Network Engagement - Gainesville, United States - 80 Northeast Georgia Health Partners, LLC

80 Northeast Georgia Health Partners, LLC Gainesville, United States

4 weeks ago

Description

Network Engagement & Risk Coding Director page is loaded

Network Engagement & Risk Coding Director

Apply

locations

Gainesville, GA

time type

Full time

posted on

Posted Today

job requisition id

R10680

Job Category:
Administrative & Clerical

Work Shift/Schedule:
8 Hr Morning - Afternoon

Northeast Georgia Health System is rooted in a foundation of improving the health of our communities.

About the Role:
Job Summary

This role works with matrix partners across the organization to educate and manage provider performance expectations focused on quality measure outcomes, risk improvement and overall performance to financial targets in Health Partner's value-based programs.

Monitors and shares individual and group performance in regular face-to-face meetings using Key Performance Indicators (KPIs). Engages with providers and office staff to build trust and shift the way providers think about value-based care. Shall promote all clinical programs available as a resource to facilitate full engagement and improve outcomes.

Shall play a critical role in fortifying the collaborative relationship we seek to establish with our physicians at the practice level.

Minimum Job Qualifications

Licensure or other certifications:
CRC (Certified Risk Coder) certification.

Educational Requirements:
Bachelor's degree in Business, Healthcare, Information Science, or related field

Minimum Experience:
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.

Other:
Preferred Job Qualifications

Preferred

Licensure or other certifications:
Preferred

Educational Requirements:
Master's degree in Business, Healthcare, Information Science, or related field preferred

Preferred Experience:

Other:
Job Specific and Unique Knowledge, Skills and Abilities

Experience leading program development and management efforts involving provider/partner engagement and implementation.

Experience developing and monitoring delivery of efficient and effective solutions to diverse and complex business problems.

Demonstrated ability to embrace and utilize technology and other innovative solutions to deliver enhanced processes and results for provider partners.

Expertise in creating training materials and delivering user training.

Ability to establish strong relationships and maintain a high level of trust and confidence.

Exceptional communication skills, internally and externally, with the ability to convey key messages and influence stakeholders and to convey technical concepts in easily understood ways.

Strength in problem-solving based on experience, subject matter expertise, and objective data analysis.

Comfortable working on simultaneous and diverse projects and activities.

Self-directed, ability to execute projects with minimal supervision.

Excellent time management skills with a proven abiltiy to meet deadlines.

Ability to work under pressure with urgency and speed while maintaining a high degree of accuracy.

Ability to communicate comfortably and effectively at all levels of organization to achieve results.

Effective use of Microsoft Office software (Outlook, Excel, PowerPoint and Word).

Essential Tasks and Responsibilities

Shall develop a comprehensive risk coding accuracy program and curriculum in dyad with matrix partners to include leveraging effective efforts underway within the provider groups

Leads collaborative efforts to design and create content-specific internal and external risk adjustment training curriculum and programs

Shall set priorities for RA staff in a manner that executes on the right set of initiatives to improve risk scores

Shall develop and or identify quality, risk score and financial KPIs that reflect each provider's contribution towards goals for all contracted payer relationships

Shall use dashboards and other reporting tools available from EPIC and or the payers to convey performance trends to providers, groups, and leadership

Shall partner with providers and

clinical/administrative

staff to enhance understanding of clinical documentation improvement goals to achieve risk adjustment strategic 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 key performance indicators to measure results, identify risks/barriers to project rollout, timely deliverables, and adoption success

Shall work in close partnership with Health Partners' care management and quality teams to produce relevant material to share with the providers

Shall participate in rolling out new programs and services to providers as they are developed

Shall travel to Health Partner provider locations to oversee and execute engagement and shall document all visits in a standard format and retain for future reference

Shall create organized presentations and other content to present to various committees and the Board

Shall demonstrate the ability to be a strong people performance manager with the ability to motivate staff and drive results

Ability to analyze project needs and determine resource requirements to meet objectives and solve problems that span multiple interdisciplinary teams and environments

Shall build relationships and communicate with external and internal parties to deliver key messages, influence stakeholders, manage expectations, and shape outcomes

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

Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals.

NGHS:
Opportunities start here.

Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.

About Us

Northeast Georgia Health System (NGHS) is a non-profit on a mission of improving the health of our community in all we do.

Our team cares for more than 1 million people across the region through five hospitals and a variety of outpatient locations.

Northeast Georgia Medical Center (NGMC) has campuses in Gainesville, Braselton, Winder, Dahlonega and Demorest – with a total of more than 850 beds and more than 1,200 medical staff members representing more than 60 specialties.

Learn more at .

#J-18808-Ljbffr

Network Engagement

3 days ago

Northeast Georgia Health System Inc Gainesville, United States

Job Category: · Administrative & Clerical · Work Shift/Schedule: · 8 Hr Morning - Afternoon Northeast Georgia Health System is rooted in a foundation of improving the health of our communities. · About the Role: · Job Summary · This role works with matrix partners across th ...
Network Engagement

3 weeks ago

Northeast Georgia Health System Gainesville, United States

Northeast Georgia Health System is rooted in a foundation of improving the health of our communities. · About the Role: · Job Summary · This role works with matrix partners across the organization to educate and manage provider performance expectations focused on quality measure ...
Network Engagement

1 week ago

Northeast Georgia Health System Inc Gainesville, United States

Northeast Georgia Health System is rooted in a foundation of improving the health of our communities. · About the Role: · Job Summary · This role works with matrix partners across the organization to educate and manage provider performance expectations focused on quality measu ...
Network Engagement

2 weeks ago

Northeast Georgia Health System Inc Gainesville, United States

Northeast Georgia Health System is rooted in a foundation of improving the health of our communities. · About the Role: · Job Summary · This role works with matrix partners across the organization to educate and manage provider performance expectations focused on quality measu ...
Network Engagement

3 weeks ago

Northeast Georgia Health System Inc Gainesville, United States

Job Category: · Administrative & Clerical · Work Shift/Schedule: · 8 Hr Morning - Afternoon Northeast Georgia Health System is rooted in a foundation of improving the health of our communities. · About the Role: · Job Summary · This role works with matrix partners across the ...
Project Manager

2 weeks ago

00100 LEIDOS, INC. Camp Springs, United States Full time

Unleash Your Potential · At Leidos, we deliver innovative solutions through the efforts of our diverse and talented people who are dedicated to our customer's success. We empower our teams, contribute to our communities, and operate sustainably. Everything we do is built on a c ...
Director of Business Development

1 week ago

Xpedient Logistics Westside, United States

Xpedient is a full-service 3rd party logistics provider delivering primarily in dedicated warehousing and trucking, with some network design consulting and final mile. We have experience helping a diverse client base in warehousing services, transportation management, supply chai ...
Director of Business Development

6 days ago

Xpedient Logistics Westside, United States

Xpedient is a full-service 3rd party logistics provider delivering primarily in dedicated warehousing and trucking, with some network design consulting and final mile. We have experience helping a diverse client base in warehousing services, transportation management, supply chai ...
Vice President Of Mission Advancement

2 days ago

YMCA Gainesville, United States

The Georgia Mountains YMCA is seeking a VP of MIssion Advancement to guide our efforts in philanthropy and community relations. · Job Description · Reporting to the President and Chief Executive Officer (CEO), The Vice President (VP) of Mission Advancement serves as a key leade ...
Mortgage Loan Originator

2 weeks ago

Jet Direct Mortgage Gainesville, United States

Job Description · Job DescriptionSalary: · MORTGAGE LOAN ORIGINATOR · All Mortgage Lenders talk about their competitive compensation, quick turn times, in house products, etc. Sure we all have those, but why focus on the things that are a given or the minimums in the industry? W ...
Director of Business Development

5 days ago

Xpedient Logistics Gainesville, United States

Xpedient is a full-service 3rd party logistics provider delivering primarily in dedicated warehousing and trucking, with some network design consulting and final mile. We have experience helping a diverse client base in warehousing services, transportation management, supply chai ...
Director of Business Development

1 week ago

Xpedient Logistics GAINESVILLE, GA, US, United States

Xpedient is a full-service 3rd party logistics provider delivering primarily in dedicated warehousing and trucking, with some network design consulting and final mile. We have experience helping a diverse client base in warehousing services, transportation management, supply chai ...
Vice President Of Mission Advancement

4 days ago

YMCA Gainesville, United States

The Georgia Mountains YMCA is seeking a VP of MIssion Advancement to guide our efforts in philanthropy and community relations. · Job Description · Reporting to the President and Chief Executive Officer (CEO), The Vice President (VP) of Mission Advancement serves as a key leade ...
Director of Business Development

5 days ago

Xpedient Logistics Gainesville, United States

Job Description · Xpedient is a full-service 3rd party logistics provider delivering primarily in dedicated warehousing and trucking, with some network design consulting and final mile. We have experience helping a diverse client base in warehousing services, transportation manag ...
Director of Business Development

4 weeks ago

Xpedient Logistics Gainesville, United States

Job Description · Job DescriptionXpedient is a full-service 3rd party logistics provider delivering primarily in dedicated warehousing and trucking, with some network design consulting and final mile. We have experience helping a diverse client base in warehousing services, trans ...
Summer Day Camp Counselor

3 weeks ago

KE Camps Gainesville, United States

Job Description · Job DescriptionKE Camps is the leading provider of summer camps for country clubs nationwide. We partner with over 230 private clubs all over the country to implement traditional-style day camps for elementary-aged children. Our Staff are the backbone of our pro ...
PE/Health Teacher and Coach

2 weeks ago

Hall County Schools Gainesville, United States

Position Type: · Middle School Teaching/Pe Teacher Ms (6-8) · Date Posted: · 5/8/2024 · Location: · West Hall Middle School - 0294 · (High-Needs School) · Date Available: · 07/29/2024Middle School PE Teacher (Grades 6-8) · Position Purpose · Under the general supervision of the S ...
New Holland Industrial

2 weeks ago

Milliken & Company Gainesville, United States

Milliken & Company is a global manufacturing leaderwhose focus on materials science delivers tomorrow's breakthroughs today. Fromindustry-leading molecules to sustainable innovations, Milliken creates products thatenhance people's lives and deliver solutions for its customers and ...
Veterinary Medical Director

1 week ago

PetVet365 Gainesville, United States

Job Description · Job DescriptionAre you ready to dive into a leadership role where you get to pave the way to success? PetVet365, the pioneer in redefining veterinary care, is searching for a dedicated full-time Veterinary Medical Director - Hospital Partner Veterinarian to guid ...
Application Sales Engineer

1 day ago

Element Materials Technology Gainesville, United States

Overview: · Element has an opportunity for an Application Sales Engineer. In this role you will be responsible for conversion of more complex requests for quotes (RFQs) to high quality bids and quotations. You will establish and maintain a strong relationship with clients throug ...