Job Description:

- This role will require some local travel to physician clinics or other sites. As a result, candidates who reside within the state of Utah are preferred.

-Position is remote to Utah residents only and will require some travel as stated above

Job Essentials

1. Coordinates the onboarding process for newly participating clinics: educates clinics on program requirements, performs gap analysis exercise with clinic representatives, meets regularly with clinic leaders to obtain updates on implementation, progress to goals, medical home focus projects and facilitates issue/barrier resolution.
2. Reviews and ensures accuracy of contract documentation and exhibits for providers who participate in medical home and pay-for-performance programs. Files contract documents with provider contracting and other departments as needed.
3. Develops and maintains system databases for tracking and reporting of providers, provider compliance and assignments.
4. Reviews and analyzes goal tracking reports throughout the year. Provides statistics on clinics not meeting goals provides recommendations for interventions with clinics as needed.
5. Provides testing and quality assurance support to reporting for medical home related reports. Provides reports to providers as needed.
6. Provides feedback and support in the payout process. Pulls final rates for compliance reviews and gives recommendations and updates on clinic's goals progress. Ensures timely payments by workings with finance and provider relations to complete payments to eligible providers.
7. Oversees information tracking related to program opt out process, audits and ensures accurate information in appropriate systems. Provides expertise and support regarding program participation and clarification of program components. Supports and provides follow-up on GAP resolution plans for clinics.
8. Researches data correction requests and enters corrections into data systems per compliance guidelines. Provides education and coaching on corrections and the corrections process to provider offices.
9. Oversees multiple databases and documentation repositories which provide access and information of providers and ensures information is accurate and updated. Audits and reviews accuracy of provider list databases. Coordinates with multiple departments and clinics to ensure updated provider and clinic information.
10. Works with high level professionals to oversee and coordinate best practice meetings and internal Intermountain/SH strategic planning meetings. Oversees the coordination, accuracy, and timely distribution of materials as needed.
11. Prepares contract documentations for providers who participate in medical home and pay-for-performance programs. Ensures accuracy of contract exhibits. Files contract documents with provider contracting and other departments.
12. Provides report education and distribution to providers per contractual obligations. Researches connectivity and access issues and responds back to providers to ensure educational compliance standards are met.
13. Provides support to Medical Home Consultants as needed. May perform chart audits related to provider pay-for-performance programs to ensure compliance to program requirements.

Minimum Qualifications
Bachelor's degree. Degree must be obtained through an accredited institution, which will be verified.
- or -
Four years applicable operations, project, or program management experience such as managing a medium size team, or multiple scope projects.
- and -
Two years project related work experience.
- and -
Demonstrated intermediate level experience with computer system applications including spreadsheet, word processing, and database applications.
- and -
Demonstrated analytical, organizational, and communication skills.

Preferred Qualifications
Experience working with outpatient primary care clinics.
- and -
Project Management experience.
- and -
Ability to analyze and interpret data.

Physical Requirements:

Manual dexterity, hearing, seeing, speaking.

Location:

Work City:

Work State:

Scheduled Weekly Hours:

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits package and our commitment to diversity, equity, and inclusion .