PES-Performance & Enablement Specialist-PHSO

Visits provider practice offices regularly to advise and educate on population health strategies, practice transformation, clinical integration, incentive programs, quality care gap closure, and network policies.

Assists providers and office staff in understanding value-based performance initiatives and provides guidance on enhancing patient care.

Collaborates with providers and their teams to identify areas for process improvement, care coordination, and patient outcomes enhancement.

Develops strong relationships with primary care providers and office staff, serving as a resource for performance optimization and education.

Reviews quality and utilization reports, patient and payer data with providers, providing actionable insights and connecting practices to relevant support for performance improvement.

Works closely with the Manager to provide insights into individual provider performance and identify improvement opportunities.

Assists low-performing physicians through performance improvement processes in collaboration with leadership, with active monitoring and effective management of performance action plans within the value-based enterprise.

Participates in continuing education to stay updated on population health trends and industry best practices.

Maintains accurate records of provider contacts, demographics, and reporting issues using designated tools in collaboration with the Network Management team.

Collaborates effectively with internal teams, including MSO, quality and care integration, analytics, and network management, to ensure coordinated operations.

Provides feedback and intel related to potential needs within the provider network.

Other duties as assigned.