* With support from corporate staff, assist with the introduction, implementation, and training for various HPMG projects and initiatives, such as Relay Health, Hill inSite, Electronic Medical Record, Practice Management Systems, and CMS Risk Initiative.
* Accountable for developing and maintaining excellent cooperative working relationships with HPMG physicians/providers, practice managers, and office staff through personal visits, written and electronic correspondence, and telephone contact.
* Conduct practice manager and office staff HPMG orientations. Provide ongoing education to physicians/providers and all levels of office staff, which may include needs assessments, training various audiences, evaluating success, and modifying educational components.
* Uphold department goals, objectives, and continuous improvement programs.
* Acts as account advisor for assigned physician offices in matters involving HPMG business related processes including: authorizations, claim submission, payment adjudication, billing coding issues, chart documentation, membership matters, business process evaluations, and HPMG related policies and procedures.
* Interface with physician practices, health plans, and ancillary services to identify, advise and resolve HPMG related operational issues.
* With support of corporate staff and in conjunction with participating health plans, promote HPMG through local marketing efforts; i.e. may attend marketing meetings, open enrollment, new member orientations, panel meetings, practice manager meetings, and other special events as needed.
* Support physician network activities in partnership with Network Management. Review and coordinate ongoing updates to insure that the Practice Operations Manual (POM), Provider Information Management (PIM), Provider Directories, and applicable guidelines are current and accurate. Report to management any client issues deemed important or critical to the success of HPMG and its mission and values.
* Organizes internal and external meetings for Department members.