Sr. Provider Relations Specialist

**This role requires 85% travel between TX, OK and other nearby states possibly the market expands**

Our mission is Better Health. Our passion is helping others.

What's Your Why?

• Are you looking for a career opportunity that will help you grow personally and professionally?

• Do you have a passion for helping others achieve Better Health?

• Are you ready to join a growing team that shares your mission?

Why Join Our Team: At Better Health Group, it's our commitment, our passion, and our culture that sets us apart. Our Team Members make a difference each and every day! They support our providers and payors, ensuring they have the necessary tools and resources to always deliver best-in-class healthcare experiences for our patients . We don't just talk the talk - we believe in it and live by it. Be part of a team that shares your passion and drive, and start living your purpose at Better Health Group.

Together, Better Health Group's lines of services work to drive our mission and achieve Better Care, Better Outcomes, and Better Health.

Overview

Better Health Group's ACOs are Medicare Shared Savings Program ACOs dedicated to serving Medicare Members in partnership with select Primary Care Physicians (PCP). By integrating our data platform, we can leverage Medicare data sets to develop patient-centric, profitable, smart Medicare strategies.

We focus on excellent service to our physicians, while also focusing on departmental collaboration with a Healthcare Start-up Mentality.

Job Summary

A Provider Consultant acts as a liaison between providers and Better Health Group's ACOs, monitoring providers to ensure the delivery of high-quality care to Medicare beneficiaries while reducing costs.

Responsibilities

• Establish, optimize, and maintain productive and professional relationships to drive results within a specific geographic area
• Understand and explain Medicare Fee-For-Service, Annual Wellness Visits, and risk
• Meet with clinic staff on a monthly basis either in-person (preferred) or remotely and with the providers on a quarterly basis to ensure clinic performance is meeting expectations
• Analyze data reports and identify trends to provide assistance for problem resolution
• Identify training opportunities for clinic staff such as, but not limited to quality measures (GPRO), Medicare Risk Adjustment (MRA), and portal navigation and track progress
• Promote clinic engagement ensuring that clinics have active participation in our monthly webinars and any other educational resources such as monthly newsletters
• Directly responsible for practice outcomes with regard to, but not limited to, AWVs, MRA, quality, financial metrics
• Work with management to turn negative outcomes into positive outcomes
• Drive and participate in regional programs guiding AWV completion, MRA, GPRO, etc.
• Track, research, and resolve provider issues in coordination with internal departments
• Be Available, Flexible, and Accessible to offices at all times
• Perform special projects as assigned

Knowledge, Skills, and Abilities Requirements:

• 1+ year of experience in Provider Relations, Network Management, or Provider Services within a medical office such as working in a clinical environment as a Medical Assistant, Front Desk, Office Management/Admin.
• Proven ability to effectively engage an audience and produce the desired change
• Excellent written and verbal communication skills
• Ability to master an industry
• Excitement around problem-solving with attention to detail
• Ability to manage time and identify opportunities to grow and excel as a team
• Strong computer skills with an understanding of G Suite - Gmail, Drive, Calendar, Docs, Sheets
• Review analytics and have excellent organizational skills
• High level of motivation
• Ability to
  • Travel up to 85% as needed. Must have reliable transportation, a valid driver's license, and vehicle insurance
  • Present in group settings as needed
  • Work independently and with a team
  • Meet strict deadlines
  • Work outside of regular business hours (as needed)
  • Coordinate across a matrix organizations
  • Communicate with physicians and business executives
  • Medicare Shared Savings Program knowledge/experience preferred

Compensation & Benefits

We offer a compensation w/bonus and a comprehensive benefits package:

• Medical, dental, vision, disability, and life
• 401k, with employer match
• Paid time off
• Paid holidays
• Monthly Auto Allowance
• Annual Bonus potential

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for their job. Duties, responsibilities, and activities may change at any time with or without notice.

We're an equal-opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.