What are the responsibilities and job description for the Provider Engagement Specialist position at AllCare Management Services?
Provider Engagement Specialist at AllCare Health with the Provider Services team in Grants Pass, Oregon
We Are Seeking Qualified Candidates to Join Our Team!
AllCare Health offers competitive wages, an excellent benefits package including affordable healthcare, 401k retirement, wellness programs, and flexible schedule options.
Summary of the Position The Provider Engagement Specialist supports AllCare Health’s provider network by driving success in Value-Based Programs (VBPs), with a strong focus on meeting AllCare’s CCO and Medicare Advantage performance metrics. Reporting to the Manager of Provider Engagement, this role is responsible for educating, training, and assisting providers and clinic staff in implementing alternative payment models (APMs), improving quality outcomes, and closing care gaps.
This position frequently visits provider offices in person and serves as a key liaison between clinics and AllCare departments, building strong relationships, identifying opportunities for improvement, and ensuring alignment with organizational goals. The role also supports MSO-affiliated practices to support efforts of advancing patient-centered care and achieving shared savings.
Essential Duties
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Job Duties
- Represent AllCare Health in a professional and collaborative manner in all provider-facing activities.
- Support clinics in achieving quality benchmarks and shared savings in AllCare Value Based Payment Programs.
- Deliver tailored training and technical assistance to providers and office staff through in-person, virtual, and written communication.
- Disseminate and clarify updates on AllCare processes, program changes, and VBP initiatives.
- Plan and facilitate provider meetings including collaboratives, educational sessions, and quarterly network meetings.
- Serve as liaison between provider offices and AllCare departments, communicating needs, resolving concerns, and sharing insights.
- Support implementation and tracking of federal and state incentive programs.
MSO Collaboration & Quality Improvement Support:
- Support MSO clinics in achieving quality benchmarks and shared savings.
- Assist with the development of annual plans and outcomes goals for MSO practices.
- Conduct chart reviews and identify areas for clinical and operational improvement.
- Use payer portals and data platforms to support accurate tracking and care gap closure.
- Maintain working knowledge of clinic EHR systems to support providers in data entry and workflow optimization.
- Participate in outcome-focused meetings with MSO and VBP teams to analyze data and identify actionable opportunities.
Administrative & Team Collaboration:
- Complete daily, weekly, and monthly responsibilities, checklists, and documentation.
- Participate in regular internal meetings (e.g., weekly Teams check-ins with the team).
- Assist with chart audits, including OHA Hybrid Measures as needed.
- Provide back-up coverage for departmental staff when required.
- Maintains punctual, regular and predictable attendance.
- Works collaboratively in a team environment with a spirit of cooperation.
- Respectfully takes direction from leadership.
- Meets all required training including those listed in Relias Learning Module System (LMS).
- Performs other duties as assigned.
On Call Responsibilities
This position does not have any on call responsibilities.
Supervisory Responsibilities
This position does not have any supervisory responsibilities.
Job Requirements
- May require the use of personal vehicle for local travel (subject to mileage reimbursement).
- May require the use of a personal cell phone (cell phone stipend applicable).
Qualifications
Ability to perform essential job duties with or without reasonable accommodation and without posing a direct threat to safety or health of employee or others. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.
Being bilingual in another language, including American Sign Language (ASL), is an invaluable skill that enhances our ability to deliver culturally responsive care. We strongly encourage you to apply if you are bilingual.
All relevant experience can be listed in your resume to perform essential duties of the position including the following: lived, volunteer, professional, or a combination of experience and education.
Education
High school diploma or general education degree (GED).
Experience
At least one to three months related experience and/or training in healthcare provider training and education programs, clinic practice management, provider communication, & provider contracts and reimbursement methodologies as they apply in a managed care environment.
Certificates, Licenses, and/or Registrations
Valid Oregon Driver’s License and vehicle insurance.
Technical Skills
- Familiarity with the Healthcare industry.
- Exceptional writing, editing, and proofreading skills.
- Excellent organization and time-management skills.
- Excellent computer skills, including the Microsoft Office Suite (Outlook, Word, PowerPoint, and Excel).
- Knowledge of and compliance with HIPAA regulations.
- Knowledge of operating systems, programming languages, software programs, networks and other technologies.
- Excellent at identifying and implementing improvement activities and ensuring excellence.
- Knowledge of research methodologies and/or data analysis.
- Excellent at interpreting data and using it to solve problems and gain new insights.
- Knowledge of customer service and service recovery best practices.
- Excellent customer service skills to respond appropriately and interact positively with upset customers.
Interpersonal Skills
- Demonstrate accountability, inspiring trust and confidence from others.
- Self-resolve most conflicts or misunderstandings with minimal need for direct supervision.
- Work with high initiative, energy and effectiveness in a fast-past environment.
- Effectively and professionally communicate with team members and customers.
- Collaborate within a multidisciplinary, diverse team to provide professional service.
- Interact positively with customers to satisfy needs and resolve problems in a pleasant and professional manner.
- Prioritize and organize work according to competing timelines.
- Allocate your time so that you can complete tasks within established deadlines.
- Adapt to change, learn quickly, and work with ambiguity.
- Use creativity and resourcefulness to solve new problems.
- Cope and self-manage during stressful situations.
- Maintain an attentive and empathetic demeanor.
- Maintain a high degree of professionalism and confidentiality.
- Effectively work with people with mental illness and from diverse backgrounds and experiences.
- Provide respectful and understanding service to customers within a multicultural environment.
- Create a pleasant experience for all customers, such as being personable and attentive.
- Meet timelines for goals safely and with high level of quality.
- Negotiate, consider many viewpoints and settle differences quickly.
- Make decisions independently in accordance with established policies and procedures.
- Take initiative and apply sound judgment in completing tasks and responsibilities.
- Seek out information to learn more about our environment and community.
- Examine and shift behaviors, as appropriate.
- Commit to being culturally aware.
Language Skills
Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
Mathematical Skills
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
Computer Skills
Job requires specialized computer skills. Must be adept at using various applications including database, spreadsheet, report writing, project management, graphics, word processing, presentation creation/editing, communicate by e-mail and use scheduling software.
Reasoning Ability
Ability to solve practical problems and work with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Physical Demands & Work Environment
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential duties of this job. The work environment characteristics described here are representative of those an employee encounters while performing the essential duties of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.
The employee must occasionally lift and/or move up to 10 pounds. While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear. The employee is occasionally required to stand; walk and reach with hands and arms. The noise level in the work environment is usually moderate.
- The employee must be able to work onsite as needed.
- The employee must be able to work from a home office as needed.
- The employee must be able to travel locally as needed.
- The employee has exposure to communicable disease and body fluids.
- Because of exposure to patient records of all types, the highest standard of patient confidentiality and privacy as established by business policy and HIPAA requirements must be maintained.
Company Overview
AllCare Health Website: https://www.allcarehealth.com.
AllCare Health is incorporated as an Oregon Benefit Corporation and has earned the coveted Certified B Corp® status since 2017. As such, AllCare Health considers its impact on community, society, and the environment in all business decisions. We have long recognized the value in social, economic, and environmental concerns of our employees, customers, and community members. (Learn more about B Corps at https://bcorporation.net/about-b-corps)
AllCare Health headquarters are located in Grants Pass in Southern Oregon on the Rogue River, surrounded by mountains, forests, small farms, and breathtaking views. This thriving and energetic community is ideal for families and outdoor enthusiasts, with a temperate Pacific Northwest climate. We enjoy easy access to outdoor sports and recreation, river rafting, fishing, hiking, biking, wineries, outdoor concerts, the world-famous Ashland Shakespeare Festival, the stunning Oregon coast, magnificent redwood forests, pristine beaches, and much more.
The AllCare Health family of businesses is guided by our corporate principles:
Purpose | Working together with our communities to improve the health and well-being of everyone.
Values | Trust, Innovation, Relationships, and Voice.
Vision | Thriving, Inclusive, and Equitable communities.
Brand Promise | Changing Healthcare to Work for You.
AllCare Health is dedicated to building a diverse and authentic workplace centered in belonging and serving our growing community. If you are excited about this open position but your experience does not align perfectly with every qualification in this post, we encourage you to apply anyway or reach out to our human resources department. You may just be the right candidate for this role or others.
If you need accommodations, help in the application process, or wish to receive this job announcement in an alternative format, please call 541-471-4106 and ask for Human Resources.
All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information.
Monday - Friday; 8:00am-5:00pm w/ a 1 hour unpaid lunch & two 15 minute paid breaks
40 hours per week
Salary : $27 - $30