Provider Operations Specialist
21 hours ago
Join a Mission Driven Team
At P3 Health Partners, we are dedicated to guiding our communities toward better health, alleviating burdens on clinicians, aligning incentives, and actively engaging patients.
We are a physician-led organization committed to positively transforming healthcare from a reactive approach to one focused on wellness and prevention.
We are currently seeking a Provider Operations Specialist. If you are enthusiastic about your role, excited about making a difference, and ready to thrive in a rapidly growing organization, we’d love to hear from you
*Must be willing to travel within Yuma County.
Role Overview
The Provider Operations Specialist plays a crucial role in managing operational support initiatives and overseeing specific projects aimed at enhancing HEDIS quality, Risk Adjustment activities, and provider engagement. This dynamic role involves daily problem-solving, diligent tracking, and collaboration across various departments to adapt to evolving priorities. You will manage assigned affiliate groups, provide ongoing support to clinics, and may have direct patient interactions aimed at closing quality gaps.
Key Responsibilities
- Establish and nurture effective relationships with affiliate groups to accomplish goals and key initiatives, serving as a primary liaison between them and P3 departments.
- Advise and assist affiliate practices in addressing quality gaps through outreach, data audits, claims surveillance, and education for practice employees.
- Work closely with affiliate practices to prioritize patient outreach, coordinating the scheduling of appointments that meet patient needs.
- Collaborate with various P3 departments to manage care for high-risk patients, ensuring seamless coordination across all healthcare services.
- Assist in preparation for CSR/IDT/JOC meetings and participate as required.
- Conduct data entry and maintain records for quality initiatives accurately.
- Educate patients and affiliates about the importance of preventative screenings.
- Depending on experience, may perform in-home HEDIS gap closure activities.
- Undertake other duties as assigned.
Skills and Competencies
- Strong interpersonal and communication skills to build rapport with patients and stakeholders.
- Exceptional organizational and time-management abilities.
- Analytical and critical thinking skills for effective problem-solving.
- Ability to present ideas clearly and gain support for recommendations.
- Comfortable in a fast-paced environment with the ability to prioritize tasks.
- Self-motivated, and capable of working independently or as part of a team.
- Committed to patient confidentiality.
- Understanding of vital signs and clinical skills related to quality gap closure.
Qualifications
- High school diploma/GED required; an associate degree in a related field is preferred.
- Minimum of 2 years in healthcare-related roles preferred.
- Proficient in Microsoft Office Suite and familiar with electronic health records.
- Medical Assistant Certification, or equivalent experience as a Pharmacy Tech, Radiology Tech, or Lab Tech is a plus.
- Knowledge of medical terminology required; experience with CPT II codes preferred.
- CPR Certification is a plus.
Work Environment
- Role requires availability to travel and work at various providers' offices.
- Must possess a valid driver's license and a reliable vehicle.
Physical Requirements
- This role primarily involves sitting and phone communication, with occasional standing or walking involved and the ability to lift small objects up to 25 pounds.
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