Provider Performance Liaison

CareSource • Mobile, AL

1d • Remote

About The Position

Provider Performance Liaisons (PPLs) will develop partnerships with providers to close identified gaps in care and achieve targeted thresholds in Alternative Payment Model (APM) programs and customized plans. The PPL will work closely with providers, community-based organizations, and internal partners to implement interventions that impact improved quality outcomes for our membership.

Requirements

• Minimum of three (3) years of experience in a Provider-facing setting or role is required
• Analytic skills for solving problems
• Word, Excel, and/or Access skills are required
• Ability to operate a smart phone, tablet, or other mobile communication devices to ensure productivity and ability to perform essential functions
• Ability to act with diplomacy and sensitivity to cultural diversity
• Strong interpersonal skills and high level of professionalism
• Ability to maintain confidentiality and act in the company’s best interest
• Ability to work independently and within a team environment
• Knowledge of quality management/statistical reporting
• Change resiliency
• Excellent conflict resolution skills
• Exceptional emotional intelligence
• Customer service oriented
• Critical listening, thinking skills, and verbal and written communication skills
• Excellent written and verbal communication skills
• Knowledge of local, state and Federal laws and regulations
• Knowledge of healthcare resources, benefits and entitlements in the local area
• Ability to develop, prioritize and accomplish goals
• Proven track record for improving processes to make things easier for those you have served
• Current unrestricted license in field of practice including (if applicable): Licensed Social Worker (LSW), Licensed Independent Social Worker (LISW), Professional Counselor (PC), or Licensed Professional Clinical Counselor (LPCC), or Registered Nurse (RN) license in the State of Service is preferred
• Employment in this position is conditional pending successful clearance of a driver’s license record check.
• Influenza vaccination is a requirement of this position. CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season (October 1 – March 31) as a condition of continued employment.
• Reside in the same territory they are assigned to work in; exceptions may be considered, due to business need
• May be required to travel greater than 50% of time to perform work duties.
• A valid driver’s license, car, and insurance are necessary for work related travel
• Required to use general office equipment, such as a telephone, photocopier, fax machine, and personal computer

Nice To Haves

• Bachelor’s Degree in social work, nursing, public health, or related field or equivalent years of relevant work experience is preferred
• Experience working with data and data analytics is preferred
• SQL and/or SAS experience preferred

Responsibilities

• Participate in the annual and customized development of APMs
• Assist in prioritizing opportunities for improved quality outcomes for the provider’s attributed population
• Participate in population health quality assurance and improvement activities with the provider and community partners
• Enhance effectiveness of provider’s population health interventions through the use of research and QI science.
• Participate and support Quality Withhold efforts as directed
• Collaborate with Population Health Analytics team in coordinating the exchange of clinical information and member/population level data
• Assist in implementation of state-wide plans in collaboration with leadership, population health analytics team, Provider Network Performance Team, Health Equity, and Quality.
• Engage in onboarding activities specific to APM support and interventions targeting contracted quality metrics
• Strategize with the provider to develop and enhance the practice’s engagement strategies for individual member populations
• Provide education on available resources to providers to facilitate population health management
• Develop, educate, implement, and serve as a consultant regarding CareSource’s care management programs
• Support local presence by participating in events, meetings and opportunities in the community
• Collaborate to identify areas of opportunity to improve capabilities and partnership processes
• Perform any other job duties as requested

Benefits

• In addition to base compensation, you may qualify for a bonus tied to company and individual performance.
• We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree