What are the responsibilities and job description for the Provider Support Specialist (HP) position at Cano Health?
Provider Support Specialist (HP)
Cano Health is a rapidly growing operator of healthcare centers specializing in Senior Care and Primary Care for all ages. We are a vibrant company culture founded on the pillars of family, wellness, and service; operating in Florida, Texas, Nevada and Puerto Rico. As the organization continues to grow, it will be important to retain the best of the company’s entrepreneurial culture and combine it with an awareness of the operational rigor needed in a more distributed, complex healthcare environment. Be part of a diverse team of talented professionals, united in their vision of achievement and professional growth that makes Cano Health the nation’s leading health care services provider. At Cano Health we are working to be the most patient-centric company in the industry.
In CanoHealth, we are currently looking for a Provider Support Specialist who will provide utilization oversight, MRA and HEDIS support with a goal of helping physician offices to gain and maintain profitability for Healthy Partners owned and affiliate offices.
Responsibilities
- Building relationships with providers and staff through consistent phone calls and office visits (re: utilization information review, system training, customer service-related inquiries, sharing current and relevant information, etc.)
- Frequent travel to office locations
- Effect change and produce positive results for CanoHealth and PCP office to strengthen and support long term successful relationship.
- Overcome roadblocks and resistance to change through effective and consistent communication
- Utilize Analytics to review pertinent utilization data and educate providers and provider’s staff on utilization and correct application of best practices
- Understand and explain existing reports and provide new reports and tools, as needed
- Provide Analytics system training to provider and staff
- Work with MRA and HEDIS team to ensure MRA coding is being documented appropriately and HEDIS gaps are being closed
- Communicate information to all PCP and PCP staff, HEDIS, MRA, etc. regarding progress and deficiencies
- Develop strategies for improving all aspects of market performance including MRA, HEDIS and Medical management
- Support provider and staff in closing MRA and HEDIS gaps
- Assist in the oversight of membership growth strategies
- Identify membership trends
- Identify patients that may benefit from a Medicare Advantage Plan
- Communicate with business development team to provide support and data relevant to membership growth goals
Requirements
- Bachelor’s degree in related field or equivalent work experience preferred
- 3 years of health care experience, preferably working with Medicare
- 1 years EMR/EHR system experience
- Superb attention to detail
- Organization and time management skills
- Excellent written and verbal communication skills
- Microsoft suite experience
Compensation and Benefits
- Competitive Salary
- Excellent Health, Dental and Vision Benefits
- 401K
- PTO
- Dedicated, motivated team and chance to be part of one of the nation’s leading health care services provider
- High-end work environment
For more details, please visit www.canohealth.com
