Network Engagement Specialist
2 weeks ago
This position plays a critical role in enhancing the quality of care provided by healthcare providers. The ideal candidate will work collaboratively with cross-functional teams to develop and implement strategies aimed at improving patient outcomes and reducing healthcare costs.
Key Responsibilities- Develop and execute comprehensive risk coding accuracy programs in partnership with healthcare providers.
- Design and deliver internal and external risk adjustment training curriculum and programs to enhance provider understanding of clinical documentation improvement goals.
- Establish and track key performance indicators (KPIs) to measure the effectiveness of risk adjustment initiatives and identify areas for improvement.
- Collaborate with healthcare providers and clinical/administrative staff to enhance understanding of clinical documentation improvement goals and objectives.
- 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.
- Partner with Health Partners' care management and quality teams to produce relevant material to share with healthcare providers.
- Participate in rolling out new programs and services to healthcare providers as they are developed.
- Travel to healthcare provider locations to oversee and execute engagement and document all visits in a standard format and retain for future reference.
- 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.
- Bachelor's degree in Business, Healthcare, Information Science, or related field.
- Minimum of 5+ years of 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.
- 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.
- 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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