Provider Performance Improvement Field Specialist

Join us for an exciting career with the leading provider of supplemental benefits!

Our Promise
Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.

The Provider Performance Improvement Field Specialist is responsible for driving quality improvement initiatives and enhancing the performance of dental providers within Avēsis’ dental network by working both remotely and in-person with network providers and their teams. This role involves collaborating with providers, analyzing data, and implementing strategies to improve patient care, provider satisfaction, and overall network performance. The specialist will focus on identifying areas for improvement, developing targeted interventions, and monitoring progress to ensure compliance with clinical best practices, regulatory requirements, and performance expectations.

Competencies:

Functional:

• Analyze provider performance data. Develop and maintain performance reports, dashboards, and scorecards. Monitor provider compliance with guidelines and standards.
• Conduct training sessions, workshops, and webinars. Provide individualized coaching to underperforming providers.
• Develop and implement performance improvement programs. Collaborate with internal teams to execute initiatives. Align efforts with organizational goals and compliance standards.
• Use analytics to assess interventions. Provide recommendations based on data and benchmarking. Identify and promote best practices.
• Ensure compliance with regulations and standards. Monitor adherence to clinical guidelines. Assist in audit and accreditation preparation.
• Analyze member feedback and satisfaction surveys. Implement strategies to improve communication and care delivery.

Core:

• Collegiality: building strong relationships on company-wide, approachable, and helpful, ability to mentor and support team growth.
• Initiative: readiness to lead or take action to achieve goals.
• Communicative: ability to relay issues, concepts, and ideas to others easily orally and in writing.
• Member-focused: going above and beyond to make our members feel seen, valued and appreciated.
• Detail oriented and thorough: managing and completing details of assignments without too much oversight.
• Flexible and responsive: managing new demands, changes, and situations.
• Critical Thinking: effectively troubleshoot complex issues, problem solve and multi-task.
• Integrity & responsibility: acting with a clear sense ownership for actions, decisions and to keep information confidential when required.
• Collaborative: ability to represent your own interests while being fair to those representing other or competing ideas in search of a workable solution for all parties.

Behavioral:

• Foster positive relationships with providers. Act as a liaison between providers and the organization. Address concerns and facilitate communication.
• Promote best practices and evidence-based care. Motivate and support providers through coaching.
• Work cross-functionally with internal teams. Share knowledge and align on quality goals.
• Deliver clear, persuasive training and feedback. Communicate performance expectations and improvement strategies.
• Assist in resolving provider grievances. Address non-compliance or performance issues constructively

Minimum Qualifications:

• Associates degree or equivalent education and work experience in a similar role. High School Degree or equivalent required.

• 2+ years’ experience in healthcare quality improvement, provider relations, or a similar role.
• 2+ years of experience in managed care government programs, such as Medicaid and Medicare.
• Ability to travel within the state of Mississippi 75% of working hours.
• A valid driver's license with proof of auto insurance and the ability to use your own vehicle.
• The ability to accelerate impact and effectively collaborate across multiple teams toward attaining common goals and objectives.
• Strong written and verbal communication skills with focus on detail and concise, objective, relevant documentation.

Preferred Qualifications:

• Familiarity with dental clinical guidelines, best practices, and regulatory requirements.
• Strong analytical skills, with experience in data analysis and performance metrics.
• Excellent communication, presentation, and interpersonal skills, with the ability to engage and influence dental providers.
• Knowledge of quality improvement methodologies, such as Lean, Six Sigma, or PDSA (Plan-Do-Study-Act), is a plus.
• Proficiency in healthcare management software, data analytics tools, and Microsoft Office Suite.

FLSA Status: Salary/Exempt

National Salary Range: $46,080 - $90,080

Bonus Eligible: Annual Incentive Plan (AIP)

How to stay safe:

Avesis is aware of fraudulent activity by individuals falsely representing themselves as Avesis recruiters. In some instances, these individuals may even contact applicants with a job offer letter, ask applicants to make purchases (i.e., a laptop or gift cards) from a designated vendor, have applicants fill out W-2 forms, or ask that applicants ship or send packages of goods to the company.

Avesis would never make such requests to applicants at any time throughout our job application process. We also would never ask applicants for personal information, such as passport numbers, bank account numbers, or social security numbers, during process. Our recruitment process takes place by phone and via trusted business communication platform (i.e., Zoom, Webex, Microsoft Teams, etc.). Any emails from Avesis recruiters will come from a verified email address ending in @Avesis.com.

We urge all applicants to exercise caution. If something feels off about your interactions, we encourage you to suspend or cease communications. If you are unsure of the legitimacy of a communication you have received, please reach out to [email protected].

To learn more about protecting yourself from fraudulent activity, please refer to this article link (https://consumer.ftc.gov/articles/how-avoid-scam). If you believe you were a victim of fraudulent activity, please contact your local authorities or file a complaint (Link: https://reportfraud.ftc.gov/#/) with the Federal Trade Commission. Avesis is not responsible for any claims, losses, damages, or expenses resulting from unaffiliated individuals of the company or their fraudulent activity.

We Offer

• Meaningful and challenging work opportunities to accelerate innovation in a secure and compliant way.
• Competitive compensation package.
• Excellent medical, dental, supplemental health, life and vision coverage for you and your dependents with no wait period.
• Life and disability insurance.
• A great 401(k) with company match.
• Tuition assistance, paid parental leave and backup family care.
• Dynamic, modern work environments that promote collaboration and creativity to develop and empower talent.
• Flexible time off, dress code, and work location policies to balance your work and life in the ways that suit you best.
• Employee Resource Groups that advocate for inclusion and diversity in all that we do.
• Social responsibility in all aspects of our work. We volunteer within our local communities, create educational alliances with colleges, drive a variety of initiatives in sustainability.

Equal Employment Opportunity

At Avēsis, We See You. We celebrate differences and are building a culture of inclusivity and diversity. We are proud to be an Equal Employment Opportunity employer that considers all qualified applicants and does not discriminate against any person based on ancestry, age, citizenship, color, creed, disability, familial status, gender, gender expression, gender identity, marital status, military or veteran status, national origin, race, religion, sexual orientation, or any other characteristic. At Avēsis, we believe that, to operate at the peak of excellence, our workforce needs to represent a rich mixture of diverse people, all focused on providing a world-class experience for our clients. We focus on recruiting, training and retaining those individuals that share similar goals. Come Dare to be Different at Avēsis, where We See You!

Originally posted on Himalayas

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