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Provider Support Specialist

Company: Healthy Partners
Location: Palm Bay
Posted on: November 19, 2022

Job Description:

Overview:At Healthy Partners powered by Cano Health, our culture is a "family of families", growing stronger together to improve the lives of our patients, communities, and our associates. A culture that succeeds because of the hearts and minds of our people. Our values and guiding principles transform our lives with purpose and passion, becoming one focused source of hopeful change. A leadership culture that cultivates and empowers our people to gain ownership for their contributions and success. The Cano Movement is proof of what everyday people with a passion for health care can accomplish together.At Healthy Partners you will be part of a collaborative team, dedicated to the pursuit of health & wellness excellence.Healthy Partners offers competitive salaries, medical, dental & vision insurance, employee mental health program, paid time off, paid holidays, 401(k) with employer match, employee stock purchase program, tuition reimbursement and much more.The Provider Support Specialist provides utilization oversight, MRA and HEDIS support with a goal of helping physician offices to gain and maintain profitability for Cano Health medical centers and affiliated offices.Responsibilities:--- Building relationships with providers and staffo Through consistent phone calls and office visits (re: utilization information review, system training, customer service-related inquiries, sharing current and relevant information, etc.).o Frequent travel to health center locations.o Effect change and produce positive results for Cano Health centers to strengthen and support long term successful relationship.o Overcome roadblocks and resistance to change through effective and consistent communication.--- Utilize systems to review pertinent utilization data and educate providers and provider's staff on utilization and correct application of best practiceso Understand and explain existing reports and provide new reports and tools, as needed.o Provide system training to provider and staff.--- Work with Coding & Billing and HEDIS teams to ensure coding is being documented appropriately and HEDIS gaps are being closed.o Develop strategies for improving all aspects of market performance including Medicare risk, HEDIS and medication management.o Support provider and staff in closing MRA and HEDIS gaps--- Assist Cano Health in the oversight of membership growth strategieso Identify membership trendso Identify patients that may benefit from a Medicare Advantage Plano Communicate with business development team to provide support and data relevant to membership growth goalso Compile performance metrics, bonus performances and review regularly with providers.Qualifications:--- Bachelor's degree in related field or equivalent work experience preferred--- 3-5 years of health care experience, preferably working with Medicare--- 1-2 years EMR/EHR system experienceCano Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

Keywords: Healthy Partners, Palm Bay , Provider Support Specialist, Other , Palm Bay, Florida

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