Provider Engagement Manager - Roseburg

171 NW Medical Loop
Suite 1 & 2
Roseburg, OR 97471, USA

People. Passion. Purpose.

At P3 Health Partners, our promise is to guide our communities to better health, unburden clinicians, align incentives and engage patients.

We are a physician-led organization relentless in our mission to overcome all obstacles by positively disrupting the business of health care, transforming it from sickness care into wellness guidance.

We are looking for a Provider Engagement Manager(PEM). If you are passionate about your work; eager to have fun; and motivated to be part of a fast-growing organization in Roseburg, OR, then you should consider joining our team.

Overall

Purpose:

The Provider Engagement Manager (PEM) is responsible for establishing new relationships with affiliated clinic leadership, providers and staff as well as maintaining strategic relationships with affiliated providers and their office staff currently in the P3 network. The PEM will work closely with departments and collaborate with Operations, Care Management, Quality, Risk Adjustment & Clinical Documentations and Compliance teams to ensure organizational goals are achieved though effective management and development of assigned clinics/groups and working through their teams to achieve this end.

Roles and Responsibilities

• Serves as the key stakeholder and primary contact in establishing and maintaining relationships with the affiliated clinic leadership, providers, and staff.
• Accountable for evaluating provider/clinic performance and developing strategic plans tailored to the unique needs of each group/clinic; to drive performance improvement and achieve progress towards organizational goals, MCR/MLR initiatives and opportunities for improved delivery of care to patients.
• Drives provider performance improvement in the following areas: documentation accuracy and specificity, HEDIS/Quality, medical cost and institutional and specialty utilization, etc.
• Responsible for triaging and effectively escalating provider issues both internally and externally as needed.
• Coaches and performance manages assigned team on effective communication and consultation with affiliate leadership and providers, helping to problem solve identified opportunities and issues as they arise.
• Responsible for management of project team and coordinating efforts to maximize effectiveness based on the skills of the staff and the needs of the group/clinic as they relate to the overall goal of the project, region, and organization.
• Updates dashboards for reporting purposes, identifies areas of underperformance, and contributes to developing/executing plans to correct.
• Organizes and assists in facilitating Joint Operations Committee meetings with assigned affiliated clinics and monthly operating review meetings with executive leadership and key stakeholders.
• Promotes and provides education, training, and remote / in-person support to Affiliate groups regarding the P3 care model, MRA, Medical/Care Management, Growth and P3 services and programs.
• Responsible for ensuring compliance with company and CMS regulatory requirements and mandates.
• Other duties as assigned.

Knowledge, Skills, and Abilities:

• The ability to interact with, support, and influence positively the behaviors and activities of referring clinicians, industry partners, leadership, and staff.
• Result-oriented individual who strategically pursues business with energy and drive and can contribute to the growth and success of a rapidly growing organization.
• Extensive experience in diverse managed care organizations with understanding of key drivers of performance.
• Proven expertise in managed care and value-based models of care.
• Clinical operations experience preferred including operational metrics and financial…