Healthcare Consultant

Posted 1 month ago

Where Your Health Matters®

Overview:

Excellent career opportunity. Rapidly growing healthcare network/organization (accountable care organization) is seeking a motivated and focused team player. This is a tremendous opportunity for an individual to gain experience in population health, as we move from Fee-For-Service to Value-Based Care. If you desire to join one of the premier healthcare companies in the United States, follow the application instructions below.

IMPORTANT APPLICATION INSTRUCTIONS:

  • Bachelor’s Degree is required for this position
  • Submit: Cover letter w/ salary requirements
  • Submit: Resume

Main Job Tasks and Responsibilities:

  • Consult with 20+ physician offices to improve quality of care provided while reducing waste in the healthcare system.
  • Efficiently coordinate the care of patients by engaging in patient outreach. Contact patients and schedule them based on internally produced reports to maintain engagement.
  • Analyze data to improve current initiatives and produce innovative concepts for value-based care.
  • Engage with insurance payers in monthly meetings. Create preventative care initiatives based on collaboration with payers.
  • Create educational documents for physicians and office staff.
  • Coordinate patient assignment project-based work by contacting and scheduling patient physicals
  • Assist practices to increase performance of annual physicals which increases patient care, which in turn increases patient assignment.
  • Coordinate physician office project work flow by visiting and training physician offices. Liaise with internal staff at all levels.
  • Assist in best practices for coding and billing to ensure proper reimbursement and acuity level of patients
  • Engage offices with the PBACO app to encourage use of the secure message tool post hospital discharged patients to facilitate continuation of primary care.
  • Maintain assignment education and training documents / systems. Maintain patient engagement processes and systems.
  • Monitoring strategies / tool-sets for more accurate and efficient engagement of physician members and office staff.
  • Remotely integrating practice EMRs with PBACO to transition into care coordination.
  • Submit file / documentation to physicians and other clinicians as requested for reviewing, quality assurance checks, and other purposes.
  • Conduct research, collect and analyze data to prepare reports and documents
  • Collect office data representing practices’ performance with various patient care services and collect patient data for use through our eligibility system.
  • Deliver crucial reports to physicians and office staff to improve quality of care provided while reducing waste in the healthcare system.
  • File and retrieve documents and reference materials
  • Must abide to all HIPAA, Confidentiality and Privacy laws.

Required Competencies

  • Superior organizational and planning skills
  • Effective written and verbal communication skills
  • Information gathering and monitoring skills
  • Problem analysis and problem solving skills
  • Keen judgment and decision-making ability
  • High confidentiality awareness
  • Knowledge of HIPAA: Legal and ethical consideration related to employee information
  • Attendance/Punctuality – Consistently at work and on time.
  • Attention to detail and accuracy
  • Adaptability
  • Assertive
  • Unrestricted driver’s license.

Education and Experience

  • Bachelor’s degree required
  • (2) years’ experience in medical environment
  • Proficient computer skills and in-depth knowledge of relevant software such as MS Office Suite and Microsoft Outlook.
  • Strong Excel skills
  • Knowledge of standard office administrative practices and procedures

Additional Compensation:

  • Bonuses
  • Other forms

Work Location:

  • One location
  • Multiple locations

Benefits:

  • Health insurance
  • Dental insurance
  • Vision insurance
  • Retirement plan
  • Paid time off
  • Relocation assistance
  • Professional development assistance
  • Tuition reimbursement
  • Parental leave

Apply Online

Apply Online

A valid email address is required.
A valid phone number is required.

Additional Information