Provider Relations Manager / Clinical Integration

Hartford HealthCare • Hartford, CT

23d

About The Position

Work where every moment matters.

Every day, over 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network.

The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization.
With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system.
Position Summary:
Represents the Clinical Integration Network (CIN) and is responsible for facilitating all facets of the provider/practice relationship with the CIN. Communicates expectations of CIN membership to the provider/practice and provides direct and indirect support to the provider/practice to meet these expectations and reach shared quality goals. Ensures the administrative as well as clinical needs of the provider/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. Experience with Tableau highly preferred.
• 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 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 provider/practice to establish self as recognized liaison between CIN and provider/practice.
• Educates provider/practice on all relevant topics to promote provider/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 provider/practice to assist with and resolve service issues, including but not limited to payment, authorization eligibility and member matters
• Assesses each provider/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 provider/practice to implement action plan to mitigate identified gaps
• Provides concrete reports as well as data analysis to provider/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 provider/practice in implementing these programs to meet shared quality goals
• Tracks and trends provider/practice performance to identify areas of opportunity, creating action plans to reach opportunities
• Partners with Risk Coding and Care Management to ensure alignment around provider/practice performance and communication
• Performs all other duties as assigned

Benefits

• With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth.
• Here, you are part of an organization on the cutting edge – helping to bring new technologies, breakthrough treatments and community education to countless men, women and children.
• We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level