CorpusChristiRecruiter Since 2001
the smart solution for Corpus Christi jobs

Provider Engagement Consultant

Company: Christus Health
Location: Corpus Christi
Posted on: August 16, 2019

Job Description:

Description

The Provider Engagement Consultant develops integrated networks with quality providers yielding a geographically competitive, broadly accessible, stable network that achieves objectives for unit cost performance and trend management, and produces an affordable and predictable product for customers and business partners. Engagement Consultants evaluate and negotiate risk arrangements in compliance with company contract templates, reimbursement structure standards, and other key process controls. Responsibilities also include establishing and maintaining strong business relationships with an appropriate distribution of integrated provider specialties.

This role evaluates practices in analyzing member care, trending quality compliance at the provider level, and developing action plans and programs to support provider practices in continuous quality improvement using approved clinical practice guidelines, HEDIS, CMS, NCQA, and other tools. We are building integrated and accountable networks in LA, TX, and NM. Under the supervision of the VP Provider Network Operations, this position is responsible for the continual development, management, and maintenance of relationships with physicians, providers and practice managers within an assigned provider network. Applicant must reside in or near San Antonio.



MAJOR RESPONSIBILITIES


- Market-based point of contact for Health Plan and ACO participating providers

- Develop and maintain collaborative provider relationships that facilitate provider engagement, integration, and path to value arrangements.

- Partner with the provider community to develop the capability for sustained, integrated consumer interaction programs building consumer advocacy and loyalty.

- Influence provider culture and strategy to elevate the capability of the provider community to support the ever-changing healthcare environment.

- Manage provider engagement/risk continuum, prospecting potential providers for value-based opportunities

- Apply network configuration and incentive-based payment models as appropriate to improve quality and efficiency

- Leverage financial and utilization data with physicians and healthcare executives to provide actionable goals and opportunities to reduce expenses for providers with a shared savings opportunity

- Facilitate clinical education, leveraging clinical experience from your internal partners

- Work to develop and improve EMR capability.

- Partner with internal stakeholders to create a seamless experience for providers

- Travel requirement 90%.



Requirements


- Bachelor degree preferred

- Analytic ability to organize and prioritize work to meet deadlines.

- Proficient in Microsoft Word and Excel

- Excellent written and verbal skills required

- Good judgment, initiative, and problem-solving abilities

- Ability to handle and resolve complex issues with little assistance

- Ability to perform multiple tasks simultaneously

- Ability to communicate effectively

- 5 years of provider engagement or network management experience preferred

- Prior experience working with Medicare and/or commercial products is highly desirable

- Experience with ACO, Risk-Based, Value-Based Contracting highly desireable.

- Driver's License


EEO is The Law - visit following page for more information
www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf

Equal Opportunity Employer Minorities/Women/Protected
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.

Keywords: Christus Health, Corpus Christi , Provider Engagement Consultant, Professions , Corpus Christi, Texas

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Professions Jobs


92G Food Service Specialist
Description: AGE REQUIREMENTS: Must be between the ages of 17 and 35 br br It takes energy to keep the Army National Guard marching on, and that's where you take the lead. As a Food Service Specialist for the (more...)
Company: Army National Guard
Location: Corpus Christi
Posted on: 08/23/2019

Truck Driver: Earn 51-55 CPM & $10,000 Sign On Bonus - Pay
Description: U.S. XPRESS is now offering a 10,000 Sign On Bonus for experienced OTR drivers
Company: USXpress
Location: Corpus Christi
Posted on: 08/23/2019

Network Technician
Description: The computer technician assists our client with problems related to their PC or network. Tasks include, but are not limited to, the following:Troubleshoot and repair computer hardware and peripheralsRemoving
Company: DE Web Works, LLC
Location: Victoria
Posted on: 08/23/2019


Local Yard Truck Driver
Description: br Apply Online Below or CALL TODAY 888 472-8451 br br With J.B. Hunt, one of America's leading trucking companies, you'll enjoy solid pay, great benefits and frequent
Company: J. B. Hunt
Location: Corpus Christi
Posted on: 08/23/2019

Truck Driver Class A
Description: US Transport is looking for Class A CDL drivers with at least 2 years' experience. We offer the following:
Company: US Transport
Location: Corpus Christi
Posted on: 08/23/2019

Lube Bobtail Driver
Description: SUMMARY: br br To drive a bobtail tractor and deliver fuel to our fracking sites. br br DUTIES: br br Comply with all city, state and federal regulations br br Maintaining vehicle (more...)
Company: Sunoco Inc.
Location: Corpus Christi
Posted on: 08/23/2019

Warehouse positions- Graveyard shift
Description: Job Description br br Graveyard shift Warehouse Support br br Short and long-term openings are available br br Off-load and Load delivery trucks for a bread distribution center in Corpus Christi (more...)
Company: Kelly Services
Location: Corpus Christi
Posted on: 08/23/2019

Owner Operator
Description: Truck Driver Jobs - Up to 50 CPM Starting Pay, 2 Pay Raises in your first year and Much More Up to 50 CPM Starting Pay, Up to 1200 Minimum Weekly Pay Guarantee, and Much More Call Now br We are (more...)
Company: Dart General
Location: Corpus Christi
Posted on: 08/21/2019

92A Automated Logistical Specialist - Supply Chain
Description: Keeping the back of house in order is a key factor in successful mission planning. As an Automated Logistical Specialist in the Army National Guard, you will maximize your organizational skills and learn (more...)
Company: Army National Guard
Location: Corpus Christi
Posted on: 08/23/2019

12B Combat Engineer - Construction and Engineering Specialist
Description: Combat Engineers are essential to mission success by assisting their fellow Soldiers in tackling unpredictable environments. As a member of an Army National Guard Combat Engineer team, you'll design and (more...)
Company: Army National Guard
Location: Corpus Christi
Posted on: 08/23/2019

Log In or Create An Account

Get the latest Texas jobs by following @recnetTX on Twitter!

Corpus Christi RSS job feeds