- Licensure or other certifications:
- 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 Licensure or other certifications:
- Preferred Educational Requirements: Master's degree in Business, Healthcare, Information Science, or related field preferred
- Preferred Experience:
- Other:
- 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).
- 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 providers 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
- 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
-
Network Engagement
2 weeks ago
Northeast Georgia Health System Gainesville, United StatesNortheast 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
5 days ago
Northeast Georgia Health System Inc Gainesville, United StatesNortheast 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
1 week ago
Northeast Georgia Health System Inc Gainesville, United StatesNortheast 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
80 Northeast Georgia Health Partners, LLC Gainesville, United StatesNetwork 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 · Wo ...
-
Network Engagement
3 weeks ago
Northeast Georgia Health System Inc Gainesville, United StatesJob 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 ...
-
Network Engagement
2 weeks ago
Northeast Georgia Health System Inc Gainesville, United StatesJob 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 ...
-
Network Forensics Analyst
1 week ago
Evolver Inc Camp Springs, United States**Responsibilities**: · - Perform digital forensics using tools such as EnCase, FTK, and AXIOM. · - Utilize cybersecurity tools including FireEye, Microsoft ATA, Splunk, Exabeam, Stealthwatch, and Wireshark for incident detection and response. · - Conduct debugging using tools li ...
-
Phlebotomist - Braselton, Ga
3 weeks ago
Actalent Braselton, United States Full timeJob Description: · Phlebotomist I performs daily phlebotomy activities of In-office Phlebotomy (IOP) accurately and on time. The person in this position interacts with the client, patients, and other company personnel in a professional and courteous manner and performs with confi ...
-
Phlebotomist
3 weeks ago
Actalent Braselton, United States Full timeHiring a full time phlebotomist to join a doctor's office in Braselton,GA · Offering PTO and 10 paid holidays · Job Title: Phlebotomist · Work Environment: On-Site (Braselton, Georgia) · Job Description: · Phlebotomist I performs daily phlebotomy activities of In-office Phlebotom ...
-
Phlebotomist
2 weeks ago
Actalent Braselton, United States Full timeNow seeking a full time phlebotomist to join an industry leader company within pathology services · Offering PTO and 10 paid holidays · Job Title: Phlebotomist · Work Environment: On-Site · Braselton, GA · Full time (Monday-Friday) · Job Description: · Phlebotomist I performs da ...
-
Phlebotomist
2 weeks ago
Actalent Braselton, United States Full timeIMMEDIATE NEEDS for experienced Phlebotomists to join privately held and physician-centric diagnostic client in Georgia and to support a Braselton, GA location · Actively screening to interview next week · Description: · Phlebotomist I performs daily phlebotomy activities of In-o ...
-
Director of Business Development
21 minutes ago
Xpedient Logistics GAINESVILLE, GA, US, United StatesXpedient 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 ...
-
Organizational Development Director
3 weeks ago
Northeast Georgia Health System Inc Gainesville, United StatesJob Category: · Executive Leadership, Human Resources · 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 · The incumbent is responsible for desig ...
-
Organizational Development Director
3 weeks ago
Northeast Georgia Health System Inc Gainesville, United StatesJob Category: · Executive Leadership, Human Resources · 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 · The incumbent is responsible for d ...
-
PE/Health Teacher and Coach
1 week ago
Hall County Schools Gainesville, United StatesPosition 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 ...
-
Summer Day Camp Counselor
3 weeks ago
KE Camps Gainesville, United StatesKE 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 programs and therefore, we pride our ...
-
Mortgage Loan Originator
1 week ago
Jet Direct Mortgage Gainesville, United StatesJob 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 ...
-
Merrill Financial Solutions Advisor
1 week ago
Bank of America Gainesville, United StatesMerrill Financial Solutions Advisor - Greater Atlanta Market · Duluth, Georgia;Gainesville, Georgia; Rome, Georgia; Peachtree City, Georgia · **Job Description:** · At Bank of America, we are guided by a common purpose to help make financial lives better through the power of e ...
-
Fundraising Manager, Walk to End Alzheimer's
2 weeks ago
Alzheimer's Association Gainesville, United StatesPosition Summary: · As Manager, Walk to End Alzheimer's, you join an exclusive team of leaders responsible for the implementation of Walk to End Alzheimer's, the world's largest fundraiser for Alzheimer's care, support and research. Walk to End Alzheimer's ranks as the second-la ...
-
Fundraising Manager, Walk to End Alzheimer's
2 weeks ago
Alzheimer's Association Gainesville, United StatesPosition Summary: · As Manager, Walk to End Alzheimer's, you join an exclusive team of leaders responsible for the implementation of Walk to End Alzheimer's, the world's largest fundraiser for Alzheimer's care, support and research. Walk to End Alzheimer's ranks as the second-lar ...
Network Engagement - Gainesville, United States - Northeast Georgia Health System Inc
Description
Job Category:
Administrative & ClericalWork Shift/Schedule:
8 Hr Morning - AfternoonNortheast 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 Partners 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 QualificationsWorking 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.