Provider Liason - Traverse City, Michigan (Hybrid) - Homeward
Traverse City, MI
About the Job
Homeward is rearchitecting the delivery of health and care in partnership with communities everywhere, starting in rural America. Today, 60 million Americans living in rural communities are facing a crisis of access to care. In the U.S. healthcare system, rural Americans experience significantly poorer clinical outcomes. This trend is rapidly accelerating as rural hospitals close and physician shortages increase, exacerbating health disparities. In fact, Americans living in rural communities suffer a mortality rate 23 percent higher than those in urban communities, in part because of the lack of access to quality care.
Our vision is care that enables everyone to achieve their best health. So, we're creating a new healthcare delivery model that is purpose-built for rural America and directly addresses the issues that have historically limited access and quality. Homeward supports Medicare-eligible beneficiaries by partnering with health plans, providers, and communities to align incentives – taking full financial accountability for clinical outcomes and the total cost of care across rural counties.
As a public benefit corporation and Certified B Corp™, Homeward's mission and business model are aligned to address the healthcare, economic, and demographic challenges that make it challenging for rural Americans to stay healthy. Our Homeward Navigation™ platform uses advanced analytics to connect members to the right care and local resources that address social determinants of health and improve holistic health outcomes. Since many rural communities lack adequate clinical capacity, Homeward also employs care teams that supplement local practices and reach people who cannot otherwise access care.
Homeward is co-founded by a leadership team that defined and delivered Livongo's products, and backed most recently by a $50 million series B co-led by Arch Ventures and Human Capital, with participation from General Catalyst for a total of $70 million in funding. With this leadership team and funding, Homeward is committed to bringing high-quality healthcare to rural communities in need.
The Opportunity
We are seeking a highly motivated Provider Liaison responsible for field activities that educate and support providers in the Homeward service area in our Michigan regions. The Provider Relations Specialist will work with local providers to optimize quality and total cost of care performance based on health plan contractual arrangements.
We are seeking an energetic Provider Relations Specialist to join our team in Michigan. In this role, you will interact with local healthcare providers to educate and support them within the Homeward service area. Your efforts will aim to improve quality and manage total cost of care performance, ensuring compliance with health plan contractual requirements.
What You'll Do:
- An understanding of value-based care and insurance contracting
- Experience influencing external clinical and operational stakeholders through informal leadership and relationship management.
- Experience building relationships with local physician organizations and demonstrated ability to confidently manage accounts with offices of all sizes.
- Develop trusted relationships and maintain open lines of communication with providers through in-person visits, emails, phone
- Serve as primary contact for providers and liaison between community providers and Homeward
- Experience coordinating and establishing referral relationships with physician organizations, hospitals, or other referral sources
- Ability to gain access to decision-makers either by experience, reputation, or education
- Exceptional project management, communication, and account management skills
- Willingness to travel daily within the rural counties of Michigan for business development purposes
- Demonstrated passion for re-architecting how health and care are delivered
- Conduct provider onboarding, orientation, and ongoing educational training throughout the year to optimize provider performance
- Conduct regular face-to-face meetings with the providers, documenting discussions, issues, attendees, and action items covering claims issues, quality care gaps, CAHPS, clinical documentation improvement, and member and provider rosters
- Collaborate with other departments to ensure provider inquiries are resolved in a timely and effective manner
- Create detailed reporting of provider visits, inquiries, training materials, and growth opportunities
- Collaborate with Homeward Navigators to ensure patients receive timely access to appropriate, high-quality care from assigned providers
- Problem-solve and identify ways to address provider issues timely and effectively
- Maintain and update rosters of community providers caring for Homeward patients, and maintain Homeward's relationship management database accordingly
- Work cross-functionally with internal departments
- The position requires the use of high-speed internet
- Must be able to travel frequently to the assigned service areas
- Other duties assigned by department leaders
What You Bring:
- Bachelor's degree or equivalent years of experience preferred
- 2-3 years experience in provider network scope of services
- Experience working as a representative in pharmaceutical sales, home health, senior care/living, or other roles maintaining referral/ordering partner relationships.
- Strong understanding of Managed Care Operations
- Excellent written and verbal communication skills
- Proficient computer skills and Microsoft Office programs (i.e., Outlook, Excel, Word, and PowerPoint)
- Experienced in provider engagement, Medicare, Medicaid, and Commercial managed care systems
- Relentlessly resourceful. You enjoy taking ownership and can get things done without excuses. You are resilient, detail-oriented, and truly believe that no task is beneath you
- Possess strong organizational skills, plan daily activities, and demonstrate initiative with minimal supervision to complete projects
- Comfortable with ambiguity and biased towards action. You enjoy thinking about complex and ambiguous problems and can execute consistently and add compounding value
- Comfortable working in a fast-paced environment
- Strong priority management, working independently, effectively managing time and resources
What Shapes Homeward:
- Deep commitment to one another, the people and communities we serve, and to provide care that enables everyone to achieve their best health
- Compassion and empathy
- Curiosity and an eagerness to listen
- Drive to deliver high-quality experiences, clinical care, and cost-effectiveness
- Strong focus on the sustainability of our business and scalability of our services to maximize our reach and impact
- Nurturing a diverse workforce with a wide range of backgrounds, experiences, and points of view
- Taking our mission and business seriously, but not taking ourselves too seriously– having fun as we build!
Benefits
- Competitive salary and equity grant
- Comprehensive benefits package including medical, dental & vision insurance with 100% of monthly premium covered for employees
- Unlimited Paid Time Off
- Company-sponsored 401k plan
At Homeward, a diverse set of backgrounds and experiences enrich our teams and allow us to achieve above and beyond our goals. If you have yet to gain experience in the areas detailed above, we hope you will share your unique background with us in your application and how it can be additive to our teams.
Homeward is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. Homeward is committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities.
#Homeward