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Providence Program Manager in Beaverton, Oregon

Description:

Providence St. Joseph Health is calling a Representative Strategic Accounts to our location in Beaverton, OR.

We are seeking a Representative Strategic Accounts who will be responsible for engaging with provider groups in value-based contracts to share and interpret data in support of better health, better care, and lower total cost of care outcomes. Healthcare experience highly preferred. Such groups include: primary care, specialty, behavioral health, and facilities/organizational providers.

The Strategic Accounts Representative role is an opportunity for an mid-career professional interested in implementing an integrated, aggressive outreach strategy to support quality, risk adjustment, and efficiency performance among provider groups engaged in value-based payment arrangements. This position must be able to effectively work individually and as part of a team to articulate and coach provider partners in the complexities of value-based contracts, quality measures, risk adjustment strategies, and aid provider groups through the effective use of data reports.

As a member of the Strategic Accounts Management team, the Representative will be accountable for working with provider groups to achieve annual goals, evaluate progress to goal, identify/analyze emerging business needs, and conduct effective provider outreach and engagement for performance improvement.

In this position you will have the following responsibilities:

  • Support the development of annual plans for PHP strategic engagement with provider partners engaged in value-based contracts. Plan will include goals and evaluation of quality and risk capture to show impact of engagement efforts.

  • Engage key medical group leaders on a routine basis to jointly analyze and explore strategies for acting on PHP data reports. Approximately 50% of time will be spent in the field or in virtual meetings with provider groups. Must be a trusted and knowledgeable resource to partners on diverse topics and able to organize internal subject matter experts to provide technical expertise.

  • Collaborate with Coding, Quality, and Informatics teams to discern appropriate interventions for identified performance opportunities and enhancements to data sharing/reports.

  • Collaborate with Quality, Coding, and Provider Contracting to inform updates and evolution of value-based contracts.

  • Collaborate with Provider Relations, Medical Management, Pharmacy, Care Management, Behavioral Health, and Medical Directors to stay apprised of program and policy changes impacting provider partners.

Perform under minimal supervision with accountability for specific goals/objectives.

Qualifications:

Required qualifications for this position include:

  • Bachelor's Degree or 5 years of relevant experience in the health insurance industry.

  • Master's Degree or 5 years of relevant experience in health insurance industry.

  • 5 years Experience in project management, program evaluation, team facilitation, data analysis, and/or medical management.

  • 3 years Quality management/improvement experience; or risk adjustment experience.

  • Strong experience in Excel functions, PowerPoint presentations, including data visualization/graph/chart functions within these programs.

  • Ability to represent the company with external constituents.

  • Demonstrated analytical skills.

  • Possesses a high degree of initiative.

  • Develops and delivers effective presentations.

  • Ability to drive multiple projects to successful completion.

Preferred qualifications for this position include:

  • Healthcare experience highly preferred

About Providence in Oregon

As the largest healthcare system and largest private employer in Oregon, Providence offers exceptional work environments and unparalleled career opportunities.

The Providence Experience begins each time our patients or their families have an encounter with a Providence team member and continues throughout their visit or stay. Whether you provide direct or indirect patient care, we want our patients to feel that they are in a welcoming place where they can be comfortable and free from anxiety. Our employees create the Providence Experience through simple, caring behaviors such as acknowledging and welcoming each visitor, introducing ourselves and Providence, addressing people by name, providing the duration of estimated wait times and updating frequently if timelines change, explaining situations in a way that puts patients at ease, carefully listening to their concerns, and always thanking people for trusting Providence for their healthcare needs. At Providence, our quality vision is simple,

"Providence will provide the best care and service to every person, every time."

Providence is consistently ranked among the top 100 companies to work for in Oregon. It is also home to two of our award-winning Magnet medical centers. Providence hospitals and clinics are located in numerous areas, ranging from the Columbia Gorge to the wine country to sunny southern Oregon to charming coastal communities to the urban setting of Portland. If you want a vibrant lifestyle while working with a team highly committed to the art of healing, choose from our many options in Oregon.

For information on our comprehensive range of benefits, visit:

http://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Quality/Risk/Safety (Non-Clinical)

Location: Oregon-Beaverton

Req ID: 275684

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