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Director of Medicare Risk Adjustment/Provider Engagement

Company: P3 Health Group Management, LLC
Location: Tucson
Posted on: April 8, 2021

Job Description:

Director of Medicare Risk Adjustment/Provider Engagement 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 Director of MRA/Provider Engagement. If you are passionate about your work; eager to have fun; and motivated to be part of a fast-growing organization in Tucson, Arizona, then you should consider joining our team. Director of MRA/Provider Engagement Overall Purpose: We are looking for a Director of MRA/Provider Engagement. If you are passionate about your work, eager to have fun; and motivated to be part of a fast-growing national organization, then consider joining our team! This role will support the oversight and management of all aspects of the MRA team, managing the design, development and execution of program workplans by provider group; tracking market Key Action Items (KAIs) to goal; and identifying and implementing efficiency strategies associated with processes without compromising the high quality and integrity of project outcomes. Education and Experience:

  • Successful completion of Coding Certificate program from an accredited organization (i.e. CPC, CRC, CPMA from AAPC, or CCS, CCS-P from AHIMA), with 3-5 years of professional coding experience
  • Two years of Audit and/or Physician education experience
  • Two years of public speaking, talent development and/or training experience
  • Direct experience in understanding and implementing Medicare Risk Adjustment (HCC) coding compliance rules and regulations
  • Experienced with effective physician/provider collaborative training to support workflow adjustments to improve clinical coding qualify Essential Functions:
    • Ensure Provider Engagement Specialists are building relationships with internal and external customers, providing superior customer service while managing expectations
    • Assist in developing the MRA operational goals and metrics, in support of the organization's strategy
    • Collaborate with other organizational leaders to identify emerging needs and rally around solutions in provider engagement
    • Develop and maintain working relationships with Health Plans, Contracted Partners (Chart collection, Retrospective & Prospective Reviews, In Home Assessments) and external contacts as appropriate
    • Identify and resolve issues that negatively impact the ability to deliver effective, high-quality health care
    • Develop and build clinician loyalty, drive clinician engagement, and strengthens the relationship between P3 and the clinician/staff
    • Promote and market P3 population health management programs and services to clinicians and/or office staff.
    • Ensure MRA team develops, documents, maintains and updates policies and procedures
    • Ensure all deadlines and turnaround times set by department director are met
    • Ensure Provider Engagement Specialist team is trained on MRA policies and procedures and cross-trained within the team, facilitating stability of the department's effectiveness
    • Ability to work with multiple internal partners at various levels of the organization EQUAL OPPORTUNITY EMPLOYER 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. DIVERSITY & INCLUSION At P3, we recognize and appreciate the importance of creating an environment in which all team members feel valued, included, and empowered to do their best work and bring great ideas to the table Every P3 family member's unique experiences, perspectives, and viewpoints are valued and support our ability to deliver the best possible experience for our patients, providers, payers, partners, and each other. The following questions are entirely optional. To comply with government Equal Employment Opportunity and/or Affirmative Action reporting regulations, we are requesting (but NOT requiring) that you enter this personal data. This information will not be used in connection with any employment decisions, and will be used solely as permitted by state and federal law. Your voluntary cooperation would be appreciated. Learn more . Invitation for Job Applicants to Self-Identify as a U.S. Veteran
      • A "disabled veteran" is one of the following:
        • a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or
        • a person who was discharged or released from active duty because of a service-connected disability.
        • A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.
        • An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.
        • An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985. I IDENTIFY AS ONE OR MORE OF THE CLASSIFICATIONS OF PROTECTED VETERAN LISTED ABOVE
          I AM NOT A PROTECTED VETERAN
          I DON'T WISH TO ANSWER Voluntary Self-Identification of Disability Voluntary Self-Identification of Disability Form CC-305
          OMB Control Number 1250-0005
          Expires 5/31/2023 Why are you being asked to complete this form? We are a federal contractor or subcontractor required by law to provide equal employment opportunity to qualified people with disabilities. We are also required to measure our progress toward having at least 7% of our workforce be individuals with disabilities. To do this, we must ask applicants and employees if they have a disability or have ever had a disability. Because a person may become disabled at any time, we ask all of our employees to update their information at least every five years. Identifying yourself as an individual with a disability is voluntary, and we hope that you will choose to do so. Your answer will be maintained confidentially and not be seen by selecting officials or anyone else involved in making personnel decisions. Completing the form will not negatively impact you in any way, regardless of whether you have self-identified in the past. For more information about this form or the equal employment obligations of federal contractors under Section 503 of the Rehabilitation Act, visit the U.S. Department of Labor's Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp . How do you know if you have a disability? You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition. Disabilities include, but are not limited to:
          • Autism
          • Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, or HIV/AIDS
          • Blind or low vision
          • Cancer
          • Cardiovascular or heart disease
          • Celiac disease
          • Cerebral palsy
          • Deaf or hard of hearing
          • Depression or anxiety
          • Diabetes
          • Epilepsy
          • Gastrointestinal disorders, for example, Crohn's Disease, or irritable bowel syndrome
          • Missing limbs or partially missing limbs
          • Nervous system condition for example, migraine headaches, Parkinson's disease, or Multiple sclerosis (MS)
          • Psychiatric condition, for example, bipolar disorder, schizophrenia, PTSD, or major depression Please check one of the boxes below: YES, I HAVE A DISABILITY, OR HAVE A HISTORY/RECORD OF HAVING A DISABILITY NO, I DON'T HAVE A DISABILITY, OR A HISTORY/RECORD OF HAVING A DISABILITY I DON'T WISH TO ANSWER PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.

Keywords: P3 Health Group Management, LLC, Tucson , Director of Medicare Risk Adjustment/Provider Engagement, Executive , Tucson, Arizona

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