Clinically Integrated Network Jobs in California

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At Hill Physicians Medical Group, we're shaping the healthcare of the future: actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our members.

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Hill Physicians has much to offer prospective employees. We're regularly recognized as one of the "Best Places to Work in the Bay Area" and have been recognized as one of the "Healthiest Places to Work in the Bay Area." When you join our team, you're making a great choice for your professional career and your personal satisfaction.

DE&I Statement:

At PriMed, your uniqueness is valued, celebrated, encouraged, supported, and embraced. Whatever your relationship with Hill Physicians, we welcome ALL that you are.

We value and respect your race, ethnicity, gender identity, sexual orientation, age, religion, disabilities, experiences, perspectives, and other attributes. Our celebration of diversity and foundation of inclusion allows us to leverage our differences and capitalize on our similarities to better serve our communities. We do it because it's right!

Job Description:

Acts as a primary liaison between Hill Physicians Medical Group (HPMG), physicians, office.staff and contracted ancillary providers and facilities. The Senior Practice Support Advisor will support the provider network within an assigned geography. This individual must establish.creditability and build trust within physician offices. Primary responsibilities will be to interface regularly with the practice staff, identify quality improvement opportunities that align with HPMG initiatives across all lines of business, assist practices in leveraging/enhancing existing technologies or adopting new technologies to optimize performance, practice efficiencies and improve patient outcomes (i.e., EPIC HillChart, MyChart, HillMetrics, Provider Portal & HillLink), support key organizational goals and collaborate with other internal departments to identify supporting resources as appropriate to achieve objectives (i.e., Government Programs, Population Health, Case Management, eSolutions & PPO Segment).

ESSENTIAL RESPONSIBILITIES:

• Educates and advises network providers on how to maximize compensation and performance related to quality improvement incentives, appropriate documentation of risk, patient experience survey results, total cost of care, and the use of electronic tools to influence performance. Review of and education on payment methodology and recommended focus areas for improvement.
• Builds relationships with providers and office staff. Acts as brand ambassador for HPMG, representing Hill's programs and policies within providers' offices.
• Responds to network providers' needs, triaging any issues the practice faces to the appropriate department within HPMG (e.g., Claims, Authorizations, Epic EHR, IT). Tracks to resolution to maintain provider satisfaction with HPMG.
• Recruits physician participation in Hill offerings and solutions, including but not limited to the Clinically Integrated Network, Epic EHR, preferred specialists and facilities, care management outreach, etc.
• Trains physicians and practice staff to access and utilize the Provider Portal, accessing Authorization/Care Management systems & electronic population health management tools to close care gaps.
• Educates practice staff on the requirements to participate in HPMG programs (e.g., PPO Clinically Integrated Network). Conducts Practice Manager Meetings and New Provider Office Orientations. Provides ongoing education to physicians and office staff at all levels on workflow processes and best practices, which may include training, evaluations, and development of education components. Leads presentations in a variety of settings.
• Participates in the design of Hill initiatives, providing feedback based on experience in physician offices. Participates in strategizing outreach approach with other PSAs. Mentors and guides other PSAs and new PSAs as experience allows.
• Organizes internal and external meetings for department members.
• Other duties as assigned.

SKILLS AND EXPERIENCE REQUIRED:

• Experience in physician office business operations required.
• Strong verbal and written communication skills.
• Demonstrated experience building relationships and influencing others to take actions.
• Excellent public speaking skills: training experience preferred.
• Demonstrated ability to juggle multiple competing priorities and manage multiple projects and tasks, with varying timelines, at once.
• Self-directed and able to work productively independently, yet able to function well in a team-oriented environment.
• Exposure to Lean, Six Sigma, Improvement Science, or Practice Transformation a plus
• Aptitude, familiarity, or experience with current healthcare technology applications for physician offices, such as practice management systems, electronic medical records, and/or billing systems a plus.
• Basic understanding of medical terminology.
• Basic understanding of CPT, ICD-10 and HCPCS coding a plus.
• Valid California Driver's License and proof of auto insurance.

REQUIRED EDUCATION:

• Bachelor's Degree highly desired, or minimum of 2-3 years' experience in a managed care, clinical practice, or healthcare environment.

Additional Information:

Salary: $76,000 - $99,000 Annual

Hill Physicians is an Equal Opportunity Employer