Provider Performance Liaison-Clinical
Location:
Remote - TX
Department:
Quality
Shift:
First Shift (United States of America)
Standard Weekly Hours:
40
Summary:
The Provider Performance Liaison -Clinical (PPL) will develop partnerships with providers to close identified gaps in care and achieve targeted thresholds in Provider Incentive Programs, Alternative Payment Model (APM) programs Performance Improvement Projects. The PPL will assist providers with questions regarding HEDIS metrics and support them by providing best practices to achieve objectives. The PPL will work closely with providers, community-based organizations, and internal partners to implement interventions that impact improved quality outcomes for CCHP membership.
Additional Information:
The Provider Performance Liaison -Clinical (PPL) will develop partnerships with providers to close identified gaps in care and achieve targeted thresholds in Provider Incentive Programs, Alternative Payment Model (APM) programs Performance Improvement Projects. The PPL will assist providers with questions regarding HEDIS metrics and support them by providing best practices to achieve objectives. The PPL will work closely with providers, community-based organizations, and internal partners to implement interventions that impact improved quality outcomes for CCHP membership.
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Education and Experience
- Registered Nurse or Advanced Practice Nurse with knowledge of HEDIS and Texas Medicaid.
- Minimum of five (5) years of experience in a Provider-facing setting or role is required.
Licensure, Registration, and/or Certification
- Registered Nurse or Advanced Practice Nurse
Position is remote, will be required to travel to providers office
About Us:
Cook Children's Health Plan
Cook Children's Health Plan provides vital coverage to nearly 120,000 people in low-income families who qualify for government-sponsored programs in our six county service region. Cook Children's Health Plan provides health coverage for CHIP, CHIP Perinatal, STAR (Medicaid) and STAR Kids Members in the Tarrant county service area. The counties we serve includes Tarrant, Johnson, Denton, Parker, Hood and Wise.
Cook Children's is an equal opportunity employer. As such, Cook Children's offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.
Perks and Benefits
Health and Wellness
- Health Insurance
- Health Reimbursement Account
- Dental Insurance
- Vision Insurance
- Life Insurance
- Short-Term Disability
- Long-Term Disability
- FSA
- FSA With Employer Contribution
- HSA
- HSA With Employer Contribution
- Fitness Subsidies
- On-Site Gym
- Pet Insurance
- Mental Health Benefits
Parental Benefits
- Birth Parent or Maternity Leave
- Adoption Assistance Program
- Family Support Resources
- On-site/Nearby Childcare
- Adoption Leave
- Fertility Benefits
- Non-Birth Parent or Paternity Leave
Work Flexibility
- Hybrid Work Opportunities
Office Life and Perks
- Company Outings
- On-Site Cafeteria
- Holiday Events
Vacation and Time Off
- Paid Vacation
- Paid Holidays
- Personal/Sick Days
- Leave of Absence
Financial and Retirement
- Performance Bonus
- Relocation Assistance
- Financial Counseling
- 401(K) With Company Matching
Professional Development
- Tuition Reimbursement
- Promote From Within
- Access to Online Courses
- Lunch and Learns
- Leadership Training Program
- Professional Coaching
Diversity and Inclusion
- Diversity, Equity, and Inclusion Program
- Employee Resource Groups (ERG)