Provider Operations Coordinator - Medford
At P3 Health Partners, our promise is to guide our communities to better health, unburse clinicians, align incentives, and engage patients. We are a physician-led organization focused on transforming healthcare from sickness care into wellness guidance. If you are passionate about your work, eager to have fun, and motivated to be part of a fast-growing organization, consider joining our team. This role is 100% onsite and requires travel throughout Jackson and Josephine Counties.
About the role
The Provider Operations Coordinator (POC) 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.
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.
- Advise and support affiliate practices with quality (HEDIS/HOS) gaps and conditional documentation through outreach, chart data mining/audits, claims surveillance, quality events (e.g., diabetic eye screening), and educating practice employees.
- Review data collected to confirm gaps in care are captured.
- Work with affiliate practices on prioritizing patient outreach and assist with coordinating scheduling for new and established patients, ensuring appointment dates/times meet patient needs and availability.
- Partner with assigned groups and other P3 departments to manage high/rising risk patients by actively ensuring coordination of care across all healthcare services (hospital discharge, hospice, MRA, Care Management, Referrals, Quality, etc.).
- Assist in CSR/IDT/JOC meeting preparation and participate in meetings as requested.
- Conduct data entry and maintain appropriate documentation and tracking for quality initiatives.
- Educate patients and affiliates on preventative screenings and their importance.
- 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, and distribution of colorectal screening kits.
- Perform other duties as assigned.
Requirements
- High school diploma/GED required; associate degree in a related field or equivalent experience preferred.
- 2+ years of experience in healthcare-related fields required; clinical healthcare, managed care, or Healthplan experience strongly preferred.
- Experience with Microsoft Word, Excel, PowerPoint, Outlook, and general office equipment such as copier and fax machine.
- Experience with Electronic Health Records (EHR) required.
- Medical Assistant Certification or experience as a Pharmacy Tech, Radiology Tech, Lab Tech, or similar strongly preferred.
- Experience with data mining preferred.
- Knowledge of medical terminology required; experience with CPT II codes preferred.
- Current CPR Certification preferred.
- Availability to travel within assigned region and work from multiple provider offices up to 90% of the work schedule.
- Must have a valid driver’s license, safe driving record, and reliable transportation.
Skills
- Excellent interpersonal, rapport/trust-building, and communication skills with patients, providers, and internal/external stakeholders.
- Strong 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.
Work Conditions
- 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, though occasional standing, walking, and lifting/carrying of small objects up to 25 pounds may be required.
Pay
$22–30/hour
Schedule
8:00 AM–5:00 PM, Monday–Friday