TacomaRecruiter Since 2001
the smart solution for Tacoma jobs

Practice Advocate

Company: Optum
Location: Tacoma
Posted on: October 17, 2020

Job Description:

Practice Advocate

Northwest Physicians Network is now offering qualified candidates an opportunity to join our team as a Practice Advocate . Our company values innovative problem solvers promote personal and professional growth and provides a supportive working environment that affords all of its employees a healthy work/life balance.

This position is responsible for engaging and supporting the relationship with Northwest Physicians Network (NPN) providers and practice staff who are valuable Network partners. Drives Network performance in population health and managed care (including quality, care management, and utilization “total cost of care” management) with the ultimate goal of improving patient care and provider experience.  Serves as a change agent to drive performance on key metrics and leading indicators, proactively utilizing data/analytics as well as firsthand knowledge procured from strong relationships with Network practices.  Primary focus is on small and medium size clinics within the Network.

Northwest Physicians Network creates the opportunity for independent private practitioners to thrive in Washington State. By providing clinical integration support and data driven quality improvement, we have created a high value delivery network, making it possible for our providers to remain focused squarely on their patients.

Status: Regular, Full-time, FLSA Exempt

Competitive Benefits

Essential Functions and Responsibilities:

Primary Scope

Serves as a single-point-of-contact and relationship owner to the IPA Network practices; is an accountable owner who is responsive to Network provider and practice needs

Builds continuous and collaborative relationships with NPN providers and their practice staff

Advocate uses data to identify trends and opportunities for the business and clients; develops business strategies in line with company strategic initiatives and presents information for operational and business planning

The Practice Advocate is paired with a Network Medical Director clinical dyad partner. Dyad is responsible for partnering with Network practices to implement individualized performance strategy initiatives and goals for region of responsibility.  Monitors progress, intervenes, and escalates issues or concerns as appropriate

Co-leads regular joint operating committee (“JOC”) meetings with large medical groups.  Provides executive level summaries, education, and action plans to identify performance opportunities on population health KPIs

Works collaboratively with the Network Development team to onboard new practices and integrate them into daily operations

Facilitates practice engagement in the following areas: Action plans for risk adjustment and clinical quality performance improvement

Shifting providers from a fee-for-service focus to value-based models of care

Education of utilization and care management initiatives

Submission of patient documentation

Compliance education

Troubleshooting of claims and prior authorization issues

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 quarter touch points with Network 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 to the NPN Network practices

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

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:

Strong interpersonal skills with the ability to maintain collaborative working relationships at all levels of the organization required

Ability to prioritize and organize work to meet multiple deadlines and quickly re-prioritize when necessary

Ability to work independently, use good judgment and decision-making process

Ability to resolve problems to completion and evaluate options to implement solutions. Proactive approach to identify issues and determining root cause/s so issues can be resolved timely and completely

Ability to document, track, triage, and follow and/or close 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 resolution

Ability to work effectively under deadlines, frequent interruptions, and changing priorities

Travel 50% of the time to geographic region of responsibility

Ability to adopt quickly to change in an ever-changing environment

General knowledge of Medicare and Medicaid risk-based contracts

Risk adjustment experience strongly recommended

Strong work ethic and desire to succeed

Ability to sit down with medical groups of all sizes and develop joint action/work plans

Excellent oral and written communication skills; experience giving group presentations/training

Ability to judge appropriate information to be conveyed to different levels of management

Promote a positive “can do” attitude which inspires other team members

Excellent computer skills, including MS Office Suite and data analysis 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

Minimum Qualifications:

Education:          Associate’s degree in related field required. (Two additional years of comparable work experience beyond the required years of experience may be substituted in lieu of an Associate’s degree). Bachelor’s Degree preferred with a significant understanding of medical care financing and delivery systems, provider contracting, reimbursement arrangements and network management.

Experience:        Minimum of 3 years working directly within a Health Care and/or Managed Health Care (HMO) field, including provider relations or related experience in a physician’s practice, clinic environment, or performance or quality improvement

Keywords: Optum, Tacoma , Practice Advocate, Other , Tacoma, Washington

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Other Jobs


Pediatric Dentist- Guaranteed Comp,up to $25K for Relo & Sign on
Description: JOB TITLE: Pediatric Dentist REPORTS TO: Regional Dental Director FLSA: Exempt Welcome to Preventistry We are revolutionizing oral health for everyone by redefining prevention and care. A more (more...)
Company: Advantage Dental
Location: Sammamish
Posted on: 10/26/2020

Seasonal Personal Vehicle Package Driver
Description: Job Description Up to 30.00/hr paid weekly for seasonal personal vehicle drivers As
Company: United Parcel Service
Location: Redmond
Posted on: 10/26/2020

Order Picker
Description: Order Picker Sammamish, Washington, US 317757157 Up to 21.00/hr. paid weekly for Package Handlers Shift: Sunrise 3:00 AM - 9:30 AM WAREHOUSE WORKER PACKAGE HANDLER Find out what
Company: UPS
Location: Sammamish
Posted on: 10/26/2020


Warehouse Worker
Description: Up to 21.00/hr. paid weekly for Package Handlers Shift: Sunrise 3:00 AM - 9:30 AM WAREHOUSE WORKER PACKAGE HANDLER Find out what youll become as a Package Handler
Company: United Parcel Service
Location: Sammamish
Posted on: 10/26/2020

Lift Operator
Description: Overview br br The Summit at Snoqualmie: Seattle's Home Mountain br br Just an hour from Seattle on Interstate-90, The Summit at Snoqualmie and Alpental re-define convenience, variety, and (more...)
Company: Boyne Resorts
Location: Redmond
Posted on: 10/26/2020

Customer Service/Sales
Description: Job DescriptionPosition Purpose: br Customer Service/Sales associates provide fast, friendly service by actively seeking out customers to assess their needs and provide assistance. These associates
Company: The Home Depot
Location: Redmond
Posted on: 10/26/2020

Indirect Fire Infantryman
Description: As an Army National Guard Indirect Fire Infantryman, you'll be in charge of the Infantry's most powerful weapon ndash the mortar. As part of a mortar squad, section, or platoon, you will perform challenging (more...)
Company: Army National Guard
Location: Redmond
Posted on: 10/26/2020

Material Handler
Description: Material Handler Sammamish, Washington, US 317757180 Up to 21.00/hr. paid weekly for Package Handlers Shift: Sunrise 3:00 AM - 9:30 AM WAREHOUSE WORKER PACKAGE HANDLER Find out what
Company: UPS
Location: Sammamish
Posted on: 10/26/2020

CDL-A Company Truck Driver
Description: Job Description Drive With Pride And Enjoy Strong Earnings For Today And Tomorrow Founded
Company: Pride Transport
Location: Redmond
Posted on: 10/26/2020

General Dentist
Description: JOB TITLE: General Dentist REPORTS TO: Lead Dentist/Regional Dental Director FLSA: Exempt JOB SUMMARY: The General Dentist, reporting to the Lead Dentist or Regional Dental Director, provides general (more...)
Company: Advantage Dental
Location: Sammamish
Posted on: 10/26/2020

Log In or Create An Account

Get the latest Washington jobs by following @recnetWA on Twitter!

Tacoma RSS job feeds