Ascension Health Provider Network Specialist in Nashville, Tennessee

Job ID: 261554

Provider Network Specialist

Nashville, Tennessee

Regular/Day

Additional Job Information

Title: Provider Network Specialist

City, State: Nashville, TN

Location: TNNAS HDQTR 523 Mainstream Dr

Department: ACO PR 001

Additional Job Details: FT Days, 8 Am- 5 PM

About Us

Ascension is a faith-based healthcare organization dedicated to transformation through innovation across the continuum of care. As the largest non-profit health system in the U.S. and the world’s largest Catholic health system, Ascension is committed to delivering compassionate, personalized care to all, with special attention to persons living in poverty and those most vulnerable. In FY2017, Ascension provided more than $1.8 billion in care of persons living in poverty and other community benefit programs. Ascension includes approximately 165,000 associates and 34,000 aligned providers. Ascension’s Healthcare Division operates more than 2,600 sites of care – including 153 hospitals and more than 50 senior living facilities – in 22 states and the District of Columbia, while its Solutions Division provides a variety of services and solutions including physician practice management, venture capital investing, investment management, biomedical engineering, facilities management, clinical care management, information services, risk management, and contracting through Ascension’s own group purchasing organization.

Job Description

Job Summary:

When a market is of a particular size in terms of number of providers, provider locations, and geographical footprint, a Provider Network Specialist will be deployed to assist the Network Administrator in managing the local market. The Provider Network Specialist’s activities will include, but are not limited to, completing data requests on provider data and analyzing the reports. Special requests will require strong excel skills to conduct vlook up, formatting, and creating tables. This role will be instrumental in coordinating compliance and clinical integration communications and assist with quality reporting. Excellent communicaiton skills required for provider newsletters, campaign and other key practice and physician onboarding.

Responsibilities:

  • Performing activities to positively affect established Key Performance Indicators (KPI’s)

  • Carrying out physician engagement, communication and messaging activities as assigned by the Provider Network Administrator

  • Runs reports from Salesforce and portal systems as requested. Analytical skills to audit, format, pivot tables as requested.

  • Coordination of provider communication campaigns around compliance, clinical integration, quality metrics and collaboration

  • Fosters and manages relationships with participating and potential providers/clinical staff/office staff; carries out local strategy and KPI goals for Network team.

  • Identifies and pursues providers to develop a stronger presence within strategic specialties or geographic locations with coordinated efforts of our adequacy and contracting strategies.

  • Identifies and coordinates resolution of provider issues by researching, developing statement of work, and ROI for new tools and vendors.

  • Collaborates with contracting and the ministry on new market builds within Salesforce. Assists contracting with open contracts as requested.

  • Assists the Provider Network Administrator in planning and implementing regular provider and practice administrator meetings

  • Coordinates the distribution and messaging of marketing and educational materials

  • Performs administrative duties for all provider committee activities

  • Other duties as assigned

Skills :

  • Possesses strong verbal and written communication skills

  • Demonstrates strategic and analytical thinking skills

  • Strong skills in excel

  • Success in managing multiple tasks, deadlines and priorities

  • Ability to succeed in a dynamic and ambiguous working environment

  • Ability to work well with others in a professional, collaborative and predictable manner.

  • Consistent attendance as scheduled.

Qualifications

Education:

  • Bachelor’s degree in business, healthcare or related field required.

  • Master’s degree in Healthcare or Business Administration preferred.

Work Experience:

  • Minimum of three (3) years of provider relations, network management, medical sales or related healthcare experience required.

Equal Employment Opportunity

Ascension Health is an EEO/AA employer: M/F/Disabled/Vet. For further information regarding your EEO rights, click on the following link to the “EEO is the Law” poster:

http://www1.eeoc.gov/employers/upload/eeocselfprint_poster.pdf ”

Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.

E-Verify Statement

Ascension Health participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.

E -Verify (link to E-verify site)