Prefercare Engagement Specialist Team Lead

As an Engagement Specialist Team Leader, your primary responsibility will be to partner with primary care practices, their practice teams, clinicians, and office management teams to excel in successful value-based care delivery to their patients for better health outcomes at lower overall costs.

This role requires a personable activator with a special combination of creative problem-solving and collaborative skills to effectively navigate between and among patients, healthcare teams, and external partners to support patient engagement that truly makes a difference.

The Engagement Specialist Team Leader has a unique perspective on the effective delivery of PreferCare's fundamental value of enabling our physician partners to achieve true value-based care. Your unique perspective is achieved through daily and close collaboration with the physician practice's team, reviewing PreferCare-generated data that provides insights and recommendations for physician practices to optimize care delivery and enhance patient experience. You'll analyze the results of PreferCare reports and help the practices with action plans to maintain and improve their results. You will also support the training and supervision of PreferCare's Engagement Specialist team. Your unique role and close relationship with physician practice teams will allow you to quickly identify barriers to achieving program benefits and to achieving PreferCare Key Performance Indicators (KPIs).

ESSENTIAL JOB DUTIES:

To perform this job, an individual must accomplish each essential function satisfactorily, with or without a reasonable accommodation.

Collaboration with Practice Teams:

• Be the primary engagement liaison between PreferCare and physician practice teams and represent PreferCare in the best way as the face of PreferCare to those teams in the day-to-day support of those teams, e.g., completion of Annual Wellness Visits, closing loops on HCC, STARs, and other activities contributing to higher quality scores, better patient engagement, and better outcomes.

• Work collaboratively with primary care clinicians, nurses, care coordinators, and other members of the healthcare team to identify issues, and creatively problem-solve to maximize the benefits of PreferCare programs and services.

• Participate in care team meetings to discuss patient cases, review referral patterns, and identify opportunities for optimizing care delivery and enhancing patient outcomes

Patient Engagement in PreferCare Programs:

• Be the patient's advocate, understand each patient's profile, identify opportunities for them to access their health plan benefits and services; educate them about the benefits of participating in PreferCare programs and assist them in enrolling in the most friendly, frictionless way, including completing necessary paperwork and coordinating appointments or referrals

• Help patients access community-based services by actively connecting patients to community services that are available to them.

Data Analysis and Reporting:

• Track KPIs, monitor program effectiveness, and identify areas for improvement.

• Present findings to practice teams and provide insights and recommendations for enhancing patient care, increasing program enrollment, and improving coordination with patients and their care teams. Communicate directly, effectively, and diplomatically to build trust at all points of collaboration.

• Support and educate practice teams about appropriate coding based on PreferCare data reports to each clinician. Ensure that appropriate practice team members are included in education opportunities relating to proper coding.

Program Evaluation and Quality Improvement:

• Initiate, influence, and contribute to the ongoing evaluation of PreferCare's patient outreach and engagement to improve patient experiences, outcomes, and to support value-based care objectives.

• Help identify best practices and areas for improvement in program implementation, patient engagement strategies, and overall coordination efforts.

• Initiate, influence, and contribute to continuous quality improvement initiatives to ensure individual, department, and company goals are met and exceeded.

• Other duties as assigned

JOB REQUIREMENTS:

• Regular & reliable attendance

• Maintain an established work schedule

• Successfully complete required training

• Handle multiple priorities effectively

• Reliable transportation

• Current automobile insurance according to company policy

Required Computer Software/Equipment Used:

• Cell phone, landline, VOIP (voice over internet protocol)

• Various medical office operating systems

• Standard office equipment

• Microsoft Office Suite applications

• Desktop, laptop and/or iPad

• Personal Protective Equipment (PPE)

• Electronic medical records

QUALIFICATIONS:

• Knowledge/Skills:

o Proficiency with healthcare software applications.

o Excellent communication and interpersonal skills, with the ability to collaborate effectively with healthcare providers, patients, and external stakeholders.

o Ability to work independently and as part of a multidisciplinary team in a fast-paced healthcare environment.

o Commitment to promoting patient-centered care, improving patient outcomes, and advancing value-based care initiatives.

o Adaptable and personable.

o Knowledge of value-based care models, healthcare quality measures, and reimbursement methodologies

o Experience in coding, documentation, STARs, gap closures, HCC (hierarchal condition category) coding

o Direct experience in engaging patients with a perspective and opinion on the most effective and best practices

• Experience:

o 3-5 years' experience in the following required:

o Healthcare administration, public health, or related field (or equivalent training and experience)

o Physician practice or outpatient clinic, community health center, healthcare program management, care coordination, or population health management in roles coordinating with physicians and physician care teams

SUPERVISORY RESPONSIBILITIES:

• Lead a team of engagement specialists

• Occasionally needs manager's direction due to extraordinary circumstances

WORKING CONDITIONS:

• Hearing: Audio-Visual: Good

• Ability to lift to 40 pounds

• Prolonged periods of sitting at a desk and working on a computer

• Subject to standing, walking, sitting

• Work is typically performed in a standard office environment; well-lit; comfortable temperature-controlled

• Position may require flexible hours, unscheduled overtime or occasional week-end work

• Must be able to speak and write in English

• Travel may be required

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EEO

This employer participates in E-Verify.