Provider Engagement Representative

ABOUT ADOBE 

Adobe Population Health (APH) is a women-owned health solutions company founded in 2018 committed to positively impacting the lives we touch. The company has a culture of inclusivity and human kindness, based in Phoenix, AZ, with satellite locations in multiple states. APH has been recognized the last two years as one of “America's Fastest-Growing Private Companies” by Inc. 5000 and has earned a "Best Places to Work" award from the Phoenix Business Journal four years in a row.

As one of the country's few fully integrated healthcare providers, APH offers a range of services which include case management, in-home/in-clinic wellness assessments, preventative care, transitional care, and social work services. APH offers customized services for Medicaid, Medicare, and the ACA/Marketplace lines of business.

POSITION PURPOSE 

The Provider Engagement Representative (PER) will focus on building trust and fostering collaborative relationships with PCP practices to enhance quality measures and practice initiatives. Strong communication skills, expertise in virtual and in-person engagement, and promotional skills are key. The PER will work closely with physician practices, provider engagement partners, health plans, and the internal Adobe Care Team to improve Provider engagement. This role involves proactive interactions through phone calls, in-person meetings, and written communication, emphasizing a deep understanding of the healthcare system. Collaboration with Providers, Quality, and Clinical teams is essential for enhancing Provider engagement. 

This position requires travel to Baton Rouge, around Parish County, and surrounding regions to provide services.  

DUTIES & RESPONSIBILITIES 

• Work collaboratively within a team setting to provide positive primary care provider office outcomes, and improved quality measures. 
• Demonstrate exceptional communication skills with team members, health plan partners, and primary care practices to ensure seamless collaboration.
• Uphold patient confidentiality in line with HIPAA guidelines to maintain trust and compliance standards.
• Serve as a pivotal Quality Improvement educator, fostering knowledge exchange between provider groups and strategic engagement partners to enhance performance.
• Act as a reliable resource for providers, facilitating continuous quality improvement through regular interactions and targeted initiatives.
• Analyze and present provider-quality data to identify improvement opportunities, guiding strategic interventions for outcomes.
• Document detailed action plans, office visit outcomes, and critical incidents to drive accountability and transparency in quality-of-care issues.
• Exceed department goals within the assigned territory, playing a crucial role in organizational success.
• Educate and familiarize provider offices with relevant portals and tools to optimize engagement and performance.
• Support employer events for provider groups, enhancing collaboration and growth.
• Educate provider offices on HCC and RAF by providing support in ICD and CPT coding and billing.
• Undertake special projects and duties as assigned by management to drive innovation and operational efficiency.
• Adhere rigorously to outpatient treatment center policies and procedures to maintain safety and quality standards.
• Collect and transmit data efficiently through EMR systems for streamlined information management.
• Deliver exceptional customer service and quality care with a positive and professional demeanor.
• Assist in coordination and participation of collaborative events for provider groups. 
• Fulfill any additional duties as requested, showcasing adaptability and dedication to organizational success.

SKILLS & QUALIFICATIONS

• Strong communication skills with the ability to build trust and foster collaborative relationships.
• Comfortable starting professional conversations and presenting information to groups. 
• Proficiency in data analysis and presentation to drive quality improvement initiatives.
• Knowledge of healthcare regulations and compliance standards, including HIPAA guidelines.
• Experience in educating and training healthcare providers on quality measures and improvement strategies.
• Ability to manage multiple tasks effectively and meet deadlines in a fast-paced environment.
• Detail-oriented with excellent documentation and reporting skills.
• Flexibility to travel as required within the assigned territory.
• Competency in EMR systems and technology for data collection and analysis.
• Customer service orientation with a focus on delivering high-quality care.
• Team player with a proactive approach to problem-solving and decision-making.
• Continuous learner with a passion for professional development and growth.

EDUCATION, LICENSES, & CERTIFICATIONS  

• Associate degree is required.  
• Bachelor’s degree is strongly preferred.   
• Current and unrestricted driver's license for your state.  

BENEFITS & TOTAL REWARDS

• Paid Training and Onboarding 
• Insurance – Medical, Dental, Vision, and Life
• 401k Plan – 3% match
• Employee Assistance Program
• Tuition Reimbursement
• Continued Education Support
• Mileage Reimbursement (if applicable)
• Referral Bonuses
• Paid Holidays (9 days)
• Paid Time Off (15 days)
• Paid Volunteer Hours 

CHARACTER & COMPETENCIES

• Courage – To have the courage to the right thing at the right time.
• Ownership – To take ownership of every issue you touch.
• Respect – To respect yourself, co-workers, and for those whom you care.
• Excellence – To be excellent in all that you do.
• Diversity - Demonstrates knowledge of EEO policy; Shows respect and sensitivity for cultural differences; Educates others on the value of diversity; Promotes a harassment-free environment; Builds a diverse workforce.
• Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethics; Upholds organizational values.
• Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.
• Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.
• Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.
• Judgement - Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions.
• Problem-Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem-solving situations; Uses reason even when dealing with emotional topics.
• Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
• Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed.

PHYSICAL DEMANDS & WORK ENVIRONMENT 

• Must be able to frequently drive long distances, which may require a two-hour radius of your designated county (travel time is paid and mileage reimbursement is available). 
• Occasionally required to stand. 
• Occasionally required to walk. 
• Continually required to sit. 
• Occasionally required to climb, balance, bend, stoop, kneel, or crawl. 
• Continually required to talk or hear. 
• While performing the duties of this job, the noise level in the work environment is usually moderate. 
• The employee may occasionally lift and /or move more than 30 pounds. 
• Must be comfortable with working in a variety of conditions, including members’ homes, physicians’ offices, cold conditions, and hot conditions.  
• Must be able to physically perform the essential duties of the position which include lifting 30 lbs., transporting materials, stooping, kneeling, crouching, reaching, use of hands, balancing, walking, standing, talking, hearing, and typing.  

EQUAL EMPLOYMENT OPPORTUNITY

APH is an Equal Opportunity Employer where all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.