Value Based Contracting Attribution Specialist-Managed Care

Location: BROOKLYN HEIGHTS

Biweekly Hours: 80.00

Shift: 8am-5pm

The MetroHealth System is redefining health care by going beyond medical treatment to improve the foundations of community health and well-being: affordable housing, a cleaner environment, economic opportunity and access to fresh food, convenient transportation, legal help and other services. The system strives to become as good at preventing disease as it is at treating it. Founded in 1837, Cuyahoga County's safety-net health system operates four hospitals, four emergency departments and more than 20 health centers.

Summary:

Serves as the primary liaison for aligning the potential and current Medicare patient population with The MetroHealth System through Primary Care Provider (PCP) assignment, alignment to MetroHealth's Accountable Care Organization (ACO) or Medicare Advantage payer partners, and transitions from Pre-Medicare coverage. Collaborates with Payer Strategy, Managed Care, and ACO leadership teams and conducting efforts toward improving the loyalty, experience, and retention of Medicare beneficiaries, and other patients as assigned, to contribute to the System's growth. Proactively engages the Medicare patient panel, including beneficiary outreach and interaction, monitoring utilization data for appropriate patient engagement, and arranging access to and understanding of Care Coordination, Call Center, Institute for H.O.P.E., and other System resources. Assumes accountability for beneficiary service satisfaction. Upholds the mission, vision, values, and customer service standards of The MetroHealth System.

Qualifications:

Required: Associates Degree or any equivalent combination of education, training, and experience in addition to the experience stated below. Three to five years clinical care, call center, or relevant customer service industry experience. Excellent interpersonal, written, and verbal communication skills. Ability to present data and information to large and small groups. Demonstrated administrative ability and facilitation skills. Proven problem solving, group dynamics, and organizational skills. Proficient in Windows based operating software / systems. Ability to develop and support appropriate databases to track and trend information. Willing and able to work a flexible schedule, including some evenings or weekends. Access to independent reliable transportation to travel between locations as needed. Ability to interact effectively with a wide range of cultural, ethnic, racial, and socioeconomic backgrounds. Preferred: Bachelor's Degree with emphasis on communications, psychology, or sociology. Five years of relevant service industry experience. Health care and customer service administration experience. Proficiency with computer systems. Bilingual in Spanish and English. Physical Requirements: May need to move around intermittently during the day, including sitting, standing, stooping, bending, and walking. May need to remain still for extended periods, including sitting and standing. Ability to communicate in face-to-face, phone, email, and other communications. Ability to read job related documents. Ability to use computer. May need to lift up to twenty-five (25) pounds on occasion.