Provider Network Admin support

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General Details
Location:
, CenturionPretoria / Tshwane
Advertised By: Agency
Job Type: Contract
Description
Vacancy Details A Important Companyr Network Admin support develops and maintains positive relationships with GP-s, other healthcare providers, and practice managers within the provider network, including oversight and managing performance in various value-based programs. They Important Company input into initial reports/analyses for review. Successful Candidates will be enrolled in a Business Administration Level 2 Learnership Workplace Learnership in order to adapt to the workplace at a faster pace. Key job functions:Working closely with the Important Companyr Network Manager, responsible for assisting with the general oversight of provider network, to include financial performance, quality initiatives, provider data accuracy, trend analysis, and provider engagement particularly PCPs and hospital partners. Conducts regular provider visits outbound calls to educate providers and their Office staff on topics including, but not to health policies and procedures, preventative and quality outcome metrics, risk adjustment, etc. Educates providers on the performance requirements. Establish strong, solid relationships with providers. Understands, develops, tracks, monitors, and reports on key program performance metrics, such as utilization, coding, and quality performance. Conducts root cause analysis and resolution of provider concerns. Prepares for and participates in meetings with providers, provider staff, and/or physician leadership, and plans, creates and delivers presentations.

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