Provider Performance Specialist

Job Summary

Advance the requirements of business and performance improvement plans for assigned Accountable Care Networks (ACN) and large practice groups. Assist in the development and implementation of network engagement strategies linking strategic goals to the execution and renewal of alternative payment model contracts, evaluating cost and quality performance of specific providers and health systems, and identifying opportunities for improvement

Essential Functions

Responsible for contributing to the development and execution of provider strategy and solutions for assigned Accountable Care Networks. Responsible for contributing to and supporting the strategy, actively involved in the implementation of a strategic business plan; coordinating and managing overall activities and provides input in developing strategies and approaches to help providers maximize performance potential.

Analyze and monitor Accountable Care Networks performance to ensure the achievement of financial and clinical outcomes. Manage projects and implement strategies pertinent to complex Accountable Care Networks.

Actively contribute to the interdisciplinary Teams to ensure successful engagement of all parties

Oversee the implementation of payment programs, aligning economics with the business strategy to achieve lower per capita cost

Manage and implement programs to drive down the total cost of care through utilization and medical expense trend oversight.

Manage contract success through analysis of monthly reporting

Qualifications

Required

Bachelor's Degree or equivalent experience in health care administration, business administration, accounting, finance, clinical or health and human services or equivalent education and experience

Years of relevant experience of either provider network management experience, health care insurance or other health care delivery setting

Preferred

Master's Degree or equivalent Master's degree in health care administration or business administration or other relevant degree

Two years of relevant experience directly interacting in a clinical environment

Proven experience analyzing and assimilating financial and outcomes data

Experience delivering presentations to a variety of audiences

Intermediate level knowledge of Microsoft Office Suite

About Corewell Health

As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.

How Corewell Health Cares For You

Comprehensive benefits package to meet your financial, health, and work/life balance goals. On-demand pay program powered by Payactiv. Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more! Optional identity theft protection, home and auto insurance. Traditional and Roth retirement options with service contribution and match savings. Eligibility for benefits is determined by employment type and status.

Primary Location SITE - Corewell Health Southfield Center - 26901 Beaumont Blvd Department Name Provider Network Management - PH Managed Benefits Employment Type Full time Shift Day (United States of America) Weekly Scheduled Hours 40 Hours of Work 8 a.m. to 5 p.m. Days Worked Monday to Friday Weekend Frequency N/A