data mining and audits, claims surveillance, quality events, and practice-employee education.
Review collected data to confirm that gaps in care are captured.
Work with affiliate practices to prioritize patient outreach, assist with outreach, and coordinate scheduling for new and established patients based on patient needs and availability.
Partner with assigned groups and other P3 departments to coordinate care for high- and rising-risk patients across services, including hospital discharge, hospice, MRA, care management, referrals, and quality.
Assist with preparation for CSR/IDT/JOC meetings and participate as requested.
Enter data and maintain appropriate documentation and tracking for quality initiatives.
Educate patients and affiliates about scheduled or performed preventive screenings and their purpose.
Depending on education and experience, conduct in-home HEDIS gap closure for selected measures, such as blood pressure checks, diabetic eye exams, point-of-care hemoglobin A1c testing, and distribution of colorectal screening kits.
Perform other duties as assigned.