Hartford, Connecticut, USA
5 days ago
Provider Relations Manager / Clinical Integration
Work where every moment mattersEvery day over Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare networkThe creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole rather than a single member organizationWith the creation of our new umbrella organization we now have our own identity with a unique payroll benefits performance management system service recognition programs and other common practices across the system Position SummaryRepresents the Clinical Integration Network CIN and is responsible for facilitating all facets of the providerpractice relationship with the CIN Communicates expectations of CIN membership to the providerpractice and provides direct and indirect support to the providerpractice to meet these expectations and reach shared quality goals Ensures the administrative as well as clinical needs of the providerpractice are identified and addressed Position ResponsibilitiesKey Areas of Responsibility Creates and fosters relationship with assigned providerpractice to establish self as recognized liaison between CIN and providerpractice Educates providerpractice on all relevant topics to promote providerpractice ability to be successful and reach shared quality goals Topics include but are not limited to CIN processesprocedures CIN incentive program details payer initiatives quality definitions and goals Provides direct support to providerpractice to assist with and resolve service issues including but not limited to payment authorization eligibility and member matters Assesses each providergroup at a minimum annually to determine engagement evidence of infrastructure to perform as a CIN member and ability to meet shared goals Based on annual assessment works with providerpractice to implement action plan to mitigate identified gaps Provides concrete reports as well as data analysis to providerpractice to assist them in successfully meeting shared quality goals roll out and sustain practice improvement programs Illuminates best in class practice improvement programs and assists providerpractice in implementing these programs to meet shared quality goals Tracks and trends providerpractice performance to identify areas of opportunity creating action plans to reach opportunities Partners with Risk Coding and Care Management to ensure alignment around providerpractice performance and communication Performs all other duties as assigned Working RelationshipsJob Title of Individuals Reports To Director of Quality Integration Transformation Integrated Care PartnersNature of Supervisionmiddot Internal All CIN teams Care Management Health Economics Managed Caremiddot External All CIN members ndash including providers and practice staffWork where every moment mattersEvery day over Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare networkThe creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole rather than a single member organizationWith the creation of our new umbrella organization we now have our own identity with a unique payroll benefits performance management system service recognition programs and other common practices across the system Position SummaryRepresents the Clinical Integration Network CIN and is responsible for facilitating all facets of the providerpractice relationship with the CIN Communicates expectations of CIN membership to the providerpractice and provides direct and indirect support to the providerpractice to meet these expectations and reach shared quality goals Ensures the administrative as well as clinical needs of the providerpractice are identified and addressed Position ResponsibilitiesKey Areas of Responsibility Creates and fosters relationship with assigned providerpractice to establish self as recognized liaison between CIN and providerpractice Educates providerpractice on all relevant topics to promote providerpractice ability to be successful and reach shared quality goals Topics include but are not limited to CIN processesprocedures CIN incentive program details payer initiatives quality definitions and goals Provides direct support to providerpractice to assist with and resolve service issues including but not limited to payment authorization eligibility and member matters Assesses each providergroup at a minimum annually to determine engagement evidence of infrastructure to perform as a CIN member and ability to meet shared goals Based on annual assessment works with providerpractice to implement action plan to mitigate identified gaps Provides concrete reports as well as data analysis to providerpractice to assist them in successfully meeting shared quality goals roll out and sustain practice improvement programs Illuminates best in class practice improvement programs and assists providerpractice in implementing these programs to meet shared quality goals Tracks and trends providerpractice performance to identify areas of opportunity creating action plans to reach opportunities Partners with Risk Coding and Care Management to ensure alignment around providerpractice performance and communication Performs all other duties as assigned Working RelationshipsJob Title of Individuals Reports To Director of Quality Integration Transformation Integrated Care PartnersNature of Supervisionmiddot Internal All CIN teams Care Management Health Economics Managed Caremiddot External All CIN members ndash including providers and practice staffEducationmiddot Minimum Bachelors degree or equivalent combination of education training and relevant experience in lieu of degreemiddot Preferred Bachelors degree in health care related fieldExperiencemiddot Minimum yearsrsquo experience in practice or health care related operations middot Preferred yearsrsquo experience in practice or health care related operations including dealing with physician performance and quality reporting Language Skillsmiddot EnglishKnowledge Skills and Ability Requirementsmiddot Ability to support practice changes to discrete and varied audience ie Administrators practice managers clinicians as neededmiddot Proficient in Excel PowerPoint Access Experience with Tableau highly preferredmiddot Experience with electronic medical records Athena EClinical Works AllScriptsEpic etc preferredmiddot Experience with hospital systems Cerner Sunrise Epic and Premier ispreferredmiddot Excellent communication analytical presentation and interpersonal skillsmiddot Ability to understand and convey complex information to many difference kinds of people is an absolute requirement with demonstrated ability to work as a member of a teammiddot Competence in quality improvement and data interpretationmiddot Familiarity with case management and care coordination processes experienced and skilled in working with interdisciplinary teamsmiddot Ability to innovate to achieve the organizationrsquos goalsmiddot Comfortable using andor learning to use databases reporting software electronic medical recordmiddot Exhibits leadership in demonstrating to staff how to embody the patient centered goals of the organization and in embracing change where appropriate We take great care of careers With locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this isyour moment Educationmiddot Minimum Bachelors degree or equivalent combination of education training and relevant experience in lieu of degreemiddot Preferred Bachelors degree in health care related fieldExperiencemiddot Minimum yearsrsquo experience in practice or health care related operations middot Preferred yearsrsquo experience in practice or health care related operations including dealing with physician performance and quality reporting Language Skillsmiddot EnglishKnowledge Skills and Ability Requirementsmiddot Ability to support practice changes to discrete and varied audience ie Administrators practice managers clinicians as neededmiddot Proficient in Excel PowerPoint Access Experience with Tableau highly preferredmiddot Experience with electronic medical records Athena EClinical Works AllScriptsEpic etc preferredmiddot Experience with hospital systems Cerner Sunrise Epic and Premier ispreferredmiddot Excellent communication analytical presentation and interpersonal skillsmiddot Ability to understand and convey complex information to many difference kinds of people is an absolute requirement with demonstrated ability to work as a member of a teammiddot Competence in quality improvement and data interpretationmiddot Familiarity with case management and care coordination processes experienced and skilled in working with interdisciplinary teamsmiddot Ability to innovate to achieve the organizationrsquos goalsmiddot Comfortable using andor learning to use databases reporting software electronic medical recordmiddot Exhibits leadership in demonstrating to staff how to embody the patient centered goals of the organization and in embracing change where appropriate We take great care of careers With locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this isyour moment
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