Manger of Provider Solutions

Overview

BASED ON EXPERIENCE
Full Time
Contract - W2
Contract - Independent

Skills

HEALTHCARE
HEATH CARE ADMINISTRATION
PATIENT

Job Details

As a Manger of Provider Solutions, your role is pivotal in guiding healthcare providers toward achieving optimal outcomes in value-based care, ultimately improving patient health and well-being while managing costs effectively. In developing and implementing strategic initiatives to increase provider readiness from traditional fee-for-service models to value-based care models. Here's an overview of the responsibilities and key skills associated with this role:

Responsibilities:

1. Performance Analysis:
- Conduct in-depth analysis of contractual performance metrics related to value-based care, including utilization measures, benchmarking, cost-effectiveness, and patient outcomes.

2. Data Interpretation:
- Interpret and translate complex data into actionable insights for healthcare providers, helping them understand and improve their performance.

3. Financial Management:
- Monitor financial performance related to value-based care contracts and identify opportunities for cost savings, risk adjustment and revenue enhancement.

4. Patient Engagement:
- Develop strategies to actively involve patients in their care and treatment plans.
- Implement patient education programs to promote health and prevent avoidable healthcare utilization.
- Provide constructive feedback and coaching to healthcare providers, offering guidance on how to enhance their practices to align with value-based care goals.

5. Collaboration with Clinical Teams:
- Collaborate with clinical leaders to integrate value-based care principles into clinical practice, emphasizing preventive care, care coordination, and patient engagement.
- Collaborate with leadership to establish goals aligned with value-based care principles for initiatives to continuously improvement in care delivery, patient satisfaction, and cost-efficiency.

6. Care Coordination Optimization:
- Work with internal and external healthcare teams to improve care coordination efforts, ensuring seamless transitions of care and effective communication among providers.

7. Technology Utilization:
- Evaluate and recommend technology solutions that support value-based care initiatives, including electronic health record (EHR) optimization and other relevant tools.
- Identify and implement innovative technologies and solutions that support value-based care delivery and improve patient outcomes.

8. Educational Support:
- Develop and deliver training programs to educate healthcare providers and staff on best practices in value-based care delivery.

9. Risk Stratification:
- Assist in the development and implementation of risk stratification models to identify high-risk patients and tailor care interventions accordingly.

10. Patient Engagement Strategies:
- Collaborate on the development of strategies to actively engage patients in their care, promoting preventive measures and improving overall health outcomes.

Key Skills:

1. Analytical Skills:
- Proficient in analyzing healthcare data to identify patterns, trends, and areas for improvement.

2. Communication Skills:
- Effective communication skills to convey complex healthcare data and insights to diverse audiences.
- Report on quarterly performance, internally and externally.

3. Problem-Solving:
- Strong problem-solving skills to address challenges and barriers to successful value-based care implementation.

4. Interpersonal Skills:
- Ability to build relationships and collaborate with healthcare providers, administrators, and other stakeholders

5. Knowledge of Value-Based Care Models:
- In-depth understanding of various value-based care models and their implications on healthcare delivery.

6. Change Management:
- Skill in managing and facilitating change within healthcare organizations.
- Routine operational huddles will be mandated to ensure ancillary departments have ongoing intervention

7. Technology Proficiency:
- Familiarity with healthcare information systems and technologies supporting value-based care.

8. Educational Facilitation:
- Ability to develop and deliver educational programs to diverse healthcare audiences
- Provide education and training programs for internal staff, including healthcare providers and administrative teams, to ensure a smooth transition to value-based care.

Qualifications:

  • Bachelor's degree or commensurate work experience in healthcare administration, public health, or a related field.
  • 3-5 years of experience in healthcare change management, provider relations, or a related role.
  • In-depth knowledge of healthcare regulations, value-based care, and performance metrics.
  • Strong analytical and problem-solving skills, with the ability to interpret complex data sets and identify improvement opportunities.
  • Excellent communication and interpersonal skills to collaborate effectively with providers, team members, and stakeholders at all levels.
  • Proven experience in designing and delivering training programs or educational initiatives.
  • Proficiency in data management and analysis tools, such as Excel or data visualization software.
  • Familiarity with electronic health record systems and healthcare information technology.
  • Detail-oriented, organized, and able to manage multiple projects simultaneously.
  • Ability to work independently, demonstrate initiative, and drive results in a fast-paced environment.
  • Position is remote - secure home network required and familiar with Microsoft Office products and VPN

Preferred:
  • Six Sigma Green Belt, Licensed Allied Health Professional, or Licensed Registered Nurse
  • Certified Professional in Healthcare Quality (CPHQ) or equivalent
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