The ACO Provider Relations Representatives ensures development of organization wide programs; building and ongoing maintenance of provider and management relationships with internal providers, external providers and surgery centers. S/he will work directly with ACO leadership to identify, communicate and track progress of action plans towards objectives. The ACO Provider Relations representative must be highly collaborative and relationship oriented with a commitment to accountable care concepts and goals.
Essential Duties and Responsibilities include the following. Other duties may be assigned.
- Maintains and enhances ongoing communication and coordination between ACO management, participating ACO physician practices, preferred network and community consultants
- Assists in the development and maintains the operations of the ACO preferred network and community consultants in order to achieve goals of the ACO.
- Interprets and analyzes data related to ACO performance, Practices performance, identify problems and opportunities and develop specific action plans with preferred network and community consultants to achieve goals.
- Coordinates the analysis of quality and costs data to develop and implement performance improvement action plans for each preferred network providers.
- Acts as a liaison between the Physicians and ACO management keeping relevant parties informed.
- Coordinates the development and implementation of physician education and training programs related to the ACO program.
- Communicates with and influence internal and external stakeholders regarding key project objectives and steps, to ensure buy-in.
- Provides recommendations to improve ACO program.
- Completes other special projects and duties as requested.
- Position is remote with 50% of travel required.
This job has no supervisory responsibilities.
To perform the job successfully, an individual should demonstrate the following competencies:
Analysis/Problem Assessment Securing relevant information and identifying key issues and relationships from a base of information; relating and comparing data from different sources; identifying cause-effect relationships.
Compassion - The responsibility to put a patient's or person's interests first, including the duty not to harm, deliver proper care, and maintain confidentiality.
Compliance - Employee has satisfactory completed employers required compliance training. Employee is able to demonstrate an understanding of employers Code of Conduct.
Communication - Expressing ideas effectively in individual and group situations (including nonverbal communication); adjusting language or terminology to the characteristics and needs of the audience. Good listening skills.
Dependability - Meets commitments, deliverables, deadlines, work independently, accepts accountability, handles change, sets personal standards, stays focused under pressure, and meets attendance/punctuality requirements.
Individual Leadership/ Influencing - Using appropriate interpersonal styles and methods to inspire and guide individuals (fellow employees) toward goal achievement; modifying behavior to accommodate tasks, situations, and individuals involved.
Innovation - Generating creative solutions to work situations; trying different and novel ways to deal with organizational problems and opportunities.
Integrity - Maintaining and promoting social, ethical, and organizational norms is conducting internal and external business activities.
Judgment/ Problem Solving - Recognizes problems and responds, systematically gathers information, sorts through complex issues, seeks input from others, addresses root cause of issues, makes timely decisions, can make difficult decisions, uses consensus when possible, and communicates decisions to others.
Maximizing Performance - Establishing performance/development goals, coaching performance, providing training, and evaluating performance.
Organizational Awareness - Having and using knowledge of systems, situations, procedures, and culture inside the organization to identify potential organizational problems and opportunities; perceiving the impact and the implications of decisions on other components of the organization.
Patient Service Orientation - Proactively developing patient/customer relations by making efforts to listen and understand the customer and their needs (both internal and external); anticipating and providing solutions to customer needs; giving high priority to patient/customer satisfaction. Ensures appropriate follow up and is their advocate in determining solutions. The employee uses a variety of communication techniques to effectively express thoughts and ideas and to understand or influence.
Planning and Organizing/ Work Management - Establishing a course of action for self to accomplish a specific goal; planning proper assignments of personnel and appropriate allocation of resources.
Results Driven & Execution - Accountable for meeting or exceeding individual and/or department goals and objectives. Committed to producing results that will achieve company objectives. Sets priorities and organizes time to meet or exceed goals, follows up, and takes personal responsibility for results whether they are positive or negative.
Teamwork/ Collaboration - Working effectively with team/work group or those outside formal line of authority (e.g., peers, senior managers) to accomplish organizational goals; taking actions that respect the needs and contributions of others; contributing to and accepting the consensus; subordinating own objectives to the objectives of the organization or team. Listens to others and values opinions.
Work Standards - Setting high goals or standards of performance for self, direct reports, others, and the organization; being dissatisfied with average performance; self-imposing standards of excellence rather than having standards imposed by others.
Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience
Associate's degree or equivalent from two-year college or technical school; or six months to one year related experience and/or training; or equivalent combination of education and experience.
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
To perform this job successfully, an individual should have knowledge of Athena Database software; Microsoft Spreadsheet software and Microsoft Word Processing software.
Certificates, Licenses, Registrations
Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this Job, the employee is regularly required to stand; walk; sit; use hands to finger, handle, or feel; reach with hands and arms; climb or balance and talk or hear. The employee is occasionally required to stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.
Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The noise level in the work environment is usually moderate depending on the business activity of the office.0