Qureos Mentor

P3 Health Partners

<div><div>People. Passion. Purpose.</div>
<div>
At P3 Health Partners, our promise is to guide our communities to better health, unburden clinicians, align incentives and engage patients.

We are a physician-led organization relentless in our mission to overcome all obstacles by positively disrupting the business of health care, transforming it from sickness care into wellness guidance.

We are looking for a Provider Operations Coordinator. If you are passionate about your work; eager to have fun; and motivated to be part of a fast-growing organization in Arizona then you should consider joining our team.
<ul><li>Must be able to travel throughout Pima County.</li></ul>
</div>
Overall Purpose
The Provider Operations Coordinator (POC) role 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. The POC will oversee assigned affiliate groups, providing operational support to clinics to achieve their goals, which may include engaging with internal and external stakeholders with in-person and telephonic outreach to patients for education and engagement on preventative screenings, medication adherence, and follow-up with primary care providers. This position, depending on experience and education, may directly interact with patients to complete tasks for quality gap closure.

Roles and Responsibilities
<ul>
<li>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.</li>
<li>Advises and supports affiliate practices as needed with quality (HEDIS/HOS) gaps and conditional documentation by outreach, chart data mining / audits, claims surveillance, quality events (i.e., diabetic eye screening), educating practice employees, etc. Responsible for reviewing data collected to confirm gaps in care are captured.</li>
<li>Works with the affiliate practices on prioritizing patient outreach and assists affiliate practices with patient outreach and coordinating scheduling new and establish patients outreaching and scheduling patients for visits by finding appointment dates/times that meet patient needs and availability.</li>
<li>Partners with assigned groups and other P3 departments to manage high / rising risk patients by actively ensuring coordination of care across all healthcare services provided to the patient (hospital discharge, hospice, MRA, Care Management, Referrals, Quality, etc.)</li>
<li>Assists in CSR/IDT/JOC meeting preparation and participate in meetings as requested.</li>
<li>Conducts data entry and maintain appropriate documentation and tracking for quality initiatives.</li>
<li>Educates patients and affiliates on preventative screenings that are being scheduled/performed and the reason for performing them.</li>
<li>Depending on education and experience &ndash; conduct in home HEDIS gap closure for select measures such as blood pressures, diabetic eye exams, point of care hemoglobin a1c testing, distribution of colorectal screening kits.</li>
<li>Other duties as assigned.</li>
</ul>
 Knowledge, Skills, and Abilities
<ul>
<li>Excellent interpersonal, rapport/trust building, and communication skills with patients, providers, internal and external stakeholders.</li>
<li>Excellent organizational and time management skills.</li>
<li>Strong analytical, critical thinking, and problem-solving skills.</li>
<li>Ability to present information and obtain buy-in on recommendations.</li>
<li>Ability to handle a fast-paced environment and prioritize tasks based on importance.</li>
<li>Ability to work independently or as part of a team.</li>
<li>Dedication to maintaining the confidentiality of all patient records.</li>
<li>Knowledge of vital signs and other clinical skills related to direct patient care for quality gap closure.</li>
</ul>
Education and Experience
<ul>
<li>High school diploma/GED required, associate degree in related field or equivalent experience preferred.</li>
<li>2+ years experience in healthcare-related fields required, clinical health care related experience, managed care, or Healthplan experience strongly preferred.</li>
<li>Experience with Microsoft Word, Excel, Power Point, Outlook and general office equipment such as copier, fax machine, required.</li>
<li>Experience in Electronic Health Records required.</li>
<li>Medical Assistant Certification or experience as a Pharmacy Tech, Radiology Tech, Lab Tech or similar strongly preferred.</li>
<li>Experience with data mining preferred.</li>
<li>Medical terminology knowledge required, experience with CPT II codes preferred.</li>
<li>Current CPR Certification preferred.</li>
</ul>
Work Conditions
<ul>
<li>Availability to travel within assigned region and work from multiple providers offices up to 90% of work schedule.</li>
<li>Must have a valid driver&rsquo;s license, safe driving record, and able to furnish reliable transportation.</li>
</ul>
Physical Requirements
<ul>
<li>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, although the work may require occasional standing or walking and/or the lifting and carrying of small objects up to 25 pounds.</li>
</ul>
Pay Range - $20-25/hr
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities 
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.</div>

Provider Operations Coordinator - Tucson, AZ

<div><div>People. Passion. Purpose.</div>
<div>
At P3 Health Partners, our promise is to guide our communities to better health, unburden clinicians, align incentives and engage patients.

We are a physician-led organization relentless in our mission to overcome all obstacles by positively disrupting the business of health care, transforming it from sickness care into wellness guidance.

We are looking for a Provider Operations Coordinator. If you are passionate about your work; eager to have fun; and motivated to be part of a fast-growing organization, then you should consider joining our team.

Provider Operations Coordinator
</div>
Overall Purpose
The Provider Operations Coordinator (POC) role 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. The POC will oversee assigned affiliate groups, providing operational support to clinics to achieve their goals, which may include engaging with internal and external stakeholders with in-person and telephonic outreach to patients for education and engagement on preventative screenings, medication adherence, and follow-up with primary care providers. This position, depending on experience and education, may directly interact with patients to complete tasks for quality gap closure.

Roles and Responsibilities
<ul>
<li>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.</li>
<li>Advises and supports affiliate practices as needed with quality (HEDIS/HOS) gaps and conditional documentation by outreach, chart data mining / audits, claims surveillance, quality events (i.e., diabetic eye screening), educating practice employees, etc. Responsible for reviewing data collected to confirm gaps in care are captured.</li>
<li>Works with the affiliate practices on prioritizing patient outreach and assists affiliate practices with patient outreach and coordinating scheduling new and establish patients outreaching and scheduling patients for visits by finding appointment dates/times that meet patient needs and availability.</li>
<li>Partners with assigned groups and other P3 departments to manage high / rising risk patients by actively ensuring coordination of care across all healthcare services provided to the patient (hospital discharge, hospice, MRA, Care Management, Referrals, Quality, etc.)</li>
<li>Assists in CSR/IDT/JOC meeting preparation and participate in meetings as requested.</li>
<li>Conducts data entry and maintain appropriate documentation and tracking for quality initiatives.</li>
<li>Educates patients and affiliates on preventative screenings that are being scheduled/performed and the reason for performing them.</li>
<li>Depending on education and experience &ndash; conduct in home HEDIS gap closure for select measures such as blood pressures, diabetic eye exams, point of care hemoglobin a1c testing, distribution of colorectal screening kits.</li>
<li>Other duties as assigned.</li>
</ul>
 Knowledge, Skills, and Abilities
<ul>
<li>Excellent interpersonal, rapport/trust building, and communication skills with patients, providers, internal and external stakeholders.</li>
<li>Excellent organizational and time management skills.</li>
<li>Strong analytical, critical thinking, and problem-solving skills.</li>
<li>Ability to present information and obtain buy-in on recommendations.</li>
<li>Ability to handle a fast-paced environment and prioritize tasks based on importance.</li>
<li>Ability to work independently or as part of a team.</li>
<li>Dedication to maintaining the confidentiality of all patient records.</li>
<li>Knowledge of vital signs and other clinical skills related to direct patient care for quality gap closure.</li>
</ul>
Education and Experience
<ul>
<li>High school diploma/GED required, associate degree in related field or equivalent experience preferred.</li>
<li>2+ years experience in healthcare-related fields required, clinical health care related experience, managed care, or Healthplan experience strongly preferred.</li>
<li>Experience with Microsoft Word, Excel, Power Point, Outlook and general office equipment such as copier, fax machine, required.</li>
<li>Experience in Electronic Health Records required.</li>
<li>Medical Assistant Certification or experience as a Pharmacy Tech, Radiology Tech, Lab Tech or similar strongly preferred.</li>
<li>Experience with data mining preferred.</li>
<li>Medical terminology knowledge required, experience with CPT II codes preferred.</li>
<li>Current CPR Certification preferred.</li>
</ul>
Work Conditions
<ul>
<li>Availability to travel within assigned region and work from multiple providers offices up to 90% of work schedule.</li>
<li>Must have a valid driver&rsquo;s license, safe driving record, and able to furnish reliable transportation.</li>
</ul>
Physical Requirements
<ul>
<li>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, although the work may require occasional standing or walking and/or the lifting and carrying of small objects up to 25 pounds.</li>
</ul><h4 class="jobSectionHeader">
Licenses &amp; Certifications</h4>
Preferred<ul><li>
MA Certification</li></ul>
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities 
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.</div>

Provider Operations Coordinator - Eugene, OR

<div>People. Passion. Purpose.

At P3 Health Partners, our promise is to guide our communities to better health, unburden clinicians, align incentives and engage patients.

We are a physician-led organization relentless in our mission to overcome all obstacles by positively disrupting the business of health care, transforming it from sickness care into wellness guidance.

We are looking for a Quality Operations Coordinator. If you are passionate about your work; eager to have fun; and motivated to be part of a fast-growing organization, then you should consider joining our team.

Overall Purpose:

The Quality Operations Coordinator role is responsible of managing Quality operational support initiatives while overseeing special projects, with a focus on supporting HEDIS and Pharmacy gap closures. This position requires daily problem-solving, meticulous tracking, and coordination across departments to meet varying and changing requirements. The QOC will oversee assigned affiliate groups, providing Quality operational support to clinics to achieve their goals, which may include engaging with internal and external stakeholders with in-person and telephonic outreach to patients for education and engagement on preventative screenings, data mining, medication adherence, and follow-up with primary care providers. This position may directly interact with patients to complete tasks for quality gap closure.

The Quality Operations Coordinator will support the assigned market under the direction of the market VP with the assistance of the National Quality Manager.

Essential Functions:
<ul>
<li>Understands the principles of CMS, HEDIS, NCQA, Health Plan Quality Standards, CAHPS, HOS, and HIPAA</li>
<li>Provides support to the Quality Management Department by working with members and network providers to improve quality of care through quality activities such as HEDIS, CMS Star Rating, and other quality performance reporting</li>
<li>Provides telephonic outreach to patients, providers, and pharmacies to discuss opportunities for optimizing medication use or other opportunities for improvement of healthcare performance measure related issues</li>
<li>Improves patient experience and transitions for better healthcare outcomes through quality care</li>
<li>Participates in data collecting through medical record and claims surveillance</li>
<li>Works to maximize health plan and healthcare provider performance on healthcare related quality measures through effective telehealth communication with patients and coordination with patient caregivers, providers, and pharmacies.</li>
<li>Assists in planning, implementing, and executing projects to improve quality and delivery of care services</li>
<li>Using research and knowledge, identifies potential interventions to improve quality strategies</li>
<li>Participates in Quality Management meetings and other initiatives</li>
<li>Prepares quality information for presentation to affiliate groups, including groups current standings relative to others and opportunities or improvement</li>
<li>Point of Contact for provider groups designated by leader</li>
<li>Leads project management of Quality Fairs, Diabetic Days, and P3 events to maximize quality gap closure</li>
<li>Subject Matter Expert in P3 machines (diabetic eye camera, bone density machine, etc.)</li>
<li>Responds to health plan, provider and interdepartmental calls in accordance with exceptional customer service</li>
<li>Reviews provider group gap uploads through the P3 Provider portal</li>
<li>Other duties as assigned</li>
</ul>
Education and Experience:
<ul>
<li>High school diploma/GED required, associate degree in related field or equivalent experience preferred.</li>
<li>2+ years experience in healthcare-related fields required, clinical health care related experience, managed care, or Health plan experience strongly preferred.</li>
<li>Experience with Microsoft Word, Excel, Power Point, Outlook and general office equipment such as copier, fax machine, required.</li>
<li>Experience in Electronic Health Records required.</li>
<li>Medical Assistant Certification or experience as a Pharmacy Tech, Radiology Tech, Lab Tech or similar strongly preferred.</li>
<li>Experience with data mining is preferred.</li>
<li>Medical terminology knowledge required, experience with CPT II codes preferred.</li>
</ul>
Work Conditions
<ul>
<li>Availability to travel within assigned region and work from multiple providers offices as needed.</li>
<li>Must have a valid driver&rsquo;s license, safe driving record, and able to furnish reliable transportation.</li></ul> 
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities 
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.</div>

Healthcare HEDIS/Quality Operations Coordinator - Salem, OR

Join P3 Health Partners and explore 3   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

P3 Health Partners

ABOUT_COMPANY

Provider Operations Coordinator - Tucson, AZ

Provider Operations Coordinator - Eugene, OR

Healthcare HEDIS/Quality Operations Coordinator - Salem, OR