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Diverge Health · 1 month ago

Practice Liaison

Westchester County, NY

Full-time

Onsite

Entry, Mid Level

$90K/yr - $110K/yr

2+ years exp

Diverge Health is dedicated to improving health access and outcomes for underserved populations. The Practice Liaison plays a crucial role in connecting primary care practices with Diverge Health’s resources and technology, ensuring effective patient care management and operational efficiency.

Health CareMedicalPrimary and Urgent CareWellness

Responsibilities

Jointly with Network Development Representatives, establish relationships with practices following initial network contracting

Lead the new practice onboarding process, including development of the practice onboarding plan, scheduling and delivering all new practice trainings, and arranging practice access to Diverge Health technology solutions

Provide education and training to clinicians and practice staff in the areas of value-based care, Diverge Health’s practice incentive plan, and quality and risk adjustment best practices for Medicaid (and other lines of business in some markets)

In collaboration with practice leadership develop strategic and operational initiatives to drive value-based transformation improved quality and efficiency practice performance

Facilitate ongoing practice access to all Diverge Health resources, including both people (e.g. Medical Directors, Care Team members, etc.) and technology solutions

Facilitate regular communication between the practice and the Care Team regarding patient care plans developed by Diverge Health for the practice’s patients

Jointly with the Market Medical Director, deliver Explanations of Payment for Diverge Health’s practice incentive program, and to facilitate quarterly practice performance management conversations between the practice and Medical Director

Update and maintain each participating practice’s provider roster, contact information and communications plan, and practice profile in Diverge Health’s internal customer relationship management system

Qualification

Value-based careHealthcare operationsRisk adjustment methodologiesCustomer facing experienceOrganizational change managementHEDIS measuresEmpathyCommunication skillsProject managementProblem solving

Required

2-4 years of experience working in a customer facing operational role in healthcare setting (provider or payer)

Understanding of the operations of a primary care medical practice including scheduling, billing, staffing, pre-visit planning, and post-visit documentation

Familiarity with conventional fee-for-service payment methodologies

Familiarity with alterative and value-based payment methodologies

Familiarity with organizational change management processes

Familiarity with the Health Effectiveness Data and Information Set (HEDIS) measures of effectiveness of care, access & availability of care, and utilization

Familiarity with risk adjustment methodologies including Hierarchical Condition Categories (HCCs) and All Patient Refined Diagnostic Related Groups (AR-DRGs)

A bachelor's degree or equivalent in business, management, healthcare policy, healthcare administration or a related field

Experience working in a healthcare organization implementing tools, techniques, or processes related to alternative or value-based payment methodologies

Ability to utilize operational reports and dashboards to understand practice level trends in engagement and performance

Ability to travel within the community; must have a valid driver's license and car insurance, and access to reliable transportation for physician office visits

Lift and carry materials and supplies

Stand, walk, and move for extended periods while conducting physician office visits

Adapt to varying environmental conditions (both outside while traveling the community and inside physician offices)

Ability to deal with difficult people outside of the organization while maintaining a high level of professionalism and integrity

Ability to manage multiple projects simultaneously

Equally empathetic and objective, humble and highly conscientious; a teammate that inspires and motivates others

Comfort with uncertainty; self-motivated and directed; can manage effectively in high growth, rapidly evolving environments

A problem solver, able to think critically and strategically while being hands on in driving work; proactively identifies and resolves risks to execution and deliver

Strong representation of the company's mission, vision, and values across all dimensions of internal and external interactions

Strength in authentically connecting with people from all walks of life with empathy and humility