Senior Practice Performance Advisor (Position is Remote But Must Live in Hawaii)

Your Future Evolves Here

Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.

Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.

Join Evolent for the mission. Stay for the culture.

What You’ll Be Doing:

**POSITION IS REMOTE BUT CANDIDATE SELECTED MUST LIVE IN HAWAII**

Put your passion where it meets purpose! Evolent attracts some of the brightest minds in health care. Surround yourself with talented, driven colleagues who share a passion for better health outcomes and a more connected care journey. We are hiring for a Senior Practice Performance Advisor to join our Provider Solutions/Relations Team.

The Senior Practice Performance Advisor will partner with our local providers in Hawaii and act as the primary lead/quarterback responsible for provider onboarding across the division along with identifying strategies to enhance performance improvement opportunities.

Collaboration Opportunities:

Provider Onboarding, Engagement and Relationship Management

• Perform all new market implementation activities related to provider onboarding, including obtaining missing provider contact information, facilitating RadMD provisioning/access coordinating and facilitating introductory meetings, and conducting provider/practice training,
• Conduct provider in-servicing to ensure a clear interpretation policies and procedures related to various administrative/ operational functions
• Triage provider issues & concerns and facilitate the timely and satisfactory resolution on behalf of providers

Market Planning and Initiative Deployment

• Collaborate with Partner Ops/Account Mgmt. to develop market- and provider-specific engagement strategies and performance improvement plans
• Deploy Evolent/NIA’s clinical, financial, and operational improvement initiatives with providers in designated markets (both UM and VBI programs/ interventions and APMs); provide insights into the effectiveness of deployed initiatives as well as opportunities for improvement
• Where appropriate, implement targeted provider agreements to improve performance, including fee-for-service schedules, pay-for-performance, value-based alternative payment models and single case agreements

Performance Management

• Manage a portfolio of tools, programs and interventions that ensure best practice standards in operational delivery and performance are put in place
• Proactively identify provider/practice needs and resolve issues as they come up; determine the best course of action when facing ambiguity
• Tightly manage provider performance at assigned practices relative to UM, VBI and APM program adherence, quality, and cost effectiveness, and address provider underperformance
• Manage/help drive referrals to high-performance specialty providers through provider education where applicable
• Ensure high provider satisfaction and retention for practices in assigned markets

Provider Monitoring and Reporting

• Conduct ongoing practice monitoring (e.g., portal utilization, L1 adherence, etc.) against key performance goals
• Pull and compile provider performance data/reports/dashboards/decks for use during provider meetings/JOCs
• Effectively communicate account performance to the practice and internal stakeholders
• Identify practice outliers, proactively identify deteriorating performance, and conduct root cause analysis to identify/prioritize practice interventions to reverse trends

Qualifications - Required and Preferred:

• **Individual must live in Hawaii, preferably Oahu**
• Bachelor’s degree or equivalent work experience
• Minimum of 4 years of experience preferred working in in provider operations, practice/network management, provider contracting, UM operations, clinical improvement, or healthcare client management
• Be comfortable connecting with diverse constituents, actively listening, and identifying key areas of sensitivity