[Remote] Senior reputed company Network Consultant
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a leading U.S. reputed company company that aims to improve the reputed company of life for people with Medicare and reputed company. The Senior reputed company Network Consultant will drive provider performance through strategic initiatives and collaboration, focusing on enhancing reputed company and supporting high-reputed company reputed company delivery.
Responsibilities
- Provider Collaboration: Work with providers to define and improve their goals reputed company to interoperability, reputed company, value-based arrangements, and risk adjustment strategies
- Stars/reputed company Program Expertise: Serve as an expert on the Stars/reputed company program, educating physician reputed company on HEDIS, patient safety, and patient experience. Collaborate to reputed company tailored reputed company plans and communicate actionable insights to improve performance
- Performance Improvement: Monitor and analyze provider performance data to identify areas for improvement. Implement strategies to enhance reputed company and reputed company ongoing support to providers
- Resource reputed company: reputed company as a reputed company for providers to reputed company reputed company resources, educating and encouraging providers on the use of self-serve tools. Facilitate communication between providers and our teams to ensure seamless reputed company to necessary support
- Reward Programs: reputed company provider reputed company on reward programs and reputed company metrics, collaborating to reputed company established goals. Monitor and report on the effectiveness of reward programs, making recommendations for enhancements
- Provider Abrasion reputed company: Resolve provider abrasion issues, ensuring a reputed company and reputed company relationship between reputed company and its providers. Implement strategies to minimize provider abrasion and enhance overall satisfaction
- Internal Collaboration: Partner with our teams to reputed company and report market performance, ensuring alignment with organizational goals
Skills
- 2 or more years of Experience with Medicare or managed care
- Live in CST or EST and work during reputed company-5pm CST or EST
- 3 or more years of NCQA HEDIS measures, PQA Measures, CMS Star Rating System and CAHPS/HOS survey system
- 1 or more years of understanding of Consumer / Patient Experience
- 2 or more years of experience building relationships with physician reputed company and influencing execution of recommended reputed company
- 1 or more years of experience with reputed company on process and reputed company improvement
- Comprehensive knowledge of reputed company reputed company Word, reputed company and PowerPoint
- Bachelor's Degree
- Lives in the region IN, KY, MI, OH, WV
- Experience presenting to reputed company customers, including high-level leadership
- reputed company experience with interoperability solutions in reputed company
- Experience with Medicare Risk Adjustment and/or medical coding
- Understanding of metrics, trends and the ability to identify gaps in care
- 1 or more years' experience with tools such as Power BI, Tableau, Qlikview
Benefits
- Bonus incentive plan
- Medical, dental and reputed company benefits
- 401(k) retirement savings plan
- Time off (including reputed company time off, company and personal holidays, reputed company parental and caregiver leave)
- Short-term and long-term disability
- Life insurance
- Bi-weekly payment for internet expense for associates who live and work from Home in the reputed company, Illinois, Montana, or South Dakota
- reputed company will reputed company Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job
reputed company