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Provider Relations Specialist

Location Palos Heights, Illinois Business Unit Northwestern Medicine Corporate Job REQID 42663 Job Function Quality/Business Development/Process Improvement Shift Day Job (1st) Apply Now

At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better?

Description

The Provider Relations Specialist reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.

The Provider Relations Specialist will act as the primary contact in building a relationship with private practice physicians aligned with Northwestern Medicine through Northwestern Medicine Physician Network. The vision for Northwestern Medicine Physician Network is to align Northwestern Medicine physicians both employed and private through a single, scalable, clinically integrated network that services physicians and patients across the entire health system.

The Provider Relations Specialist supports the recruitment, onboarding, engagement and education of both prospective and existing Northwestern Medicine Physician Network physicians and staff. This position will be the lead to implement physician alignment and relationship strategies in their region.

Responsibilities:

  • Must be able to have effective interaction with all Providers.
  • Must be able to problem solve and identify ways to address provider network issues effectively or reach out to key team members for assistance
  • Understanding of key managed care operations, including but not limited to BCBS HMO, MSSP
  • Traveling frequently to providers in assigned region is required and other regions as necessary
  • Daily and weekly in person meetings in hospitals and/or physician offices within the assigned region
  • Promote the integrity of Northwestern Medicine Physician Network (NMPN)
  • Proactive outreach to the aligned private physicians within NMPN
  • Provide support and ongoing education to contracted providers and their office staff regarding Northwestern Medicine Physician Network policies, procedures, and contractual obligations to ensure compliance with state and federal regulations.
  • Develop collaborative relationships with Physicians and key stakeholders and system functions within NM including but not limited to quality, pharmacy, Care Coordination and credentialing
  • Participation in new business development projects
  • Assist in obtaining information and reports from provider offices regarding MSSP ACO and other programs
  • Ability to handle provider concerns in an empathetic and caring manner.
  • Help facilitate monthly or quarterly meetings with provider offices and key stakeholders.
  • Attend monthly Provider Network and/or Operations Team Meetings, Quarterly Office Manager Meetings, and other meetings upon request
  • Onboard and train new Northwestern Medicine Physician Network providers and staff
  • Track and report activities and interactions with practice and physicians in systems included but not limited to excel spreadsheets, access databases and/or CRM systems.
  • Cover other regions as needed for colleagues
  • Supports the team in the recruitment, engagement, education and retention of private practice physicians aligned with NM via Northwestern Medicine Physician Network.
  • Contribute to design and implementation of programs that build/nurture positive relationships between Northwestern Medicine Physician Network and the provider and practice managers

Qualifications

Required:

  • Bachelor's degree or a minimum of 5 years of physician relations experience or healthcare experience working with physicians and/or their staff.
  • Relevant experience and current knowledge of healthcare trends related to emerging models of population health management and its application to physician alignment networks.
  • Ability to work with a variety of stakeholders to build consensus around a common program approach across all NM locations and practice settings.

Preferred:

  • 5+ years of physician relations experience in a Clinically Integrated Network with employed and private practice physicians.
  • Progressive experience regarding healthcare trends related to emerging models of population health management including but not limited to MSSP.
  • Experience in the development of physician networks.

Equal Opportunity

Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.

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