Manger of Provider Solutions
Manger of Provider Solutions
Accede Solutions Inc (accedesol.com)
United States
See who Accede Solutions Inc (accedesol.com) has hired for this role
As a Manger of Provider Solutions, your role is pivotal in guiding healthcare providers toward achieving optimal outcomes in value-based care, ultimately improving patient health and well-being while managing costs effectively. In developing and implementing strategic initiatives to increase provider readiness from traditional fee-for-service models to value-based care models. Here's an overview of the responsibilities and key skills associated with this role:
Responsibilities:
Responsibilities:
- Performance Analysis:
- Conduct in-depth analysis of contractual performance metrics related to value-based care, including utilization measures, benchmarking, cost-effectiveness, and patient outcomes.
- Data Interpretation:
- Interpret and translate complex data into actionable insights for healthcare providers, helping them understand and improve their performance.
- Financial Management:
- Monitor financial performance related to value-based care contracts and identify opportunities for cost savings, risk adjustment and revenue enhancement.
- Patient Engagement:
- Develop strategies to actively involve patients in their care and treatment plans.
- Implement patient education programs to promote health and prevent avoidable healthcare utilization.
- Provide constructive feedback and coaching to healthcare providers, offering guidance on how to enhance their practices to align with value-based care goals.
- Collaboration with Clinical Teams:
- Collaborate with clinical leaders to integrate value-based care principles into clinical practice, emphasizing preventive care, care coordination, and patient engagement.
- Collaborate with leadership to establish goals aligned with value-based care principles for initiatives to continuously improvement in care delivery, patient satisfaction, and cost-efficiency.
- Care Coordination Optimization:
- Work with internal and external healthcare teams to improve care coordination efforts, ensuring seamless transitions of care and effective communication among providers.
- Technology Utilization:
- Evaluate and recommend technology solutions that support value-based care initiatives, including electronic health record (EHR) optimization and other relevant tools.
- Identify and implement innovative technologies and solutions that support value-based care delivery and improve patient outcomes.
- Educational Support:
- Develop and deliver training programs to educate healthcare providers and staff on best practices in value-based care delivery.
- Risk Stratification:
- Assist in the development and implementation of risk stratification models to identify high-risk patients and tailor care interventions accordingly.
- Patient Engagement Strategies:
- Collaborate on the development of strategies to actively engage patients in their care, promoting preventive measures and improving overall health outcomes.
- Analytical Skills:
- Proficient in analyzing healthcare data to identify patterns, trends, and areas for improvement.
- Communication Skills:
- Effective communication skills to convey complex healthcare data and insights to diverse audiences.
- Report on quarterly performance, internally and externally.
- Problem-Solving:
- Strong problem-solving skills to address challenges and barriers to successful value-based care implementation.
- Interpersonal Skills:
- Ability to build relationships and collaborate with healthcare providers, administrators, and other stakeholders
- Knowledge of Value-Based Care Models:
- In-depth understanding of various value-based care models and their implications on healthcare delivery.
- Change Management:
- Skill in managing and facilitating change within healthcare organizations.
- Routine operational huddles will be mandated to ensure ancillary departments have ongoing intervention
- Technology Proficiency:
- Familiarity with healthcare information systems and technologies supporting value-based care.
- Educational Facilitation:
- Ability to develop and deliver educational programs to diverse healthcare audiences
- Provide education and training programs for internal staff, including healthcare providers and administrative teams, to ensure a smooth transition to value-based care.
- Bachelor's degree or commensurate work experience in healthcare administration, public health, or a related field.
- 3-5 years of experience in healthcare change management, provider relations, or a related role.
- In-depth knowledge of healthcare regulations, value-based care, and performance metrics.
- Strong analytical and problem-solving skills, with the ability to interpret complex data sets and identify improvement opportunities.
- Excellent communication and interpersonal skills to collaborate effectively with providers, team members, and stakeholders at all levels.
- Proven experience in designing and delivering training programs or educational initiatives.
- Proficiency in data management and analysis tools, such as Excel or data visualization software.
- Familiarity with electronic health record systems and healthcare information technology.
- Detail-oriented, organized, and able to manage multiple projects simultaneously.
- Ability to work independently, demonstrate initiative, and drive results in a fast-paced environment.
- Position is remote - secure home network required and familiar with Microsoft Office products and VPN
- Six Sigma Green Belt, Licensed Allied Health Professional, or Licensed Registered Nurse
- Certified Professional in Healthcare Quality (CPHQ) or equivalent
-
Seniority level
Mid-Senior level -
Employment type
Full-time -
Job function
Information Technology -
Industries
IT Services and IT Consulting, Software Development, and Financial Services
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