Provider Network Liaison

Ann & Robert H. Lurie Children's Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Children's Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report.

This role is responsible for developing and maintaining relationships with physicians in the community. Partners with other departments to develop and cultivate physician or provider outreach initiatives. Educates providers about services available within the network and encourages providers to refer patients within network. Ensures that participating organizations understand the requirements of the contracts and the network program. Initiates programs that enhance provider/organization satisfaction and compliance with contracts and program. Plays key role in monitoring and tracking established managed care and network contract requirements and develops internal reporting and analysis regarding compliance.

Essential Job Functions:

• Assists leadership in marketing the network program and recruiting providers and organizations into the network.

• Serves as the primary contact for participating AHHN organizations; manages and maintains communications with participating organizations; provides technical assistance; addresses questions or concerns regarding network programs, IT systems, contract provisions and quality improvement initiatives.

• Performs onboarding for new providers, practices, and organizations.

• Ensures completion of necessary forms, applications and contracts required for network participation.

• Maintains provider/organization database, oversees compliance withnetwork participation guidelines and relevant contracts.

• Sends notices and updates as necessary.

• Conducts regular site visits and attends meetings with network organizations and community stakeholders.

• Develops and conducts physician and staff training regarding AHHN programs, IT systems, contracts and quality improvement initiatives.

• Communicates with network practices and organizations the incentive compensation structures contained in the AHHN contracts.

• Supports participating organizations in maximizing their revenue opportunities under Medicaid. Serves as an intermediary to promote network value-based contracts and resolve issues on behalf of network practices and organizations with payors.

• Partners with project leads, IT vendors and third-party consultants to support and facilitate the implementation of data acquisition feeds with participating network practices and organizations. Responsible for collaborating with practice/organization and vendor(s) to troubleshoot and resolve any data-related issues.

• Other job functions as assigned.

Knowledge, Skills and Abilities:

• Bachelor's degree required.

• Minimum of 2 years' experience working in a healthcare environment, Medicaid managed care setting and/or strong community organization experience working with community-based organizations (schools, churches, day care providers, etc.)

• Understanding of performance improvement, the business of health care, and integration of care across the continuum preferred.

• Ability to develop strong working relationships with affiliated physicians and organizational leadership.

• Strong customer service acumen, both internal and external. Ability to function well individually, as well as in teams.

• Strong verbal and written communication skills

• Strong computer skills; Microsoft and other applications.

• Ability to handle multiple projects simultaneously.

• Ability to develop educational material and create reports.

• Strong communication and organizational skills.

• Excellent prioritization, coordination, and time management skills. Local travel required; ability to attend evening meetings required.

Education

Benefit Statement

For full time and part time employees who work 20 or more hours per week we offer a generous benefits package that includes:

Medical, dental and vision insurance

Employer paid group term life and disability

Employer contribution toward Health Savings Account

Flexible Spending Accounts

Paid Time Off (PTO), Paid Holidays and Paid Parental Leave

403(b) with a 5% employer match

Various voluntary benefits:

• Supplemental Life, AD&D and Disability

• Critical Illness, Accident and Hospital Indemnity coverage

• Tuition assistance

• Student loan servicing and support

• Adoption benefits

• Backup Childcare and Eldercare

• Employee Assistance Program, and other specialized behavioral health services and resources for employees and family members

• Discount on services at Lurie Children's facilities

• Discount purchasing program

There's a Place for You with Us

At Lurie Children's we embrace and celebrate diversity and equity in a serious way. We are committed to building a team with a variety of backgrounds, skills, and viewpoints - recognizing that diverse identities strengthen our workplace and the care we can provide to the Chicago community and beyond. We treat everyone fairly, appreciate differences, and make meaningful connections that foster belonging and allyship. This is a place where you can be your best, so we can give our best to the patients and families who trust us with their care.

Lurie Children's and its affiliatesare equal employment opportunity employers. We value diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity or expression, religion, national origin, ancestry, age, disability, marital status, pregnancy, protected veteran status, order of protection status, protected genetic information, or any other characteristic protected by law.

Support email: candidatesupport@luriechildrens.org