Network Engagement Specialist

2 weeks ago

Gainesville, Georgia, United States Northeast Georgia Health System, Inc Full time
About the Role

This position plays a critical role in enhancing the quality of care provided by healthcare providers. The ideal candidate will work closely with matrix partners to develop and implement strategies that improve risk adjustment accuracy and overall performance in value-based programs.

Key Responsibilities
  • Develop and execute comprehensive risk coding accuracy programs and curriculum in collaboration with matrix partners.
  • Lead efforts to design and create content-specific internal and external risk adjustment training curriculum and programs.
  • Set priorities for RA staff to execute on initiatives that improve risk scores.
  • Develop and identify quality, risk score, and financial KPIs that reflect each provider's contribution towards goals for all contracted payer relationships.
  • Use dashboards and reporting tools to convey performance trends to providers, groups, and leadership.
  • Partner with providers and clinical/administrative staff to enhance understanding of clinical documentation improvement goals.
  • Coordinate and deliver programs through flexible approaches, including onsite, classroom, remote hosted, and self-service web-based models.
  • Design, execute, and report on evaluation methods and KPIs to measure results, identify risks/barriers to project rollout, timely deliverables, and adoption success.
  • Work in close partnership with Health Partners' care management and quality teams to produce relevant material to share with providers.
  • Participate in rolling out new programs and services to providers as they are developed.
  • Travel to Health Partner provider locations to oversee and execute engagement and document all visits in a standard format.
  • Create organized presentations and other content to present to various committees and the Board.
  • Demonstrate the ability to be a strong people performance manager with the ability to motivate staff and drive results.
  • Analyze project needs and determine resource requirements to meet objectives and solve problems that span multiple interdisciplinary teams and environments.
  • Build relationships and communicate with external and internal parties to deliver key messages, influence stakeholders, manage expectations, and shape outcomes.
Requirements
  • Bachelor's degree in Business, Healthcare, Information Science, or related field.
  • Minimum of 5+ years experience with increasing responsibilities in developing and executing risk coding programs.
  • Knowledge of, and experience with, utilizing EPIC EHR.
  • Knowledge of, and experience with, health plan value-based arrangements, alternative payment models, healthcare risk quality, and population health outcomes.
Preferred Qualifications
  • Master's degree in Business, Healthcare, Information Science, or related field.
  • Preferred experience in leading program development and management efforts involving provider/partner engagement and implementation.
Physical Demands
  • Weight Lifted: Up to 20 lbs, Occasionally 0-30% of time.
  • Weight Carried: Up to 20 lbs, Occasionally 0-30% of time.
  • Vision: Moderate, Frequently 31-65% of time.
  • Kneeling/Stooping/Bending: Occasionally 0-30% of time.
  • Standing/Walking: Occasionally 0-30% of time.
  • Pushing/Pulling: Occasionally 0-30% of time.
  • Intensity of Work: Occasionally 0-30% of time.
  • Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding.

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