Temporary Provider Operations Coordinator - Tucson, AZ

Socket.dev; Tucson (AZ); On-site; USD 30,000 - 34,000; Full time

Job summary

P3 Health Partners is seeking a Provider Operations Coordinator in Arizona to manage operational initiatives and oversee special projects focused on HEDIS quality gap closures, risk adjustment activities, and provider engagement. You will coordinate across departments to support clinics and educate patients about preventive screenings.

The role requires strong communication, organizational, and analytical skills with healthcare experience and EHR proficiency preferred.

Qualifications

• High school diploma/GED required; associate degree preferred.
• 2+ years in healthcare-related fields; clinical health care or health plan experience preferred.
• Experience with Microsoft Word, Excel, PowerPoint, Outlook and office equipment.
• Electronic Health Records experience required.
• Medical Assistant Certification or related certification preferred.
• Experience with data mining preferred.
• Medical terminology knowledge required; CPT II codes preferred.
• CPR Certification preferred.

Responsibilities

• Build and maintain relationships with Affiliate groups; serve as liaison between groups and departments.
• Advise and support affiliate practices with quality gaps and documentation via outreach, data audits, and claims surveillance.
• Prioritize patient outreach and coordinate scheduling for new and established patients.
• Coordinate care across hospital discharge, care management, referrals, and quality initiatives.
• Assist in CSR/IDT/JOC meeting prep and participate as requested.
• Conduct data entry and maintain documentation for quality initiatives.
• Educate patients and affiliates on preventative screenings.
• Potential in-home HEDIS gap closure for certain measures.
• Other duties as assigned.

Skills

Interpersonal skills

Communication

Organizational skills

Analytical thinking

Problem solving

Team player

Confidentiality

Time management

Education

High school diploma/GED

Associate degree in related field preferred

Medical Assistant Certification or related certification preferred

CPR Certification preferred

Tools

Microsoft Word

Microsoft Excel

PowerPoint

Outlook

Electronic Health Records

Job description

People. Passion. Purpose.

At P3 Health Partners, our promise is to guide our communities to better health, unburden clinicians, align incentives and engage patients.

We are a physician-led organization relentless in our mission to overcome all obstacles by positively disrupting the business of health care, transforming it from sickness care into wellness guidance.

We are looking for a Provider Operations Coordinator. If you are passionate about your work; eager to have fun; and motivated to be part of a fast-growing organization in Arizona then you should consider joining our team.

*This position is 100% on-site.

*Bi-lingual in English/Spanish preferred.

Overall Purpose

The Provider Operations Coordinator (POC) role combines responsibilities of managing operational support initiatives while overseeing special projects, with a focus on supporting HEDIS quality gap closures, Risk Adjustment activities, and provider engagement. This multifaceted position requires daily problem-solving, meticulous tracking, and coordination across departments to meet varying and changing requirements. The POC will oversee assigned affiliate groups, providing operational support to clinics to achieve their goals, which may include engaging with internal and external stakeholders with in-person and telephonic outreach to patients for education and engagement on preventative screenings, medication adherence, and follow-up with primary care providers. This position, depending on experience and education, may directly interact with patients to complete tasks for quality gap closure.

Roles and Responsibilities

• Build and maintain effective relationships with assigned Affiliate groups to achieve goals and key initiatives. Serve as a liaison between the Affiliate groups and P3 local, regional, and national departments to provide a seamless point of contact.
• Advises and supports affiliate practices as needed with quality (HEDIS/HOS) gaps and conditional documentation by outreach, chart data mining / audits, claims surveillance, quality events (i.e., diabetic eye screening), educating practice employees, etc.Responsible for reviewing data collected to confirm gaps in care are captured.
• Works with the affiliate practices on prioritizing patient outreach and assists affiliate practices with patient outreach and coordinating scheduling new and establish patients outreaching and scheduling patients for visits by finding appointment dates/times that meet patient needs and availability.
• Partners with assigned groups and other P3 departments to manage high / rising risk patients by actively ensuring coordination of care across all healthcare services provided to the patient (hospital discharge, hospice, MRA, Care Management, Referrals, Quality, etc.)
• Assists in CSR/IDT/JOC meeting preparation and participate in meetings as requested.
• Conducts data entry and maintain appropriate documentation and tracking for quality initiatives.
• Educates patients and affiliates on preventative screenings that are being scheduled/performed and the reason for performing them.
• Depending on education and experience – conduct in home HEDIS gap closure for select measures such as blood pressures, diabetic eye exams, point of care hemoglobin a1c testing, distribution of colorectal screening kits.
• Other duties as assigned.

Knowledge, Skills, and Abilities

• Excellent interpersonal, rapport/trust building, and communication skills with patients, providers, internal and external stakeholders.
• Excellent organizational and time management skills.
• Strong analytical, critical thinking, and problem-solving skills.
• Ability to present information and obtain buy-in on recommendations.
• Ability to handle a fast-paced environment and prioritize tasks based on importance.
• Ability to work independently or as part of a team.
• Dedication to maintaining the confidentiality of all patient records.
• Knowledge of vital signs and other clinical skills related to direct patient care for quality gap closure.

Education and Experience

• High school diploma/GED required, associate degree in related field or equivalent experience preferred.
• 2+ years experience in healthcare-related fields required, clinical health care related experience, managed care, or Health plan experience strongly preferred.
• Experience with Microsoft Word, Excel, Power Point, Outlook and general office equipment such as copier, fax machine, required.
• Experience in Electronic Health Records required.
• Medical Assistant Certification or experience as a Pharmacy Tech, Radiology Tech, Lab Tech or similar strongly preferred.
• Experience with data mining preferred.
• Medical terminology knowledge required, experience with CPT II codes preferred.
• Current CPR Certification preferred.

Physical Requirements

• The work environment consists of exposure to physical conditions typical of a normal office environment. Most of the job is performed while sitting and talking/listening on the phone, although the work may require occasional standing or walking and/or the lifting and carrying of small objects up to 25 pounds.

Pay Range - $22-25/hr depending on experience