Accede Solutions Inc (accedesol.com)

Manger of Provider Solutions

Accede Solutions Inc (accedesol.com) United States
Accede Solutions Inc (accedesol.com)

Manger of Provider Solutions

Accede Solutions Inc (accedesol.com) United States
3 months ago 88 applicants

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:

  • 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.

Key Skills:

  • 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.

Qualifications:

  • 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

Preferred:

  • Six Sigma Green Belt, Licensed Allied Health Professional, or Licensed Registered Nurse
  • Certified Professional in Healthcare Quality (CPHQ) or equivalent

#IND123

  • 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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