Practice Liaison

Practice Liaison

Requirements

• 2-4 years of experience working in a customer facing operational role in healthcare setting (provider or payer).
• Understanding of the operations of a primary care medical practice including scheduling, billing, staffing, pre-visit planning, and post-visit documentation.
• Familiarity with conventional fee-for-service payment methodologies
• Familiarity with alterative and value-based payment methodologies
• Familiarity with organizational change management processes
• Familiarity with the Health Effectiveness Data and Information Set (HEDIS) measures of effectiveness of care, access & availability of care, and utilization
• Familiarity with risk adjustment methodologies including Hierarchical Condition Categories (HCCs) and All Patient Refined Diagnostic Related Groups (AR-DRGs)
• A bachelor’s degree or equivalent in business, management, healthcare policy, healthcare administration or a related field.
• Experience working in a healthcare organization implementing tools, techniques, or processes related to alternative or value-based payment methodologies.
• Ability to utilize operational reports and dashboards to understand practice level trends in engagement and performance.

Responsibilities

• Jointly with Network Development Representatives, establish relationships with practices following initial network contracting.
• Lead the new practice onboarding process, including development of the practice onboarding plan, scheduling and delivering all new practice trainings, and arranging practice access to Diverge Health technology solutions.
• Provide education and training to clinicians and practice staff in the areas of value-based care, Diverge Health’s practice incentive plan, and quality and risk adjustment best practices for Medicaid (and other lines of business in some markets).
• In collaboration with practice leadership develop strategic and operational initiatives to drive value-based transformation improved quality and efficiency practice performance.
• Facilitate ongoing practice access to all Diverge Health resources, including both people (e.g. Medical Directors, Care Team members, etc.) and technology solutions.
• Facilitate regular communication between the practice and the Care Team regarding patient care plans developed by Diverge Health for the practice’s patients.
• Jointly with the Market Medical Director, deliver Explanations of Payment for Diverge Health’s practice incentive program, and to facilitate quarterly practice performance management conversations between the practice and Medical Director.
• Update and maintain each participating practice’s provider roster, contact information and communications plan, and practice profile in Diverge Health’s internal customer relationship management system.

Preferred Qualifications

• A graduate or professional degree in business, management, healthcare policy, healthcare administration or a related field.
• 2+ years experience with a value based care company