Specialist, Performance Improvement

Cano HealthHuntington Park, NY
1d

About The Position

It's rewarding to be on a team of people that truly believe in making an impact! We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us. Job Summary The Provider Success Specialist I is primarily responsible for helping assigned medical providers and their staff drive positive financial performance, appropriate utilization, and high quality to meet and exceed performance targets for all assigned value-based programs across any number of lines of business. They accomplish this by providing expert population health management data and analysis, facilitating best practices, and setting/tracking goals by acting as a primary accountable change agent for assigned providers and business lines. In addition, the Performance Improvement Specialist coordinates support activities with various departments to provide optimal customer service to network providers and internal customers. Lines of assigned businesses may include MSSP Accountable Care Organizations (ACO), Direct Contracting Entities, Commercial ACOs, Medicare Advantage, and others.

Requirements

  • Bachelor’s degree in Business, Healthcare or related field.
  • Possess 5+ years’ experience in healthcare or sales field.
  • Strong written and communication skills
  • Strong initiative skills
  • Strong analytical and data management skills
  • Must be detail-oriented, possess exceptional communication and interpersonal skills, organization skills and a spirit with a willingness to go above and beyond the call of duty in order to complete projects accurately and timely.
  • Must also be able to multi-task, work in a fast-paced environment and abide to specific deadlines.

Responsibilities

  • Assists in managing providers in multiple markets, lines of business, and provider networks.
  • Understands and educates clients on any assigned business lines related to value-based contracts.
  • Analyzes financial and quality reports to identify opportunities that will be presented to physicians and staff.
  • Monitors and manages progress of key performance indicators given to providers to ensure all goals are met.
  • Documents and provides feedback to leadership team regarding provider meetings.
  • Creates provider performance reports as well as presentations.
  • Maintains provider in-service log, all tracking tools and provider portal.
  • Assists in creating provider manuals as well as monthly and quarterly provider reports.
  • Creates practice assessments and other engagement tracking functions.
  • Identifies and provides solutions and interventions for providers whose key metrics are underperforming.
  • Handles office tasks, such as scheduling conference calls and meetings
  • Makes travel arrangements, such as booking flights, cars, and makes hotel and restaurant reservations.
  • Maintains polite and professional communication via phone, e-mail, and mail.
  • Engages providers and educates them on performance improvement initiatives.
  • Provides Management with feedback from providers with issues and concerns.
  • Works closely with Provider Network team and other departments to main open line of communication
  • All other duties as assigned.
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