Provider Relations Manager / Clinical Integration

Hartford HealthCare; Hartford (CT); On-site; USD 85,000 - 110,000; Full time

Job summary

Hartford HealthCare is seeking a CIN Liaison to represent the Clinical Integration Network and support clinician/practice relationships, aligning with CIN membership expectations and shared quality goals. You will provide guidance to clinicians and practices, addressing administrative and clinical needs, and collaborate with Risk Coding and Care Management to ensure alignment on performance and communication.

Strong data interpretation and stakeholder engagement are essential.

Qualifications

• Minimum: Bachelor's degree or equivalent combination of education, training and relevant experience.
• Preferred: Bachelor's degree in health care related field.
• Minimum: 3–5 years' experience in practice or health care related operations.
• Preferred: 5–7 years' experience in practice or health care related operations including dealing with physician performance and quality reporting.
• English proficiency is required.
• Ability to convey complex information to diverse audiences.

Responsibilities

• Creates and fosters relationship with assigned clinician/practice to establish CIN as liaison.
• Educates clinician/practice on CIN processes, incentive programs, payer initiatives and quality goals.
• Provides direct support to clinician/practice for service issues including payments and authorizations.
• Assesses clinician/group annually to determine engagement and readiness for CIN membership.
• Implements action plans to address gaps and improve performance.
• Delivers reports and data analysis to support quality goals and improvement programs.
• Identifies best practices and helps implement improvement programs.
• Tracks clinician performance and develops action plans to close opportunities.
• Collaborates with Risk Coding and Care Management for aligned communication.
• Performs other duties as assigned.

Skills

Excel

PowerPoint

Access

Tableau

Strong communication

Education

Bachelor's degree or equivalent

Bachelor's degree in health care field (preferred)

Tools

Athena

EClinical Works

AllScripts

Epic

Cerner

Sunrise

Power BI

Job description

Location Detail: 100 Pearl Street Hartford (10484)

Work where every moment matters.

Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network.

The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization.

With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system.

Position Summary

Represents the Clinical Integration Network (CIN) and is responsible for facilitating all facets of the clinician/practice relationship with the CIN. Communicates expectations of CIN membership to the clinician/practice and provides direct and indirect support to the clinician/practice to meet these expectations and reach shared quality goals. Ensures the administrative as well as clinical needs of the clinician/practice are identified and addressed.

Position Responsibilities

Key Areas of Responsibility

• Creates and fosters relationship with assigned clinician/practice to establish self as recognized liaison between CIN and clinician/practice.
• Educates clinician/practice on all relevant topics to promote clinician/practice ability to be successful and reach shared quality goals. Topics include but are not limited to: CIN processes/procedures, CIN incentive program details, payer initiatives, quality definitions and goals
• Provides direct support to clinician/practice to assist with and resolve service issues, including but not limited to payment, authorization eligibility and member matters
• Assesses each clinician/group, at a minimum annually, to determine engagement, evidence of infrastructure to perform as a CIN member, and ability to meet shared goals
• Based on annual assessment, works with clinician/practice to implement action plan to mitigate identified gaps
• Provides concrete reports as well as data analysis to clinician/practice to assist them in successfully meeting shared quality goals roll out and sustain practice improvement programs
• Illuminates best in class practice improvement programs and assists clinician/practice in implementing these programs to meet shared quality goals
• Tracks and trends clinician/practice performance to identify areas of opportunity, creating action plans to reach opportunities
• Partners with Risk Coding and Care Management to ensure alignment around clinician/practice performance and communication
• Performs all other duties as assigned

Working Relationships

This Job Reports To: Director of Quality, Integration & Transformation, Integrated

Internal: All CIN teams - Care Management, Health Economics, Managed Care

External: All CIN members - including clinicians and practice staff

Qualifications

Education

• Minimum: Bachelor's degree or equivalent combination of education, training and relevant experience in lieu of degree
• Preferred: Bachelor's degree in health care related field

Experience

• Minimum: 3-5 years' experience in practice or health care related operations.
• Preferred: 5-7 years' experience in practice or health care related operations including dealing with physician performance and quality reporting.

Language Skills

• English

Knowledge, Skills And Ability Requirements

• Ability to support practice changes to discrete and varied audience i.e. Administrators, practice managers, clinicians as needed
• Proficient in Excel, PowerPoint, Access. Experience with Tableau highly preferred.
• Experience with electronic medical records (Athena, EClinical Works, AllScripts, Epic etc) preferred.
• Experience with hospital systems (Cerner, Sunrise, Epic and Premier) is preferred.
• Excellent communication, analytical, presentation and interpersonal skills
• Ability to understand and convey complex information to many difference kinds of people is an absolute requirement with demonstrated ability to work as a member of a team
• Competence in quality improvement and data interpretation
• Familiarity with case management and care coordination processes; experienced and skilled in working with interdisciplinary teams
• Ability to innovate to achieve the organization’s goals
• Comfortable using and/or learning to use databases, reporting software, electronic medical record
• Exhibits leadership in demonstrating to staff how to embody the patient-centered goals of the organization, and in embracing change, where appropriate

We take great care of careers.

With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge - helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment.