Primary Care Representative

Arkansas Blue Cross and Blue Shield; Little Rock (AR); On-site; USD 60,000 - 80,000; Full time

Job summary

Arkansas Blue Cross and Blue Shield is seeking a Primary Care Representative to educate and support primary care practices in improving quality, utilization, cost of care, and patient experience measures.

You will work directly with practices to build positive relationships, ensure effective education and reporting, and proactively identify performance improvement opportunities through analysis with subject matter experts.

Qualifications

• Bachelor’s degree in Business, Healthcare Management, Health Administration or other health-related field.
• In lieu of degree, five (5) years' clinic leadership experience, which includes quality improvement experience will be considered.
• Valid Driver’s license with the ability to travel within the designated service area.

Responsibilities

• Analyzes data and reviews trends, challenges, and barriers regarding practice performance to develop improvement plans and identify opportunities for shared learning events.
• Identifies and shares EHR optimization practices to improve healthcare delivery, processes, and outcomes.
• Leads training events and group sessions to improve skills of practice leadership and staff.
• Provides outreach and education to primary care practices, assesses practices along the transformation continuum, and creates quality improvement work plans.

Skills

CRM

Data Analysis

Communication

Project Management

Coaching

Leadership

Cross-Functional Communications

Training

Written Communication

Oral Communication

Education

Bachelor’s degree in Business, Healthcare Management, Health Administration or related field

Five years clinic leadership experience (in lieu of degree)

Tools

EHRs

Job description

Job Summary The Primary Care Representative educates and supports primary care practices in making improvements in quality, utilization, cost of care, and patient experience measures. Incumbent works directly with healthcare practices to build positive relationships, ensure effective education and reporting, and to proactively identify performance improvement opportunities through analysis and discussion with subject matter experts. Incumbent is a team player and supports team members to ensure the team meets its goals.

Requirements

Education

• Bachelor’s degree in Business, Healthcare Management, Health Administration or other health-related field.
• In lieu of degree, five (5) years' clinic leadership experience, which includes quality improvement experience will be considered.

Licensing/Certification

• Valid Driver’s license with the ability to travel, as necessary, within the designated service area required.

Experience

• Minimum three (3) years' quality performance improvement involving coaching, consulting and operations experience in a health plan, managed care setting or clinical environment.
• Project management or program management experience required.
• Knowledge of and experience using EHR’s and building reports for quality improvement.
• Experience in the health care field, particularly in a clinical environment, with experience in program development and utilization management is desirable.
• Patient-Centered Medical Home, Primary Care First, ARHome, or other CMS Value Based Model experience preferred.
• This position will require to be in the office on Monday's.

ESSENTIAL SKILLS & ABILITIES

Leadership Collaborative Team Member Results-Oriented Interpersonal Communication Oral & Written Communication Coaching Facilitation Presentation Speaking Needs Assessment Partnership Building Analytical Analysis Influence Others

Skills

• Business Compliance
• Coaching
• Collaborative Communications
• Conflict Resolution Management
• Consultative Approach
• Cross-Functional Communications
• Customer Relationship Management (CRM)
• Data Analysis
• Data Management
• Employee Engagement Strategies
• Information Interpretation
• Information Ordering
• Interpersonal Relationship Management
• Oral Communications
• Persuasion
• Public Speaking
• Systems Analysis
• Training Instruction
• Written Communication

Responsibilities

• Analyzes data and reviews trends, challenges, and barriers regarding practice performance to develop and inform improvement plans in desired timeframe and identify opportunities for shared learning events
• Identifies and shares Electronic Health Record (EHR) optimization practices and ways to utilize data to achieve improvement in healthcare delivery systems, processes, and outcomes
• Leads training events and other group sessions to improve the skills and knowledge of practice leadership, clinicians, and other frontline staff
• Other duties as required
• Provides outreach and education to primary care practices by assessing practices along the continuum of transformation, focusing on identifying performance measures, and creating and implementing relevant quality improvement work plans to address gaps in care.
• Stay abreast of new developments and industry trends related to quality improvement, clinical best practices, quality metrics, service excellence and practice transformation
• Supports the development and dissemination of relevant quality improvement project materials and communications
• Willingness to travel in service region, estimated 75%

Certifications Security Requirements

This position is identified as level three (3). This position must ensure the security and confidentiality of records and information to prevent substantial harm, embarrassment, inconvenience, or unfairness to any individual on whom information is maintained. The integrity of information must be maintained as outlined in the company Administrative Manual. Segregation of Duties Segregation of duties will be used to ensure that errors or irregularities are prevented or detected on a timely basis by employees in the normal course of business. This position must adhere to the segregation of duties guidelines in the Administrative Manual.

Employment Type Regular ADA Requirements 1.1 General Office Worker, Sedentary, Campus Travel - Someone who normally works in an office setting or remotely and routinely travels for work within walking distance of location of primary work assignment.

Arkansas Blue Cross is consistently ranked as one of the best places to work in Central Arkansas.

Why? We Love our Employees

At Arkansas Blue Cross, we care about the health, wellness, and education of our employees. We offer many great incentives such as: Tuition reimbursement. Club Blue, a free, onsite gym to encourage exercise. Green Leaf Grill and Green Leaf Grill Express, onsite restaurants in Little Rock that promote healthy eating. Incentives for wellness education and exercise

We Love our Culture

The average tenure is 10 years with hundreds of employees having been here 15 years or longer. Our inclusive culture brings employees together to connect while celebrating our differences.

We Love our Community

Our employees often volunteer within their communities, at charity events, walks and runs, schools and nonprofits. When disasters strike, our employees help wherever they are needed. It’s just another way we show that Blue cares.