Care Transformation Specialist
Core
Educate, support, and build partnerships with provider practices to implement health plan initiatives and value-based care models.
Role type
Care Transformation Specialist (Provider Relations)
Builds
Provider network engagement and value-based care initiatives
Domain
Healthcare / Insurance / Accountable Care Organizations
Deliverable
client delivery
Required skills
Medicare/Medicaid program knowledge, CMS regulations, AHCCCS requirements, provider relationship management, public speaking, Microsoft Excel
Preferred skills
Private insurance knowledge, ACOs, clinically integrated networks, skilled nursing, behavioral health, long-term care
Technologies
Microsoft Excel
Responsibilities
Manage assigned territory of provider practices via phone, email, and in-person visits; educate providers on complex healthcare topics; build and maintain relationships with physicians and office staff; develop and deliver training sessions; resolve operational problems at provider sites.
Seniority
Mid-level, hands-on IC
