Manager Provider Engagement
Manager Provider Engagement
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Job Description
People. Passion. Purpose.
At P3 Health Partners our promise is to guide our communities to better health unburden clinicians align incentives and engage patients.
We are a physicianled organization relentless in our mission to overcome all obstacles by positively disrupting the business of health care transforming it from sickness care into wellness guidance.
We are looking for a Provider Engagement Manager (PEM). If you are passionate about your work; eager to have fun; and motivated to be part of a fastgrowing organization in Las Vegas NV then you should consider joining our team.
Provider Engagement Representative
Overall Purpose:
The Provider Engagement Manager (PEM) is responsible for establishing new relationships with primary care clinic leadership providers and staff as well as maintaining strategic relationships with primary care providers and their office staff currently in our network. The PEM will work closely with departments and cross collaborate with Operations Care Management Quality Risk Adjustment & Clinical Documentations and Compliance teams to ensure company goals are achieved.
Essential Functions:
Serves as the key stakeholder in relationship with the primary care clinic leadership provider and staff.
Serves as the operational dyad partner to care management.
Resultoriented individual who strategically pursues business with energy and drive and can contribute to the growth and success of a rapidly growing organization.
Accountable for achievement of goals specific to assigned primary care clinic and company.
Responsible for the operational and financial performance for assigned primary care clinics.
Develops strategy executes tactics and drives performance to achieve company goals.
Develops metrics and tools to measure progress toward company goals.
Monitors performance against strategic objectives/directives.
Analyzes data for cost reduction initiatives and opportunities for improved delivery of appropriate coordinated care to patients.
Provides leadership mentoring and process management support to Shared Services departments project management team and key process owners.
Works collaboratively with Shared Services departments to support initiatives services and support to assigned primary care clinics in ensure company goals are achieved.
Organizes and assists in facilitating Joint Operations Committee meetings with assigned primary care clinics and monthly operating review meetings with executive leadership and key stakeholders.
Develops and presents key reports to update leadership.
Updates metrics trackers for reporting purposes identifies areas of underperformance and develops/executes plan to correct.
Promotes P3 Care Model programs services and support and which lead to better patient outcomes and healthier lives.
Develops and builds provider engagement and strengthens the relationship between P3 and the providers and staff.
Creates lasting engagement with primary care clinic leadership and providers which enables them to use data effectively to coordinate care and reduce inappropriate care.
Identify and resolve issues that impact the ability to deliver effective highquality health care.
Coaches staff on effective communication with primary care leadership and providers helping to problem solve issues as they arise.
Identifies technology and procedure improvement for increased efficiencies accuracy and continuous process improvements.
Manages resource allocation to maximize effectiveness.
Responsible for ensuring compliance with company and CMS regulatory requirements and mandates.
Knowledge Skills and Abilities:
Extensive experience in diverse managed care organizations with understanding of key drivers for performance.
Proven expertise in Medicare Advantage valuebased model of care.
Clinical operations experience preferred including operational metrics and financial understanding.
Strong customer service skills is customer service driven has a positive attitude and is a clear and effective communicator.
Highly professional in appearance tone of language and delivery of communication.
Exceptional organizational and time management skills with ability to prioritize to meet deadlines.
Strong followthrough and results tracking to achieve measurable goals.
Ability to maintain strict confidentiality in all jobrelated matters.
The ability to interact with support and influence positively the behavior and activities of referring clinicians industry partners leadership and staff/coemployees.
Ability to coach and mentor teammates to ensure success
Must be an exceptional listener with the proven ability to problem solve issues discussed.
Experience in public speaking/presentation skills.
The ability to work both independently as well as in a group setting high integrity reasoned and thoughtful judgment a sense of urgency and analytical and intuitive skills.
Ability to use common office equipment: computers fax/copy machine etc.
Proficient in Windows based technologies (ex. Word Excel Power Point).
Minimum Education:
Bachelors Degree in Health Care Administration Business Administration or Health Service or equivalent.
Minimum Experience:
7 years of experience in the health care industry working with an: IPA/Medical Group Health Plan or hospital preferably with direct physician interaction
5 years of combined experience in Medicare Advantage CMS and/or CMMI programs such as Accountable Care Organization Model or DCE models
5 years of cross collaboration experience in complex project management and implementation.
Work Conditions:
Availability to travel within region 8090 of work time.
Must have a valid drivers license safe driving record and able to furnish own vehicle.
Required Experience:
Manager
Employment Type
Full-Time
