Position Purpose: Reporting to the Director of Provider Engagement, the Provider Engagement Coordinator will serve as a liaison between the health plan and network providers, community partners and other stakeholders. This position is responsible for adding value to the network and plan through building and maintaining strong relationships with network providers and serving as a resource and support mechanism to promote the quadruple aim. As a key-member of a cross-functional, dynamic team, the PE Coordinator will serve as a key driver in supporting the PE goals of satisfaction, improved performance, advocacy and move to value.
· Key Responsibilities:
- Act as a liaison between the provider and the health plan ensuring a coordinated effort in improving financial and quality performance
- Engage providers to solicit and build on their ideas/interests related to quality performance measurement
- Collaborate with Care Management, Quality and others across the Health Plan and Network
- Educate providers regarding policies and procedures related to referrals, claims submission, web site education, Electronic Health Records, Health Information Exchange, and Electronic Data Interface
- Engage providers on Advanced Medical Home / Patient Centered Medical Home initiatives
- Conduct initial provider orientations as well as ongoing educational outreach for assigned providers
- Identify and deliver solutions to solve significant problems for providers; quantify impact
- Assist providers in achieving pay-for-performance milestone