Overview

Physician Partners ACOs are Medicare Shared Savings Program ACOs dedicated to serving Medicare Members in partnership with select Primary Care Physicians (PCP). Through the integration of our data platform, we are able to leverage Medicare data sets to develop patient-centric, profitable, smart Medicare strategies.

We focus on excellent service to our physicians, while also focusing on departmental collaboration with a Healthcare Start-up Mentality.

Job Summary

A Provider Consultant acts as a liaison between providers and Physician Partners ACOs, monitoring providers to ensure the delivery of high-quality care to Medicare beneficiaries while reducing costs.

Responsibilities

• Establish, optimize and maintain productive and professional relationships to drive results within a specific geographic area
• Understand and explain Medicare Fee-For-Service, Annual Wellness Visits, and risk
• Meet with clinic staff on a monthly basis either in-person (preferred) or remotely and with the providers on a quarterly basis to ensure clinic performance is meeting expectations
• Analyze data reports and identify trends to provide assistance for problem resolution
• Identify training opportunities for clinic staff such as, but not limited to quality measures (GPRO), Medicare Risk Adjustment (MRA), and portal navigation and track progress
• Promote clinic engagement ensuring that clinics have active participation in our monthly webinars and any other educational resources such as monthly newsletters
• Directly responsible for practice outcomes with regard to, but not limited to, AWVs, MRA, quality, financial metrics
• Work with management to turn negative outcomes into positive outcomes
• Drive and participate in regional programs guiding AWV completion, MRA, GPRO, etc.
• Track, research, and resolve provider issues in coordination with internal departments
• Be Available, Flexible, and Accessible to offices at all times
• Perform special projects as assigned

Knowledge, Skills, and Abilities Requirements

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

Required Experience

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

Preferred Qualifications

• Medicare Shared Savings Program knowledge/experience

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