Shape the work care advocates perform and consider how to scale a rapidly growing business while maintaining the highest standards of quality and ensuring Solaceβs patients receive comprehensive, life-improving services, reporting to the Chief Medical Officer. You will develop and execute a framework for advocate operational and clinical quality that takes into account advocate behavior and patient feedback. You will also develop and implement policies, procedures, and clinical protocols to support advocates to perform their best work on behalf of patients.
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This role helps develop and operationalize value-based care programs and initiatives that contribute meaningfully and measurably to the overall success of Priviaβs value-based care strategy. The Sr. VBC Manager will also play a significant role in owning a critical domain, attribution, in our companyβs value-based care strategy.
Acts as a liaison between patients, providers, and insurance companies to ensure appropriate data collection, compliance with third party payers and federal and state regulations. Obtains benefits, eligibility and preauthorization, and acts as a financial counselor when explaining insurance and payment options.
Manage day-to-day clinical operations across multiple facilities and oversee and improve key facility metrics, ensuring high-quality care. Track and manage provider timeliness, quality, productivity, and compliance with facility responsibilities. Collaborate on facility metrics, including Five-Star measures, QAPI initiatives, and reducing rehospitalizations. Provide superior customer service by addressing partner issues comprehensively and diligently.
The Care Coordination Manager leads a team of Care Guides to ensure high-quality, person-oriented care for members navigating complex health and social needs. This role is responsible for operational oversight, regulatory compliance, team development, training, and strategic alignment with organizational goals.
This position acts as the clinical coding subject matter expert and lead coding resource across the organization, providing education to providers on clinical coding standards and coordinating the Alliance Coding Workgroup.
This is a fully remote Admission Coordinator position responsible for regional coordination of patient referrals. The coordinator acts as a resource for referral sources, and works closely with branch staff to ensure adequate coordination and transition occurs to hospice services. Responsibilities include receiving and documenting referrals, gathering required documentation, and communicating with referral sources and branch staff.
An experienced, relationship-driven Physician Liaison is needed to lead efforts in building strategic partnerships with independent physicians and provider groups for the purpose of enhancing patient recruitment into clinical trials. This role requires a strong understanding of healthcare operations, HIPAA compliance, and the nuances of clinical research.