Network Engagement Manager
2 weeks ago
Primary Responsibilities:
Relationship Building
- Build trust and manage the relationship between the company and its network partners – physicians and health care teams – as a primary point of contact. Function as client manager/liaison for assigned physician and support positive, productive relationships with their staff and health plan partners. Collaborate with physician’s office staff in executing company programs and adhering to benchmarks set forth in all value-based programs.
- Perform site visits to conduct outreach, education, training and orientation sessions for physicians and their key administrative staff.
- Travel within the South and Central Florida region.
- Respond to partner inquiries and requests for information – including about the provider network, referrals/authorizations, claims/encounters, and reporting.
- Identify “trends” in physician activity rather than react to occurrences: triage routine physician issues and internal inquiries regarding policies and procedures, authorizations, credentialing or claims status, orientation activities, and database or portal information or usage.
- Perform initial problem-solving to address issues in real-time, or perform necessary research to address customer inquiries and concerns.
- Escalate issues as appropriate; provide field-intelligence to leadership.
- (Regular Reporting Visit) Assist in preparing and distribution of routine and ad-hoc reporting for physicians; prepare agendas for physician visits in the field, document the virtual or on-site field visit, and perform any necessary follow-up.
- (Provider Contract & Update) Support or assist with operational activities that may include, but are not limited to, provider database updates and contract implementation – including provider recruitment. Receive, review, track and prepare provider contracts, credentialing documentation and provider directory updates, assist in obtaining necessary documents from providers to complete credentialing, re-credentialing and necessary projects.
- (Organization) Self-manage personal monthly calendar, tasks, objectives and goals. Review departmental and personal goals on an on-going basis with team. Regularly update internal documents – including forms and process and procedure guides.
- (Compliance) Follow all applicable federal/state regulations with respect to Confidentiality and HIPAA, among others.
- (Education & Growth) Continue professional growth and development.
- Identify and network with existing, new and potential physicians – including value-based entities – to educate/promote the company model of care and services – including on portals, protocols, policies, procedures, claims/encounter submission, and services to enhance the overall provider experience.
- Conduct orientations/re-orientations. Complete outreach to new physicians: Provide training and support to them and their staff about network and programs.
- Collaborate with leadership on new ideas for positive brand growth.
- 3-5 years' experience related to management of physician offices
- 3-5 years' experience in relationship management in healthcare or other industries
- Working knowledge of healthcare network operations
- Ability to effectively review health care data elements from analytical and management reports clinical, financial and operational and generate appropriate education and action items from those.
- Willingness to travel within the South and Central Florida Region. Occasional overnight travel.
- Proficient in Microsoft Office Applications (Word, Excel, Outlook, Access) and perform effective Internet research.
- Ability to manipulate large databases and to produce meaningful analytical and management reports.
- Bilingual English/Spanish strong preferred
Our company is committed to creating a diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. DFWP
Opportunities posted here do not create any implied or express employment contract between you and our company / our clients and can be changed at our discretion and / or the discretion of our clients. Any and all information may change without notice. We reserve the right to solely determine applicant suitability. By your submission you agree to all terms herein.
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