Practice Specialist - OHP MANAGEMENT LLC : Job Details

Who You Are

You want to work in an exciting new environment and are service-oriented. You thrive when building relationships and are energized working with health plan members and practices dedicated to serving their communities. You understand the importance of member engagement and the impact quality has on patient outcomes. You want to help Practices improve clinical performance in Value Based Care models to improve patient outcomes.

Who We Are

Oasis Health Partners (Oasis) is building healthier communities by advancing primary care. We partner with patients, providers and plans to provide personalized, local care for seniors in towns across America. We believe that patient needs come first, and that primary care is the foundation of patient-centric healthcare. With Oasis, patients receive better access and care. Providers receive the data, resources, and expertise to be successful in value-based care arrangements. Payors get the benefit of a solution that improves performance, drives growth, and reduces the total cost of care in hard-to-engage markets. Together, we will boldly advance primary care for those that need it most. We are excited for you to join us on this journey. We invite you to be a part of Oasis, where you will discover we do the right thing, build things together and go all in --- while having fun!

Your Role

As a Practice Specialist, you will engage members of the Oasis network to close gaps in care and improve patient outcomes. You partner with physician practices, their staff, and the local community to improve patient health. Navigating the health system can be complicated for everyone. You will form relationships with providers and their patients to understand their challenges and support solutions.

Responsibilities

• Support practices by reviewing, abstracting, adding data, and submitting patient charts to payors (as needed in conjunction with providers/administrators)
• Partner with PCP (Primary Care Providers) in value-based care activities to include accurate clinical documentation with risk accuracy coding and maintenance within electronic health records
• Provide in-person support at assigned PCP offices
• Connect and support patient and family members through ongoing communication including calls, texts, and email to support care plan goals
• Understand quality measures including CMS and Healthcare Effectiveness Data and Information Set (HEDIS) in partnership with Value Partners
• Help providers address the needs of the patients and their families/caregivers, assisting with patient-facing duties as needed and working collaboratively with other care team members to ensure patients receive exceptional care
• Resolve issues and eliminate roadblocks to ensure timely completion of tasks
• Coordinate transportation, mail order prescription assistance, referrals to community resources and arrange for durable medical equipment (DME) as needed
• Support, educate, and assist patients and their families with navigating and accessing their healthcare benefits
• Become a trusted partner to primary care providers (PCPs) and their clinical/office staff, serving as an extension of their team in the practice and community

Investment In Our Team

We invest in the personal and professional success of our team. We take care of our people and offer robust benefits including medical, dental, vision and generous time off plans. We are committed to supporting your growth with a development program that starts with onboarding and continues throughout your career. As an inclusive, passionate, and diverse team, you will partner with like-minded healthcare professionals who understand the importance of high-value, high-impact patient care. We invite you to be a part of Oasis Health, where you will discover we listen first, build things together, always do the right thing, have fun and most importantly, are all in!

About You

• You possess a High School Diploma/GED
• You have taken coding classes, received your CPC, CRC, and/or have at least two years of medical claims billing experience
• You have a healthcare background including experience with coding ICD9/ICD10 experience
• You have knowledge of healthcare quality metrics, value-based care principles and healthcare regulations
• You have least two years of experience with demonstrated examples of service excellence in roles related to quality improvement, population health, or care coordination
• You have demonstrated an ability to master and improve administrative workflows
• You are prepared to travel within your community to meet and work with providers and patients across healthcare offices
• You are self-motivated
• You love talking with people about the importance of whole person care
• You are passionate about being part of a team and care about improving access to care. You provide the same level of commitment to patients that you would you own family
• You are comfortable working independently and are energized by helping people solve problems
• You have strong interpersonal, organizational, and communication skills to work effectively with healthcare providers and teams

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status, or disability status

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