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Provider Partnership Associate

Company: Health Net, Inc.
Location: Bakersfield
Posted on: July 13, 2019

Job Description:

Description: Position Purpose: Perform initial health plan orientation and conduct ongoing educational outreach with a focus on improving quality and financial outcomes within provider network * Conduct initial provider orientations as well as ongoing educational outreach * Educate providers regarding policies and procedures related to referrals, claims submission, web site education, Electronic Health Records, Health Information Exchange, and Electronic Data Interface * Engage providers on Patient Centered Medical Home initiatives * Perform detailed HBR (Health Benefits Ratio) analysis and create reports for provider Review provider performance by both quantitative metrics and qualitative factors * Create and communicate milestone documents, dashboards and success metrics * Act as a liaison between the provider and the health plan ensuring a coordinated effort in improving financial and quality performance * Provide status updates for providers regarding incentive agreements * Conduct site visits when required and other Contracting duties as requested * Ability to travel

Keywords: Health Net, Inc., Bakersfield , Provider Partnership Associate, Other , Bakersfield, California

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