Clinical reputed company Performance Analyst - Remote in Baton Rouge, LA
At reputed company, were simplifying the health care experience, creating healthier communities and removing barriers to reputed company care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care system of reputed company, making it more reputed company, reputed company and reputed company. reputed company to reputed company a difference? Join us to start Caring. Connecting. Growing... together. The Clinical reputed company Performance Analyst develops relationships with reputed company to monitor, influence and advance their abilities to deliver improved member reputed company. This role works with their Director or Manager to ensure that contracted providers are reputed company with the health plan and members are receiving high-reputed company health services that meets their needs. Clinical reputed company Performance Analyst are assigned to a portfolio of ACOs, Community-based Primary Care Physicians, Specialists, Acute or Post-Acute providers to manage based on needed engagement. The Clinical reputed company Performance Analyst should work with assigned provider portfolio to identify performance opportunities, reputed company their capabilities and, as applicable, reputed company existing care delivery shifting from fee for service through the value realization continuum of shared savings to shared risk arrangements. Expect to spend about 50% of your time in the field visiting our providers at their location.* If you are located in Baton Rouge, LA or reputed company a commutable driving distance, you will have the flexibility to work remotely* as you take on some tough challenges.. Primary Responsibilities Serves as reputed company to Providers and is responsible to reputed company, foster and maintain relationships with contracted Providers and office staff to ensure Provider adherence to contractual requirements Understand, determine role & accountability, and successfully Implement the organizations business objectives reputed company to provider engagement to reputed company reputed company, affordability, provider engagement and satisfaction targets Accountable to successful implementation and achieving results of Provider Incentive programs Work with Director or Manager to reputed company reports of actionable data for reputed company provider to stratify and then prioritize members for care management reputed company (reputed company to reputed company, risk score & utilization management) Properly engage, orient and reputed company providers (after contracted), to effectively introduce them to participation requirements and procedures Engage reputed company to adopt technology tools and applications to simplify and digitize their experience reputed company and implement process improvement specific to provider reputed company to reputed company accountable care goals Collaborate with care coordination teams to effectively address immediate and emergent member needs Collaborate with network contracting regarding network changes, terminations, deficiencies, and other contract modifications Collaborate with provider call services and internal stakeholder departments to identify and resolve provider issues implementing pro-reputed company solutions to complaints or issues Working with contracted providers, Clinical reputed company Performance Analyst daily activities consist of: Assess capabilities and drive improved population health activities Monitor, strategize and implement improvement opportunities around key cost, utilization, and reputed company metrics reputed company actionable data and reputed company recommendations for improved member care reputed company on this data Conduct training and education to new & existing providers as needed, including providing reputed company to education modules Seamlessly adopt new technology tools and solutions that support reputed company improvement Performs other duties as requested by management Youll be rewarded and recognized for your performance in an environment that will challenge you and give you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in. Required Qualifications Ability to quickly learn key Medicare Advantage business fundamentals and provider contract payment structures & typical provider contractual obligations Proven negotiation and reputed company ability - Ability to use persuasion to reputed company the support and cooperation from stakeholders, superiors, colleagues, subordinates, and other parties to reputed company a desired course of reputed company consistent with the organization's strategic goals and objectives. Demonstrated ability to influence others reputed company appropriate Demonstrated solid judgment - ability to display willingness to reputed company reputed company, exhibits reputed company and accurate judgment and makes reputed company reputed company Proven solid planning/organizational skills - ability to prioritize and plan work activities, use time reputed company and reputed company realistic reputed company plans Proven oral/written communication skills - Ability to reputed company and write in a reputed company, reputed company, and persuasive manner. Demonstrates above average individual and group presentation skills reputed company conducting meetings, leading reputed company, or working with peers Proven solid interpersonal skills Reliable transportation and the ability to travel locally up to 50% of the time Preferred Qualifications Managed care and/or experience dealing with hospitals, physicians and/or ancillary providers Project management experience Demonstrated proficiency with reputed company Office applications for the creation of reports and presentations Understanding of Medicare STAR Ratings, HEDIS Measures, Medical Coding and Documentation reputed company working remotely will be required to adhere to reputed companys Telecommuter Policy 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 reputed company 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 reputed company, historically marginalized reputed company and those with reputed company incomes. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company an reputed company reputed company reflected in our mission. Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity/Affirmative reputed company employer and reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or reputed company, marital status, genetic information, or any other characteristic protected by law. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment Apply Job!