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Advantmed

Provider Network Coordinator

full-time Remote

AI overview

Coordinate provider management and support onboarding for nurse practitioners while streamlining operational processes and enhancing service delivery.

About Advantmed

Advantmed is a leading provider of risk adjustment, quality improvement and value-based solutions to health plans and providers. We drive market leading performance with integrated technology, service, and program solutions that optimize the risk and quality performance of our partners. Our solutions focus on identifying, managing, and documenting risk and quality performance, and the proactive clinical engagement of high acuity populations.

 

The building B.L.O.C.K.S. of our team’s success!

Bring the fun

Leverage together for better

Outperform yourself

Care at every touchpoint

Keep your word. Keep it real

Stay curious & listen well

 

Key Responsibilities 

 

  • Act as single point of contact for providers (primarily nurse practitioners) to coordinate with Operations  
  • Perform provider management activities – provider availability, delinquent charts and queries follow up, inform NP for schedule changes, etc. 
  • Help providers through onboarding and coordinating necessary training 
  • Ensuring supplies are sent to your providers in timely manner and there is no interference in their visits 
  • Counsel provider for any operation related challenges and drive to optimized solution in line with organizational goals 
  • Keep track of the escalations and necessary information for provider management 
  • Responds to internal and external inquiries regarding operations; investigates and resolves problems, complaints, or discrepancies 
  • Identify and escalate priority issues 
  • Collaborate with entire management team to reach organizational and departmental goals 
  • Determine opportunities to streamline current processes 

 

Competency/Skills 

 

  • Good oral, written, and interpersonal communication skills 
  • Ability to work well in a team environment 
  • Strong analytical skills 
  • Dependable and flexible 
  • Good with time management (prioritizing tasks) 
  • Should be ready to work as per business requirement 
  • Flexibility for cross training 
  • Proficient in Words, Excel, and PowerPoint 
  • Quick Learner 
  • Problem solving and resolution skills 
  • Strategic thinker 
  • Good time management 

 

 

Education  

  • High school diploma or equivalent 
 Advantmed

Advantmed is a privately held company founded in 2005. The organization initially focused on record retrieval but has evolved into an innovative healthcare information management company that helps health plans and Managed Care Organizations optimize revenue and improve quality outcomes. Our mission is to improve the healthcare system by ensuring appropriate, quality care and eliminating unnecessary costs. We accomplish this by providing a cost-effective suite of capabilities tailored to the unique needs of our clients, including NCQA-certified HEDIS® measure software, risk analytics, medical record retrieval, medical record abstraction, risk adjustment coding, data validation, prospective assessments, and provider education. Our strategy reflects our flexibility and commitment to meeting our clients' evolving needs. We work closely with our clients to understand their concerns, requirements, strategic objectives, and infrastructure so that we can support them accordingly. Our foundational principles are accuracy, efficiency, and transparency. Our solutions are designed to be user-friendly and flexible. We see ourselves as an extension of our clients’ internal teams, which allows us to work to advance our solutions and provide support for their growing business needs. Understanding how our clients use our products and services fuels our product development road map, especially in terms of technology as we continually work to improve our client portal. In addition, we regularly monitor statutory and regulatory changes from CMS, HHS, NCQA, and others. The Advantmed leadership team is composed of seasoned healthcare veterans, with extensive quality and risk adjustment expertise. The leadership team oversees a global staff of over 1,800 employees. Notably, we are HITRUST certified, and all data resides within the United States.

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