Provider Network Manager
Current• Share hare specific data points, and document obstacles / needs in the care coordination tracker.• Present obstacles / needs to the local team and work to address collaboratively then report out to the leadership team on status and if further support is needed.• Review and report out trended performance making sure improvement is being made.• Monitors the availability of in network service gaps that need to be filled to keep patient care services in the Steward system and proactively manages physician and key hospital relationships. • Monitor, evaluate and routinely report on the performance of risk provider groups, hospitals, networks and other providers against goals and targets. Identify performance issues and opportunities and recommend strategies. Establish best practices necessary to improve HEDIS, CAHPS, and risk adjustment accuracy.• Collaborate with clinical, quality, and risk adjustment leaders to develop strategies and actions to improve provider group/ network performance as needed.• Facilitate Chapter, POD, and Board of Directors meetings within their respective Chapters this occurs on a monthly cadence.• Continually assess the viability and strengths of the physician network, and identify areas of opportunity,• Communicates regularly through various communication methodologies, including one on one or group meetings, with local providers and their staff consistent with the key messages disseminated from the SHCN Governance Structure at the direction of the SHCN Leadership Team. Develops and provides education to provider and office staff regarding initiatives of the local chapter and SHCN including health plan updates.• Ensures that new SHCN providers are effectively supported throughout the on boarding process and acts as a central point of contact when issues arise that require escalation..