People. Passion. Purpose.
At P3 Health Partners, our promise is to guide our communities to better health,
unburden clinicians, align incentives and engage patients.
We are a physician-led organization relentless in our mission to overcome all
obstacles by positively disrupting the business of health care, transforming it
from sickness care into wellness guidance.
We are looking for a Provider Operations Coordinator. If you are passionate
about your work; eager to have fun; and motivated to be part of a fast-growing
organization in Arizona then you should consider joining our team.
- Must be able to travel around the Ajo, AZ area.
- This position is remote unless working in affiliate clinic.
- Must be bilingual in English/Spanish.
Overall Purpose
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.
Roles and 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.
* Advises and supports 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. Responsible for reviewing data collected to confirm
gaps in care are captured.
* Works with the affiliate practices on prioritizing patient outreach and
assists affiliate practices with patient outreach and coordinating scheduling
new and establish patients outreaching and scheduling patients for visits by
finding appointment dates/times that meet patient needs and availability.
* Partners with assigned groups and other P3 departments to manage high /
rising risk patients by actively ensuring coordination of care across all
healthcare services provided to the patient (hospital discharge, hospice,
MRA, Care Management, Referrals, Quality, etc.)
* Assists in CSR/IDT/JOC meeting preparation and participate in meetings as
requested.
* Conducts data entry and maintain appropriate documentation and tracking for
quality initiatives.
* Educates patients and affiliates on preventative screenings that are being
scheduled/performed and the reason for performing them.
* Depending on education and experience – 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.
* Other duties as assigned.
Knowledge, Skills, and Abilities
* Excellent interpersonal, rapport/trust building, and communication skills
with patients, providers, internal and external stakeholders.
- Excellent organizational and time management skills.
- Strong analytical, critical thinking, and problem-solving skills.
- Ability to present information and obtain buy-in on recommendations.
- Ability to handle a fast-paced environment and prioritize tasks based on
importance.
- Ability to work independently or as part of a team.
- Dedication to maintaining the confidentiality of all patient records.
- Knowledge of vital signs and other clinical skills related to direct patient
care for quality gap closure.
Education and Experience
* 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 Health plan 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.
Work Conditions
* 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.
Physical Requirements
* The work environment consists of exposure to physical conditions typical of a
normal office environment. Most of the job is performed while sitting and
talking/listening on the phone, although the work may require occasional
standing or walking and/or the lifting and carrying of small objects up to 25
pounds.
Pay Range - $22-25/hr depending on experience