Provider Operations Coordinator - Eugene, OR

P3 Health Partners - Eugene, OR

Full-time

Eugene, OR

Ambulatory Health Care Services

About the position

The Provider Operations Coordinator (POC) role combines responsibilities of managing operational support initiatives while overseeing special projects, with a focus on supporting HEDIS quality gap closures, Risk Adjustment activities, and provider engagement. This multifaceted position requires daily problem-solving, meticulous tracking, and coordination across departments to meet varying and changing requirements. The POC will oversee assigned affiliate groups, providing operational support to clinics to achieve their goals, which may include engaging with internal and external stakeholders with in-person and telephonic outreach to patients for education and engagement on preventative screenings, medication adherence, and follow-up with primary care providers. This position, depending on experience and education, may directly interact with patients to complete tasks for quality gap closure.

Responsibilities

• Build and maintain effective relationships with assigned Affiliate groups to achieve goals and key initiatives.
• Serve as a liaison between the Affiliate groups and P3 local, regional, and national departments to provide a seamless point of contact.
• Advise and support affiliate practices as needed with quality (HEDIS/HOS) gaps and conditional documentation by outreach, chart data mining/audits, claims surveillance, quality events (i.e., diabetic eye screening), educating practice employees, etc.
• Work with the affiliate practices on prioritizing patient outreach and assist affiliate practices with patient outreach and coordinating scheduling new and established patients.
• Partner with assigned groups and other P3 departments to manage high/rising risk patients by ensuring coordination of care across all healthcare services provided to the patient.
• Assist in CSR/IDT/JOC meeting preparation and participate in meetings as requested.
• Conduct data entry and maintain appropriate documentation and tracking for quality initiatives.
• Educate patients and affiliates on preventative screenings that are being scheduled/performed and the reason for performing them.
• Conduct in-home HEDIS gap closure for select measures such as blood pressures, diabetic eye exams, point of care hemoglobin A1C testing, distribution of colorectal screening kits.
• Perform other duties as assigned.

Requirements

• High school diploma/GED required, associate degree in related field or equivalent experience preferred.
• 2+ years experience in healthcare-related fields required, clinical health care related experience, managed care, or Healthplan experience strongly preferred.
• Experience with Microsoft Word, Excel, Power Point, Outlook and general office equipment such as copier, fax machine, required.
• Experience in Electronic Health Records required.
• Medical Assistant Certification or experience as a Pharmacy Tech, Radiology Tech, Lab Tech or similar strongly preferred.
• Experience with data mining preferred.
• Medical terminology knowledge required, experience with CPT II codes preferred.
• Current CPR Certification preferred.

Benefits

• Travel throughout the region is required.
• Must have a valid driver's license, safe driving record, and able to furnish reliable transportation.