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Company | VIPcare |
Address | Cocoa, FL, United States |
Employment type | FULL_TIME |
Salary | |
Category | Internet Publishing |
Expires | 2023-08-28 |
Posted at | 9 months ago |
THE OPPORTUNITY
- Collaboration: Collaborate effectively with other functional team leaders and physicians
- Oversee and manage the time, schedule, goals, and performance of the designated market Provider Ops Team
- Manage a market of affiliate providers in partnership with the Director of Provider Operations
- Results: Guide, coach and drive the team to meet and exceed our goals
- Actively develop goals and objectives with Team Members and measure quarterly performance based on the actual completion/accomplishment of these goals
- Escalate Team Member relations issues to Team Resources
- Leadership: Develop and maintain a successful platform - people, process, and technology - to deliver on our culture and purpose
- Vision: Know our business, our industry, and our care model and meaningfully contribute to shaping the future of healthcare
- Team Building: Recruit, develop, train, and motivate a best-in-class care team
- Facilitate at least biweekly 1:1 meetings with each Team Member and report on discussed performance, goals, and objectives to the Director of Provider Ops monthly
- Expected to facilitate training and performance coaching to all designated market team members
- Responsible for reviewing the recap reports from designated market Team for tracking support provided to the medical offices and identifying follow-up items for medical office team to carry-out during non-coverage days
- Required monthly facilitation of Provider Packet Role Practice meeting via video conference
- Work with the medical office to assist with scheduling of care gap vendor events (ie. EyePODS)
- Expected attendance and active participation twice annually, to attend the “Bootcamp” training forum (anticipated weeknight or weekend)
- Quality Program
- Accessing various office EMRs to review upcoming schedule
- Create and distribute weekly email updates on respective market program progress to the market Team
- Available on weeknights and weekends during peak seasons to provide support or attend events as the need arises
- HEDIS Part D
- Assist with closing identified HEDIS gaps and achieving specified Star measures
- Responsible to travel with Team members to their designated Providers to present and set expectations for performance improvement plans
- Foster positive relationships within all Better Health Group departments
- Escalating corrective action and cause for termination actions to the Director of Provider Operations and Sr. Director of Team Resources
- Gap reports (ie: data mining relevant to appointments, referrals, etc.)
- Work with the medical office team to assist in scheduling members for preventative diagnostic screening in accordance with Tampa HQ
- Set standing meetings with the Director of Provider Ops to discuss market and team performance as well as personal and professional goals
- HEDIS Part C
- Responsible for utilizing research and investigative skills to assist medical offices with admission management, utilization management and preventative care outreach to high risk members
- Accessing proprietary portal to download and print forms for the clinic to distribute to members upon visit
- Membership Roster
- Able to navigate Project Management software to include:
- Working in accordance with the Health Services Call Center and medical office teams to ensure medication adherence
- Responsible to lead conversations around promotions and bonus recommendations with the Director of Provider Ops
- Complex Care Management Report
- Manage the relationships of the health plan partners and vendors in their respective market
- Assisting the medical office in the identification of members to be scheduled for appointments
- Maintain relationships with the designated market medical office teams
- Expected travel, participation and occasional planning of quarterly to Tampa HQ to attend Team “All Hands” meeting (*to exclude panhandle)
- Be prepared to assume the responsibility of the delivery and presentation of monthly Provider Packets including: notices and updates, financial information, scorecards, and all in-office program documents
- Lead internal Team meetings (reporting to the central office or remotely as applicable)
- Discussions with offices regarding Advance Care Program
- Responsible for overseeing and tracking the progress of the following programs (Regional Managers may also be responsible for the actual delivery, presentation, and scheduled embedded support of these programs as applicable per region):
- Responsible to participate in interviews and make decisions regarding new hires
- Facilitate video conferences between medical offices and applicable department Team Members
- Ensuring the accuracy of form information
- PODS (as applicable)
- Readily available to support Team and assigned offices via phone, email, etc. on days not reporting to those offices
- Expected travel to Tampa for monthly Provider Ops leadership meeting (*to exclude panhandle)
- Lead and facilitate team building within their market
- Additional duties as assigned
- Soliticit leads from existing relationships and potential affiliate Providers for Better Health Group within their respective market
- Demonstrated excellent project management, new program implementation, quality improvement, and organizational skills
- Experience working in a fast-growth, fast-paced environment
- Bachelor’s Degree in business administration, healthcare administration, or related field required; Master’s Degree preferred
- Minimum of 3 years of proven successful team leadership and management experience in a healthcare environment
- Experience in leading a multi-site or regional organization
- Demonstrated excellent analytical, written, and oral communication skills
- Primary care and value-based health care (i.e., managed care) experience is a plus
- Ability to sit for extended periods of time
- Ability to bend, stoop, kneel, squat, twist, reach, and pull
- Ability to operate a motor vehicle
- An effective team player who contributes valuable ideas and feedback and can be counted on to meet commitments
- Has a contagious and positive work ethic, inspires others, and models the behaviors of core values and guiding principles
- Paid holidays
- Medical, dental, vision, disability, and life
- Paid time off
- 401k, with employer match
- Competitive base salary
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