Practice Advocate, Senior-1

Company: DaVita Medical Group
Location: Tacoma
Posted on: January 17, 2020

Job Description:

JOB DESCRIPTION Senior Practice Support Advocate Department : CHAPs & Quality Status : Regular Full-time, Exempt Location : Tacoma, WA Reports to : Practice Advocate Manager POSITION OVERVIEW Responsible to support the  relationship with Northwest Physicians Network (NPN)  providers and practice staff with an emphasis on working externally with participating providers and their staff.  Responsible to educate, engage with, and advocate on behalf of providers and practices as valuable network partners within an assigned region.  The Senior Practice Support Advocate will apply continuous education, training, and support to Network providers and their staff and will act as a resource and support other advocates within the functional area. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Serves as a single-point-of-contact to the Network and is an accountable owner who is responsive to Network provider and practice needs Facilitates the transition of new clinics from onboarding from the network development team into daily operations and ongoing quality performance improvement Facilitates practice engagement in the following areas: Comprehensive Health Assessment Programs (CHAPs) Performance & Compliance Action Plans for Clinical Quality Performance Improvement Education of Utilization and Care Management Initiatives Troubleshooting of claims and prior authorization issues Education of the Physician Quality Incentive Program (PQIP) Builds continuous and collaborative relationships with NPN providers and their office staff Adheres to a scheduled cadence for touchpoints and ensures that agreed upon agenda is followed and action items are documented and tracked including: Minimum of once a month touch points with all assigned primary care practices to include discussions on performance reporting with practice staff and/or providers Facilitation, including the compilation of presentation materials and scheduling, for quarterly Joint Operating Committees (JOCs) Works closely with all functional areas within NPN to deliver clear communications, education, and exemplary service across the NPN Network Works across all functional areas to appropriately research, triage, and escalate complex queries from clinics in need of increased attention to reach a point of resolution Responsible for coordinating/co-developing provider orientations and onboarding for new Network providers Monitors performance of assigned primary care providers (PCPs), identifies low performing PCPs, and works with teammates and NPN Leadership to develop action plan/s for specific metrics needing improvement Works with the provider and practice office staff to effectuate action plan and monitors progress, intervenes, and escalates issues or concerns as appropriate Knowledgeable about the various quality measures and improvement programs, and educates providers and practices on how to improve performance Supports and assists practices to earn the maximum bonus potential related to CHAPs, clinical quality, and patient satisfaction measures Documents, tracks, triages, and follows and/or closes issues in a timely manner. Expected response time is within one (1) business day for provider issues to include updating providers and their office staff regularly until there is resolution Proactive approach to identify issues and determining root cause/s so issues can be resolved timely and completely; escalates issues as appropriate to Director or key Leadership staff Represents NPN at community and other provider meetings Regularly collects and reports feedback and recommendations from practices regarding potential opportunities Maintains awareness of providers interested in further engagement with NPN for new business opportunities, including market insights that would impact the Network and NPN Maintains, utilizes, protects, and discloses NPN patient’s protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPPA) standards Performs other duties as assigned KNOWLEDGE, SKILLS AND ABILITIES General knowledge of Medicare and Medicaid risk-based contracts Knowledgeable in the various quality measures, incentive, and provider relations offerings Ability to judge appropriate information to be conveyed to different levels of management Strong interpersonal skills with the ability to maintain collaborative working relationships at all levels of the organization Ability to prioritize and organize work to meet multiple deadlines and quickly re-prioritize when necessary Excellent verbal, written and presentation skills Promote a positive “Can Do” attitude which inspires other team members Ability to take initiative, handle complex situations, ask questions and escalate issues as may be required Excellent computer skills, including MS Office Suite with the ability to learn and apply new software Ability to work accurately with detail Ability to obtain and retain knowledge of cross functional resources within the organization Ability to work effective under deadlines, frequent interruptions, and changing priorities MINIMUM QUALIFICATIONS Education: Bachelor’s degree in Business Administration or equivalent work experience required Master’s Degree Preferred Experience: Minimum of 3 years working in Primary Care Administration, with a focus on Provider Engagement and Quality Improvement Minimum of 7 years of Healthcare Experience Certification/License: Required Clinical Experience; i.e. RN, LPN, MA, RT, RPh, RPT, etc. Current Driver’s License EQUIPMENT USED Office equipment, computer, personal vehicle MENTAL & PHYSICAL DEMANDS/WORKING CONDITIONS Mental Effort: Must be able to work effectively as a member of NPN team; work is detailed and complex with multiple competing priorities, deadlines and internal and external customers Physical Requirements: Work is primarily in office environment requiring ability to see and hear and communicate; frequently requires operation of personal vehicle Working Conditions: Work is performed both in an office setting and onsite at local area medical practices; noise level may be moderate or loud on occasion; work may be required outside normal business hours

Keywords: DaVita Medical Group, Tacoma , Practice Advocate, Senior-1, Other , Tacoma, Washington