Job Details

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Position:
Sr. Provider Services Liaison

Position Summary:
Acts as a subject matter expert and improves physician and team understanding of health plan operations and overall engagement with the health plan across one or more market. Establishes significant "mindshare" at all levels within our physician partners by demonstrating and fostering the collaborative relationship we seek with them. Responsible for enabling, encouraging, and influencing our physicians to be compliant marketers of our health plan. Plays a critical role in fortifying the collaborative relationship with our physicians at the practice level.

Job Description:

Primary Responsibilities

• Creates and fosters strong relationships with physicians and their teams/partners that help influence desired behaviors.
• Acts as the primary point of contact for health plan operations for one or more markets. Responsible for impacting resulting by cultivating a collaborative and influential relationships with each physician/partner.
• Advocates for the needs of physician practices and partners cross-functionally to improve provider engagement and success.
• Maintains thorough knowledge of EHI/Lumeris, operating practices, and various practice workflows. Provides valuable insight to providers and acts as a catalyst to further goals and strategy.
• Serves as a liaison for specialists and ancillary providers, including providing welcome packets/outreach calls, handling escalated problems (plan, member, or PCP), and planning/providing/assisting with orientation, provider portal training, and/or documentation and coding education.
• Responds to internal requests (charts, audits, grievances, etc.) and Provider Engagement email bucket.
• Acts as a senior resource in the support or co-guiding of programs being offered (such as EE and IHA).
• Assists with AEP materials annually and other projects as needed.
• Acts as primary point of contact for advanced medical groups without an assigned PHM. Functions as the PHM and meets the needs of assigned medical groups.
• Trains, coaches, and supports junior team members.

Qualifications

• Bachelor's Degree in Healthcare Administration, Business Administration, or other related field or equivalent
• 5+ years of relevant experience or the knowledge, skills, and abilities to succeed in the role
• Thorough understanding of the change management cycle and healthcare industry current trends
• Strong knowledge of 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
• Strong client-facing, collaboration, interpersonal, relationship building skills with the ability to foster relationships at all levels
• Ability to impact results in a fast-paced and dynamic environment
• Strong critical thinking and problem-solving skills, including the proven ability to understand and utilize healthcare metrics
• Sharp team-work, communication, and presentation skills with the ability to effectively communicate and guide complex client interactions at all levels internally and externally
• Skilled at training and coaching

Preferred

• Master's Degree

Working Conditions

• While performing the duties of this job, the employee works in normal office working conditions.

Disclaimer

• The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities, duties and skills required. The physical activities, demands and working conditions represent those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job duties and responsibilities.

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

The hiring range for this position is:
$63,600.00-$84,300.00

Factors that may be used to determine your actual pay rate include your specific skills, experience, qualifications, location, and comparison to other employees already in this role. This role may also be eligible for incentive compensation. At Lumeris, we are committed to providing a total rewards package that supports your overall well-being. Our benefits include medical, vision, dental, well-being programs, 401(k) with company matching, life insurance, paid time off including paid leave, and so much more. Learn more by visiting our Careers Page.

Member Facing Position:
No- Not Member or Patient Facing Position

Location:
Missouri

Time Type:
Full time

Lumeris and its partners are committed to protecting our high-risk members & prospects when conducting business in-person. All personnel who interact with at-risk members or prospects are required to have completed, at a minimum, the initial series of an approved COVID-19 vaccine. If this role has been identified as member-facing, proof of vaccination will be required as a condition of employment.