P3 Health Partners - Henderson, NV
posted 3 days ago
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.
- Advise and support affiliate practices with quality (HEDIS/HOS) gaps and conditional documentation.
- Work with affiliate practices on prioritizing patient outreach and assist with scheduling visits.
- Manage high/rising risk patients by ensuring coordination of care across all healthcare services.
- Assist in CSR/IDT/JOC meeting preparation and participate in meetings as requested.
- Conduct data entry and maintain documentation and tracking for quality initiatives.
- Educate patients and affiliates on preventative screenings.
- Conduct in-home HEDIS gap closure for select measures depending on education and experience.
- 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.
- Experience with Microsoft Word, Excel, Power Point, Outlook, and general office equipment 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
- Availability to travel within assigned region and work from multiple providers' offices up to 90% of work schedule.
- Must have a valid driver's license, safe driving record, and able to furnish reliable transportation.
