All the benefits and perks you need for you and your family:
-Benefits from Day One
-Paid Days Off from Day One
-Student Loan Repayment Program
-Career Development
-Whole Person Wellbeing Resources
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Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
Schedule:Full Time
Shift: M-F Days
Location: 2600 LUCIEN WAY, Maitland, 32751(Will need to travel to Ocala/Tampa areas)
The role you’ll contribute:
The Primary Care Performance Specialist I is a role focused on driving individual provider practice performance through education, practice transformation, and direct interaction with various roles within primary care offices. Reporting to the Manager Primary Care Performance & Enablement, this role plays a critical part in supporting the achievement of the organization's performance goals within our Florida statewide clinically integrated network and value-based enterprise.
The value you’ll bring to the team:
Provider Engagement and Education:
Visit provider practice offices regularly, advising and educating on topics such as population health strategies, practice transformation, clinical integration, incentive programs, quality care gap closure, and network policies.
Assist providers and office staff in understanding value-based performance initiatives and provide guidance on enhancing patient care.
Apply advanced knowledge to communicate key messages and solutions effectively to providers and office staff.
oPractice Transformation:
Collaborate with primary care providers and their teams to identify areas for process improvement, care coordination, and patient outcomes enhancement.
Support practice change management related to emerging trends in population health, reimbursement models, and patient satisfaction.
Demonstrate comprehensive mastery of population health concepts and performance scorecards.
oProvider Relationship Building:
Develop strong relationships with primary care providers and office staff, serving as a resource for performance optimization and education.
Participate in meetings and discussions to review contract performance and collaborate on improvement strategies.
Assist in onboarding providers to essential information about CIN and affiliated payer network
oPerformance Analytics Support:
Review quality and utilization reports, patient and payer data with providers, providing actionable insights and connect practices to relevant support for performance improvement.
Work closely with the Manager to provide insights into individual provider performance and identify improvement opportunities.
Assist low-performing physicians through performance improvement processes in collaboration with leadership, with active monitoring and effective management of performance action plans within the value-based enterprise.
oProvider Outreach and Communication:
Regularly communicate key messages about value-based solutions, performance models, policies, and procedures to providers and office staff.
oContinuous Learning and Improvement:
Participate in continuing education to stay updated on population health trends and industry best practices.
Propose topics or improvements based on field interactions and identified gaps in education.
oData Management and Reporting:
Maintain accurate records of provider contacts, demographics, and reporting issues using designated tools in collaboration with the Network Management team
Provide feedback and intel related to potential needs within the provider network.
Maintain operational knowledge of relevant tools and systems, assisting providers in understanding and utilizing these tools.
oCollaborative Engagement:
Collaborate effectively with internal teams, including MSO, quality and care integration, analytics, and network management, to ensure coordinated operations.
Qualifications
The expertise and experiences you’ll need to succeed:
KNOWLEDGE AND SKILLS REQUIRED:
Excellent relationship management and communication skills.
Basic understanding of healthcare operations within ambulatory practice/provider settings.
Strong organizational skills and time management.
Proficiency in using Microsoft applications (Word, Excel, PowerPoint).
Knowledge of health plan/claims-related processes and data
Understanding of value-based care, risk readiness, and active CIN payor contracts.
Ability to handle complex situations and maintain professionalism.
EDUCATION AND EXPERIENCE REQUIRED:
·Bachelor's Degree in healthcare, business, or related field; or 2 years of related experience.
·Experience working with physicians or in healthcare settings is preferred.
LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:
Not applicable
LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:
Advanced certification or formal training in Population Health, Managed Care, or Value-based Care
Change Management Training
Lean 6 Sigma Green Belt Certification
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.
At AdventHealth, Extending the Healing Ministry of Christ is our mission. It calls us to be His hands and feet in helping people feel whole. Our story is one of hope — one that strives to heal and restore the body, mind and spirit. Our more than 80,000 skilled and compassionate caregivers in hospitals, physician practices, outpatient clinics, urgent care centers, skilled nursing facilities, home health agencies and hospice centers are committed to providing individualized, wholistic care.