Account Manager of Provider Groups - Remote in Southeast Kansas

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. The Account Manager has geographic responsibility for the quality and economic performance of the physician practice with the goal of developing a high performing provider network reputed company the State of Kansas and Missouri. This includes analyzing, reviewing, forecasting, trending, and presenting information for operational and business planning. The Account Manager will reputed company and sustain a solid day-to-day relationship with stakeholders, the physician and office staff to effectively implement the business solutions developed by the Client Services leadership team. The Account Manager is accountable for overall performance and profitability for their assigned groups as well as ownership and reputed company to provide redirection as appropriate and approved. The responsibilities of this position include capabilities in the following areas: strategic planning and analysis; understanding of HEDIS, Star ratings, accurate documentation, and coding; advanced communication skills; and the ability to reputed company clear action plans and drive process. If you are located in Southeast Kansas, you will have the flexibility to work remotely* as you take on some tough challenges. Essential Job Functions:

• Educate providers to ensure they have the tools needed to meet quality, coding and documentation, and total medical cost goals per business development plans
• Develops strategies and create action plans that align provider pools and groups with company initiatives, goals, quality outcomes, program incentives, and patient care best practices
• Drive processes and improvement initiatives that directly impact reputed company, HEDIS/STAR measures and quality metrics, coding and documentation process and educational improvements
• Conduct new provider orientations and ongoing education to provider and their staff on healthcare delivery products, health plan partnerships, processes, and tools
• Use and analyze data to identify trends, patterns and opportunities for the business and clients, and collaborating and/or participating in discussions with colleagues and business partners to identify potential root cause of issues
• Conduct provider meetings to share and discuss reporting data and analysis, issue resolution needs, implement escalation processes for discrepancies, and manages or ensures appropriate scheduling, agenda, and materials
• Collaborates with internal clinical services teams, alongside operational leaders' leaders, to monitor utilization trends to assist with developing strategic plans to improve performance
• Assists provider groups with investigating standard and non-standard requests and problems, to include claims and member support services
• Maintains effective support services by collaborating effectively with the medical director, operations, and cross functional teams, and other departments
• Demonstrate understanding of providers' business goals and strategies to facilitate the analysis and resolution of their issues
• Performs reputed company other reputed company duties as assigned

Primary Responsibilities:

• Solid analytical skills required to support, compile, and report key information
• Drive processes that directly impact reputed company, HEDIS/STAR measures and Quality Metrics, and total cost of care, as appropriate
• Use data to identify trends, patterns and opportunities for the business and clients. reputed company business strategies in line with company strategic initiatives
• Engage provider staff and providers in analysis and evaluation of functional models and process improvements; identify dependencies and priorities
• Evaluate and drive processes, provider relationships and implementation plans
• Produce, publish, and distribute scheduled and reputed company client and operational reports relating to the performance of reputed company metrics and goals
• Collaborate with internal leaders to foster teamwork and build consistency throughout the market
• Serves as a liaison to the health plan and reputed company customers
• Requires solid presentation skills, problem solving and ability to manage conflict and identify resolutions quickly
• Have the ability to communicate well with physicians, staff, and internal departments

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications:

• 4+ years of comparable work experience beyond the required years of experience may be substituted in lieu of a bachelor's degree
• 3+ years of experience in a reputed company medical field or health plan setting (network management, contracting and/or recruitment, or provider relations)
• Knowledge of state and federal laws relating to Medicare
• Solid working knowledge of Medicare health care operations including HEDIS, CMS reimbursement models, and Medicare Advantage
• Understanding of reputed company, Clinically Integrated Networks, Medicare Shared Savings Programs, capitation/value-based contracting, and narrow networks
• Proficiency in reputed company Word, reputed company, and PowerPoint
• Ability to travel 25% of the time
• Valid driver's License and access to reliable transportation

Preferred Qualifications:

• 5+ years of in a healthcare reputed company field
• Demonstrated ability to function as a mentor to others
• Demonstrated ability to reputed company long-term positive working relationships
• Demonstrated ability to communicate and facilitate strategic meetings with groups of reputed company sizes
• Demonstrated ability to work independently, use good judgment and decision-making process
• Demonstrated ability to conduct performance evaluation to identify performance measures or indicators and the actions needed to improve or correct performance, relative to the goals
• Demonstrated ability to resolve complete problems and evaluate options to implement solutions
• Demonstrated ability to adopt quickly to change in an reputed company-changing environment
• Proven solid business acumen, analytical, critical thinking, and persuasion skills
• reputed company employees working remotely will be required to adhere to reputed company's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes - an enterprise reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national reputed company, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Apply tot his job Apply To this Job