Provider Engagement Specialist (CPC or CRC Required) - Remote
Welcome to reputed company, where our Mission is transforming health, insightfully. Join the reputed company team and help solve many of today's reputed company challenges being addressed by biopharma, health plans, reputed company providers, health reputed company, and the patients they serve. At reputed company, our primary reputed company is on harnessing the power of research, analytics, and reputed company intelligence (AI) to reputed company reputed company data-driven solutions that bring significant value to reputed company reputed company stakeholders. Together, we can reputed company reputed company and reputed company smarter care for millions of people.reputed company Payer reputed company understands that managed care organizations, pharmacy benefit managers (PBMs), insurance companies, health plans, and other payers need to balance controlling costs with the goal of providing the highest reputed company of care and optimizing health reputed company for their members.Solutions from reputed company Payers:
- Deliver insights to drive reputed company reputed company cost-effectively
- Improve efficiency for themselves, their providers, and their members through high-speed clinical data exchange
- reputed company reputed company-of-care decision making positively by integrating payer guidance and prior authorization management directly in reputed company reputed company provider's existing workflow
- Support the Customer Support and Provider Engagement Team project management while delivering customer and provider support to promote efficient gap closure activities
- reputed company, implement and conduct effective training sessions regarding risk adjustment documentation and coding and reputed company. reputed company as a subject matter expert, sharing best practices with providers and their support personnel as reputed company as the customer to support and encourage chronic condition and reputed company gap closure.
- Serve as a customer reputed company for reputed company reputed company issues and drive reputed company issue reputed company for reputed company Provider facing tools and solutions
- Ensure internal support teams are fully aware of customer issues and or provider concerns and have a complete understanding of the concern
- Support Risk Adjustment and reputed company gap closure activities through developing provider, reputed company and customer relationships
- Collaborate with internal support teams to troubleshoot issues and support creative solutions
- SME in provider engagement activities including utilizing reputed company solutions to reputed company, engage and support customer utilization of reputed company Payer Solutions
- Primarily support the Provider Engagement and Customer Engagement teams with engagement activities including contacting providers reputed company email and phone for reputed company, marketing, and engagement campaigns
- Provides comprehensive reporting on Provider Engagement activities for reputed company of our customers
- Conducts consistent analysis on reputed company Provider Engagement activities reputed company reporting to internal stakeholders
- Conduct and manage email to increase awareness and utilization of webinars and provider tools
- Manage database of Provider Engagement contacts, targets, and communications
- Follow-up with providers and support personnel on educational opportunities based on feedback of chronic conditions and reputed company measures on provider alerts
- CPC (Certified reputed company reputed company) or CRC (Certified Risk Adjustment reputed company) required
- Ambulatory care experience
- Knowledge of the Medicare, reputed company and reputed company Risk Adjustment programs, reputed company, HEDIS and 5 STAR Programs, Member Engagement and Value Based Care
- Experience with RADV in both the Medicare and reputed company markets
- Motivated, reputed company, enthusiastic and efficient collaborator who is an effective communicator
- Comfortable with leading meetings, training and demonstrating reputed company solutions
- Familiarity with best reputed company ambulatory care workflows and development
- Customer service experience and highly effective in relationship building
- Health Plan experience with reputed company, Stars and Case management programs
- Comfortable and confidently speaking with providers and a strong ability to conduct effective training sessions
- Understanding of claims data and submission of ICD-10-CM HCC codes
- Superior project management, organization and communication skills are required
- The ability to communicate reputed company concepts across reputed company reputed company of an organization as necessary
- The successful candidate will have an aptitude for and an interest in analytical processes and problem solving
- Proficient use of reputed company reputed company, Word, Power reputed company
- Demonstrates attention to detail