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Saint Cloud

    Provider Relations Specialist - St Cloud, United States - Homeward

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    Description
    The Opportunity

    We are seeking a highly motivated

    Provider Relations Specialist

    responsible for field activities that provide education and support to providers in the Homeward service area.

    The Provider Relations Specialist will work with local providers to optimize quality and total cost of care performance based on health plan contractual arrangements.


    What You'll Do:
    An understanding of value-based care and risk-sharing methodology

    Experience impacting cross-functional clinical and operational teams through informal leadership

    Relationships within the Minnesota physician market and the ability to gain confidence and build partnerships within the same physician market

    Develop trusted relationships and maintain open lines of communication with providers through in-person visits, emails, phone

    Serve as primary contact for providers, serving as a liaison between the provider and Homeward

    Experience with clinical and physician outreach activities - particularly with rural community resources - to develop programmatic partnerships and referral management

    Ability to gain access to decision-makers either by experience, reputation, or education

    Exceptional project management, communication, and leadership skills

    Willingness to travel daily within the rural counties of Minnesota for business development purposes

    Experience with healthcare strategy and a passion for re-architecting how health and care are delivered

    Conduct provider onboarding, orientation, and ongoing educational training throughout the year to optimize provider performance

    Conduct regular face-to-face meetings with the providers, documenting discussions, issues, attendees, and action items covering claims issues, quality care gaps, CAHPS, the use of HCCs, and member and provider rosters

    Collaborate with other departments to ensure provider inquiries are resolved in a timely and effective manner

    Create detailed reporting of provider visits, inquiries, trainings, and growth opportunities

    Collaborate with Homeward Navigators to ensure patients receive timely access to appropriate, high-quality care from assigned providers

    Problem-solve and identify ways to address provider issues timely and effectively

    Maintain and update provider rosters

    Investigate and communicate provider changes

    Work cross-functionally with internal departments

    The position requires the use of high-speed internet

    Must be able to travel frequently to the assigned service areas

    Other duties assigned by department leaders


    What You Bring:
    Bachelor's degree or equivalent years of experience preferred

    2-3 years experience in provider network scope of services

    Strong understanding of Managed Care Operations

    Excellent written and verbal communication skills

    Proficient computer skills and Microsoft Office programs (i.e., Outlook, Excel, Word, and PowerPoint)

    Experienced in healthcare, provider engagement, Medicare, Medicaid, and Commercial managed care systems

    Relentlessly resourceful. You enjoy taking ownership and can get things done without excuses. You are resilient, detail-oriented, and truly believe that no task is beneath you

    Possess strong organizational skills, plan daily activities, and demonstrate initiative with minimal supervision to complete projects

    Comfortable with ambiguity and biased towards action. You enjoy thinking about complex and ambiguous problems and can execute consistently and add compounding value

    Comfortable working in a fast-paced environment

    Strong priority management, working independently, effectively managing time and resources


    What Shapes Homeward:
    Deep commitment to one another, the people and communities we serve, and to provide care that enables everyone to achieve their best health

    Compassion and empathy

    Curiosity, and an eagerness to listen

    Drive to deliver high-quality experiences, clinical care, and cost-effectiveness

    Strong focus on sustainability of our business and scalability of our services, to maximize our reach and impact

    Nurturing a diverse workforce, with a wide range of backgrounds, experiences, and points of view

    Taking our mission and business seriously, but not taking ourselves too seriously– having fun as we build


    Benefits:
    Competitive salary and equity grant

    Unlimited PTO

    Comprehensive benefits package including medical, dental & vision insurance with 100% of monthly premium covered for employees

    Unlimited Paid Time Off

    Company-sponsored 401k plan


    At Homeward, a diverse set of backgrounds and experiences enrich our teams and allow us to achieve above and beyond our goals.

    If you have yet to gain experience in the areas detailed above, we hope you will share your unique background with us in your application and how it can be additive to our teams.

    Homeward is an equal opportunity employer.

    All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information.

    Homeward is committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities.

    #J-18808-Ljbffr


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