Provider Relations Manager / Clinical Integration

Hartford HealthCare

$88K — $105K *
Bronx, NY 10454In-Person
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree or equivalent experience in health care operations.
  • 3-5 years in practice or health care operations required; 5-7 years preferred.
  • Proficient in Excel, PowerPoint, and Access; Tableau experience is a plus.
  • Familiarity with electronic medical records (Athena, Epic, etc.) is preferred.
  • Strong communication, analytical, and presentation skills are essential.

Responsibilities

  • Foster relationships with assigned clinicians to serve as a liaison with the CIN.
  • Educate clinicians on CIN processes and shared quality goals.
  • Provide direct support for service issues like payment and authorization eligibility.
  • Assess clinician/group performance annually to identify engagement and infrastructure needs.
  • Work with clinicians to implement action plans based on assessments to close gaps.
  • Generate and analyze reports to help clinicians meet quality goals.
  • Assist in implementing best practice improvement programs.

Benefits

  • Opportunities for career development and growth.
  • Access to cutting-edge technologies and breakthrough treatments.
  • Work-life balance support through a competitive benefits program.
Full Job Description
Position Summary:
Represents the Clinical Integration Network (CIN) and is responsible for facilitating all facets of the clinician/practice relationship with the CIN. Communicates expectations of CIN membership to the clinician/practice and provides direct and indirect support to the clinician/practice to meet these expectations and reach shared quality goals. Ensures the administrative as well as clinical needs of the clinician/practice are identified and addressed.

Position Responsibilities:
Key Areas of Responsibility
1. Creates and fosters relationship with assigned clinician/practice to establish self as recognized liaison between CIN and clinician/practice.
2. Educates clinician/practice on all relevant topics to promote clinician/practice ability to be successful and reach shared quality goals. Topics include but are not limited to: CIN processes/procedures, CIN incentive program details, payer initiatives, quality definitions and goals
3. Provides direct support to clinician/practice to assist with and resolve service issues, including but not limited to payment, authorization eligibility and member matters
4. Assesses each clinician/group, at a minimum annually, to determine engagement, evidence of infrastructure to perform as a CIN member, and ability to meet shared goals
5. Based on annual assessment, works with clinician/practice to implement action plan to mitigate identified gaps
6. Provides concrete reports as well as data analysis to clinician/practice to assist them in successfully meeting shared quality goals roll out and sustain practice improvement programs
7. Illuminates best in class practice improvement programs and assists clinician/practice in implementing these programs to meet shared quality goals
8. Tracks and trends clinician/practice performance to identify areas of opportunity, creating action plans to reach opportunities
9. Partners with Risk Coding and Care Management to ensure alignment around clinician/practice performance and communication
10. Performs all other duties as assigned

Working Relationships:
This Job Reports To: Director of Quality, Integration & Transformation, Integrated
Internal: All CIN teams - Care Management, Health Economics, Managed Care
External: All CIN members - including clinicians and practice staff

Qualifications:

Education
• Minimum: Bachelor's degree or equivalent combination of education, training and relevant experience in lieu of degree
• Preferred: Bachelor's degree in health care related field
Experience:
• Minimum: 3-5 years' experience in practice or health care related operations.
• Preferred: 5-7 years' experience in practice or health care related operations including dealing with physician performance and quality reporting.
Language Skills
• English
Knowledge, Skills and Ability Requirements:
• Ability to support practice changes to discrete and varied audience i.e. Administrators, practice managers, clinicians as needed
• Proficient in Excel, PowerPoint, Access. Experience with Tableau highly preferred.
• Experience with electronic medical records (Athena, EClinical Works, AllScripts, Epic etc) preferred.
• Experience with hospital systems (Cerner, Sunrise, Epic and Premier) is preferred.
• Excellent communication, analytical, presentation and interpersonal skills
• Ability to understand and convey complex information to many difference kinds of people is an absolute requirement with demonstrated ability to work as a member of a team
• Competence in quality improvement and data interpretation
• Familiarity with case management and care coordination processes; experienced and skilled in working with interdisciplinary teams
• Ability to innovate to achieve the organization's goals
• Comfortable using and/or learning to use databases, reporting software, electronic medical record
• Exhibits leadership in demonstrating to staff how to embody the patient-centered goals of the organization, and in embracing change, where appropriate

We take great care of careers.

With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge - helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment.

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