Provider Relations Manager / Clinical Integration

Hartford HealthCare Corp.•Hartford, CT

5d•Onsite

About The Position

Represents the Clinical Integration Network (CIN) and is responsible for facilitating all facets of the clinician/practice relationship with the CIN. Communicates expectations of CIN membership to the clinician/practice and provides direct and indirect support to the clinician/practice to meet these expectations and reach shared quality goals. Ensures the administrative as well as clinical needs of the clinician/practice are identified and addressed.

Requirements

Minimum: Bachelor's degree or equivalent combination of education, training and relevant experience in lieu of degree
Minimum: 3-5 years’ experience in practice or health care related operations.
English
Ability to support practice changes to discrete and varied audience i.e. Administrators, practice managers, clinicians as needed
Proficient in Excel, PowerPoint, Access.
Excellent communication, analytical, presentation and interpersonal skills
Ability to understand and convey complex information to many difference kinds of people is an absolute requirement with demonstrated ability to work as a member of a team
Competence in quality improvement and data interpretation
Familiarity with case management and care coordination processes; experienced and skilled in working with interdisciplinary teams
Ability to innovate to achieve the organization’s goals
Comfortable using and/or learning to use databases, reporting software, electronic medical record
Exhibits leadership in demonstrating to staff how to embody the patient-centered goals of the organization, and in embracing change, where appropriate

Nice To Haves

Preferred: Bachelor's degree in health care related field
Preferred: 5-7 years’ experience in practice or health care related operations including dealing with physician performance and quality reporting.
Experience with Tableau highly preferred.
Experience with electronic medical records (Athena, EClinical Works, AllScripts, Epic etc) preferred.
Experience with hospital systems (Cerner, Sunrise, Epic and Premier) is preferred.

Responsibilities

Creates and fosters relationship with assigned clinician/practice to establish self as recognized liaison between CIN and clinician/practice.
Educates clinician/practice on all relevant topics to promote clinician/practice ability to be successful and reach shared quality goals. Topics include but are not limited to: CIN processes/procedures, CIN incentive program details, payer initiatives, quality definitions and goals.
Provides direct support to clinician/practice to assist with and resolve service issues, including but not limited to payment, authorization eligibility and member matters.
Assesses each clinician/group, at a minimum annually, to determine engagement, evidence of infrastructure to perform as a CIN member, and ability to meet shared goals.
Based on annual assessment, works with clinician/practice to implement action plan to mitigate identified gaps.
Provides concrete reports as well as data analysis to clinician/practice to assist them in successfully meeting shared quality goals roll out and sustain practice improvement programs.
Illuminates best in class practice improvement programs and assists clinician/practice in implementing these programs to meet shared quality goals.
Tracks and trends clinician/practice performance to identify areas of opportunity, creating action plans to reach opportunities.
Partners with Risk Coding and Care Management to ensure alignment around clinician/practice performance and communication.
Performs all other duties as assigned.