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Position:

Market Manager, Provider Engagement

Position Summary:

The Market Manager, Provider Engagement is responsible for improving Accountable Care Team (Provider) engagement. This position will establish significant “mindshare” within our Accountable Care Team partners including: physicians, nurses, administrative staff and management. This position will drive awareness, adoption and utilization of ADSP related quality and service offerings. They will work to positively influence ACT behavior empowering value based care, quality and cost & utilization. This person will play a critical role in fortifying the collaborative relationship we seek to establish with our physicians at the practice or clinic level.

Job Description:

Position and Responsibilities:

• Practice transformation including practice observations, review of findings, best practice recommendations related to a practice’s readiness for value-based care
• Coaching on pre-visit planning and closure of gaps in care
• High-risk patient follow-up (after inpatient discharge, after ER visit, for complex cases)
• Enhanced access to care and referral network optimization
• Identification of pharmacy management opportunities (promoting generics, medication adherence, step therapy)
• Comprehensive and accurate documentation and coding of risk-adjusted patient populations to ensure appropriate risk score and revenue capture
• Development and implementation of initiatives to improve performance against value-based contract metrics
• Establishing strong personal relationships with Accountable Care Teams: physicians, nurses, administrative staff and management.
• Developing and delivering programs, training, and adoption to client
• Responsible for deliverables of client engagements, including project timelines and logistics
• Providing subject-matter expertise in program development and solution packaging
• Keeping abreast of current industry, market, and policy landscape

Experience, Qualifications and Education

• Minimum of 5 years of client-facing experience within the healthcare domain and experience working with physician practices including; provider relations, provider education, practice transformation and/or practice management
• Demonstrated change management expertise
• Demonstrated subject matter expertise in any of the following areas: Medicare advantage, Medicare Shared Savings Program (MSSP), managed care regulations, quality reporting, care management, population management, ACO strategy implementation and operations, and supporting providers in risk based contracts.
• Strategic and entrepreneurial outlook with strong collaborations skills
• Ability to operate independently and lead complex client interactions at C-level
• Ability to operate in a fast-paced and dynamic environment
• Team player, excellent communication skills
• Demonstrated understanding of healthcare metrics and use of analytical skills
• Extensive knowledge of the U.S. healthcare system
• Exceptional client-facing skills
• Excellent presentation skills

Lumeris is an EEO/AA employer M/F/V/D.

Location:

Edison, NJ, Jersey City, NJ, Newark, NJ, New Brunswick, NJ

Time Type:

Full time