CorpusChristiRecruiter Since 2001
the smart solution for Corpus Christi jobs

Provider Engagement Consultant

Company: Christus Health
Location: Corpus Christi
Posted on: August 24, 2019

Job 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.

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%.

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

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

Other Professions Jobs

Yard Driver Truck Driver
Description: With J.B. Hunt, one of America's leading trucking companies, you'll enjoy solid pay, great benefits and frequent home time.Our regional trucking job details: ul li
Company: JB Hunt
Location: Corpus Christi
Posted on: 09/17/2019

Mammographer Technician Travel
Description: Mammographer Technician Nationwide Travel Assignments / Jobs br br Tired of completing an application just to get informationClick the View or Apply button for HCEN's Free, Quick Short More Information (more...)
Company: HealthCare Traveler Jobs
Location: Corpus Christi
Posted on: 09/17/2019

CDL-A Lease Purchase Truck Driver - $1.00-MILE BASE PAY MARKET PREMIUM
Description: Call Today to Learn More About Our New Market Premium Pay NO CASH DOWN Lease Purchase Program for Solos Are you in it for the long haul John Christner Trucking is. 32 years in business, 1,300 mile (more...)
Company: John Christner Trucking
Location: Corpus Christi
Posted on: 09/18/2019

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: 09/17/2019

92Y Unit Supply Specialist - Warehouse Manager
Description: As a Unit Supply Specialist for the Army National Guard, you will ensure that your Unit and fellow Soldiers are well supplied and equipped for any mission. In this role, your keen eye and management ability (more...)
Company: Army National Guard
Location: Corpus Christi
Posted on: 09/18/2019

Super Regional Runs: Excellent Mileage Pay, Home Time, and Bonus Options
Description: br br br Come Run Regional with Arnold br WE STARTED REGIONAL, THEN PERFECTED IT. Arnold Transportation Services gives you the Earnings You Need, br the Home Time You Want, and The Respect (more...)
Company: Arnold Transportation
Location: Corpus Christi
Posted on: 09/18/2019

Get New HVAC Work Today - Preview Leads In Your Area (Victoria,TX)
Description: Please note that this is not an offer of employment.Over 25 million homeowners have trusted HomeAdvisor to help them find quality HVAC
Company: HomeAdvisor
Location: Victoria
Posted on: 09/18/2019

Owner Operator Truck Driver Job - Sign On Bonus Available & Great Benefits!
Description: U.S. Xpress knows you are a business owner and we will treat you like one. That's why
Company: USXpress
Location: Victoria
Posted on: 09/18/2019

Journeyman Plumber - Corpus Christi, TX
Description: Peopleready-- has been providing outstanding employment opportunities to the most individuals in the marketplace. We are proud to offer a contract opportunity to work as a Journeyman Plumber in Corpus (more...)
Company: PeopleReady
Location: Corpus Christi
Posted on: 09/18/2019

CDL-A Student Truck Drivers - Highest Paid Trainees in Industry
Description: Find Your Fresh Start with CDL-A Student Truck Driver JobsFounded in 1937 as a family-owned and operated transportation provider, Paschall Truck Lines has since grown from its Kentucky
Company: Paschall Truck Lines
Location: Corpus Christi
Posted on: 09/17/2019

Log In or Create An Account

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

Corpus Christi RSS job feeds