Provider Relations Associate

About us:

HEART. It is the driving force of our commitment to serving others with empathy, respect, and dignity. CareMax, is committed to providing the best that medicine has to offer with quality healthcare for those who need it most, our seniors. Join our team and experience it for yourself. We are Health with Heart.

You can count on us to provide you with resources and opportunities for growth, while contributing to our mission to improve lives through kindness, compassion, and better health. This is what we offer:

• Access to continual education through CareMax University
• Starting with 18 days of Paid Time Off
• 8 company paid holidays plus a floating holiday
• 401(k) plan with company match
• Comprehensive medical package

About you:

The Provider Performance Lead works in collaboration with the Provider Relations representatives, Performances Directors, and practices to identify target opportunities for improved quality, risk adjustment, clinical, documentation workflow, patient experience and performance. We are looking for a proactive, analytical relationship management expert!

Qualifications and Skills

• Experience working with VBCs (value based contracts)
• Minimum of three (3) – years of provider network operational experience
• Proactive, analytical relationship management expert
• High level of verbal and written communication skills with a strong capacity for detail, maintaining clear/effective contact with physicians, employees, administration and corporate personnel
• Strong organizational and planning skills to manage multiple priorities and meet required deadlines
• Strong analytical, critical thinking and problem solving skills to ensure process improvement and projects are completed successfully
• Proficient computer skills to include Microsoft Office (Word, Excel, and PowerPoint).
• Strong interpersonal skills necessary in order develop and maintain collaborative relationships with staff and physicians.

Essential Duties and Responsibilities

• At the direction of PR&P Director facilitates on-site visits to Key Accounts and Priority Practices.
  • Creation of practice “Playbooks”
  •  information
  • Workflows in place for prioritized practices
  • Documentation of all communication and training
  • Follow-up on presenting or gathering data or information from the practices
• Coordinate with Provider Relations Director for on-site visits to Key Accounts and Priority Acts as performance-lead, working in collaboration with Provider Relations and Performance Directors and practices to identify target opportunities for improved quality, risk adjustment, clinical and documentation workflow, patient experience and performance. Identify opportunities for workflow improvement and is responsible for developing and implementing process improvement plans to enhance provider and staff workflow.
• Responsible for monitoring provider performance and reporting to Provider Relations and Performance Director to track and share data with practice on performance against goals, escalating any issues in a timely manner. Works collaboratively with Performance staff, Office Managers, and practice staff to coordinate improvement efforts related to overall performance. Implements performance improvement plans at the practice level. Review EMR notes and provide information at the point-of-care to the providers via the EMR. Report on quality measures and evaluate strengths and weaknesses and address workflow deficiencies in collaboration with the CareMax Quality team. Update the quality database based on information in the EMR and closure of quality gaps.
• Produces and maintains record by keeping documentation up to date and reporting progress on a weekly basis. Provides dashboard reports to Provider Relations and Performance representatives and assigned practices including recommendations on improvement.
• Educates providers and leadership on clinical indicators to capture the severity of illness of the patient. Develops and delivers training materials (Provider and Practice-Facing). Provides leadership and staff with training, on-site collaboration and on-going performance reporting.
• Works with Provider Relations & Performance representatives, in collaboration with National VP of sales to identify MA conversion targets and to facilitate on-site market and educational events.
• Requires local travel; Provider Performance Leads shall at the direction of the senior-most Regional Provider Relations & Performance representative to visit Priority practices and emerging opportunity practices weekly.

Come join the CareMax family and be part of Health with Heart. Help us continue to change lives every day!

CareMax provides equal employment opportunity to all applicants and employees. No person is to be discriminated against in any aspect of the employment relationship due to race, religion, color, sex, age, national origin, disability status, genetics, citizenship status, marital status, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws