Medicaid Provider Consultant Jobs

Our mission is Better Health. Our passion is helping others.

What’s Your Why?

• Are you looking for a career opportunity that will help you grow personally and professionally?
• Are you ready to join a growing team that shares your mission?
• Do you have a passion for helping others achieve Better Health?

Why Join Our Team: At Votion, it’s our commitment, our passion, and our culture that sets us apart. Our Team Members make a difference each and every day! We don’t just talk the talk - we believe in it and live by it. Our core value is always to deliver 5-star service. And by doing so, we successfully achieve our mission of Better Health. We support our providers with all the necessary tools and resources they need to deliver the care all patients deserve. Be part of a team that is rebuilding sick care into Better Health Care. We take great care of our team, patients, providers, and affiliates because together, we can achieve: Better Care. Better Outcomes. Better Health.

Overview

Votion Medicaid is a line of business within the Better Health Group Services organization that operates a Shared Savings program rooted in Value-Based Care. Through the integration of our data platform, we are able to leverage Medicaid data sets to develop patient-centric, profitable, smart strategies. We focus on excellent service to our physicians, while also focusing on departmental collaboration with a Healthcare Start-up Mentality.

Job Summary

This is a hybrid role with heavy travel within the FL region. You must reside in the state of FL, ideally central or North.

A Provider Consultant acts as a liaison between providers, health plans, and Votion Medicaid resources & programs, monitoring providers to ensure delivery of high-quality care to Medicaid beneficiaries while reducing costs.

Responsibilities

• Work with management to turn negative outcomes into positive outcomes
• Drive and participate in health plan-derived programs
• Support business development activities to build a network portfolio in a specified geographic region(s)
• Be Available, Flexible, and Accessible to offices at all times
• Perform special projects as assigned
• Promote clinic engagement ensuring that clinics have active participation in our monthly webinars and any other educational resources such as monthly newsletters
• Track, research, and resolve provider issues in coordination with internal departments
• Identify training opportunities for clinic staff such as, but not limited to quality measures, portal navigation, and track progress
• Understand and explain Medicaid programs, reimbursement methodologies, and shared savings arrangements
• Analyze data reports and identify trends to provide assistance for problem resolution
• Establish, optimize, and maintain productive and professional relationships to drive results within a specific geographic area
• Directly responsible for practice outcomes with regard to, but not limited to, AWVs, quality & financial benchmarks/goals
• Host onsite clinic staff meetings on a monthly basis and with the providers on a quarterly basis to ensure clinic performance is meeting expectations

Knowledge, Skills, And Abilities Requirements

• Excellent written and verbal communication skills
• Strong computer skills with an understanding of G Suite - Gmail, Drive, Calendar, Docs, Sheets
• Coordinate across a matrix organizations
• Review analytics and have excellent organizational skills
• Present in group settings as needed
• Work independently and with a team
• Ability to
• Ability to master an industry
• Proven ability to effectively engage an audience and produce desired change
• Meet strict deadlines
• Communicate with physicians and business executives
• Work outside of regular business hours (as needed)
• Travel up to 75% as needed. Must have reliable transportation, a valid driver’s license, and vehicle insurance
• Excitement around problem-solving with attention to detail
• High level of motivation
• Ability to manage time and identify opportunities to grow and excel as a team

Required Experience

• 1+ year of experience in Provider Relations, Network Management, Provider Services within a medical office such as working in a clinical environment as a Medical Assistant, Front Desk, Office Management/Admin

Preferred Qualifications

• Knowledge/experience with Medicaid Lines of Business

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