Provider Relations Specialist

4 weeks ago

Costa Mesa, United States CareConnectMD, Inc Full time

Responsible for engaging partner providers and facilities on a variety of patient Experience, Quality, Risk Adjustment activities. These activities include liaising with partner provider and facilities to build and maintain relationships to drive engagement to improve Patient Experience, Quality and Risk measures. In addition, the Provider Relations Specialist will connect partners providers and facilities to CareConnectMD resources, tools, and reports to enhance day to day operations and to impact key metrics.

**Key Duties and Responsibilities**
- Regularly engage with partners providers to participate in JOC meetings, support coordinate visits, and educate providers to utilize our 24/7 service for ER diversion.
- Tailor engagement and best practices shared with each partner provider to enhance day to day operations to impact key metrics.
- Provide providers and facilities the actionable metrics and tools to drive improvement and connect providers to appropriate departments when needed.
- Provide access to CareConnectMD resources like education by certified coders, and office staff training.
- Support and leverage CCMD’s offered services e.g., case management resources, business development, and clinical services to reach our desired outcomes.
- Function as point-of-contact for all partner providers and facilities.
- Communicate effectively with providers to confirm existing patient experience initiatives and areas of needed improvement.
- Interact with providers, office managers, staff in a positive, collaborative, and professional manner.
- Work effectively with operational/clinical/BD team to issues that may be impacting performance.
- Adhere to productivity set by the department leadership.
- Continually search for opportunities to streamline and improve workflows and operations so we can more effectively ensure the quality of our provider and facility experience.
- Other duties as assigned.

**Education and Experience**
- Bachelor's Degree and 3+ years of experience working in health care provider services required.
- Strong presentation, relationship building, problem-solving, critical thinking, and decision-making skills required.
- Strong oral and written communication skills required.
- Demonstrate ability to manage multiple projects and meet deadlines.
- Ability to work independently with mínimal supervision required.
- Excellent organizational and time management skills required.
- Proficiency in MS Word, Excel, PowerPoint, and Outlook required.
- Travel will be needed, must have valid CA driver's license, car insurance, and reliable vehicle.

**Essential Skills and Abilities**
- Thrives in an unstructured, start-up environment.
- Self-starter that can work independently and collaboratively, prioritize tasks and has initiative and excitement to take on unfamiliar tasks.
- Advanced knowledge of word processing, graphic presentation and computer software related to specific tasks
- Demonstrated excellent computer and word processing skills with special emphasis on calendaring, presentation, and spreadsheet capabilities
- Working knowledge of company policies, procedures, and operations
- Excellent composition, grammar, and business language skills
- Excellent communication and interpersonal skills with the ability to effectively communicate with all levels of management, patients, and family members.
- Creative, flexible, well organized, resourceful, and detail-oriented
- Excellent judgment in handling confidential and sensitive information
- Ability to work independently, set priorities and handle multiple tasks with a high level of efficiency
- Establishing and maintaining cooperative working relationships with others
- Ability to work across locations and time zones

**Core Competencies**
- Instills trust
- Customer focus
- Manages ambiguity
- Collaborates
- Drives results

This is a hybrid role working 2-3 days in the Costa Mesa office and the other days remotely.

The anticipated base pay range for this position is $25.00 - $28.00 per Hour. Individual pay is determined by job-related skills, experience, and relevant education or training.

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