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Physician Business Manager - Minnesota Market (Hybrid)

Homeward

Homeward

Sales & Business Development
Minnesota, USA
Posted on Tuesday, July 2, 2024

Homeward is rearchitecting the delivery of health and care in partnership with communities everywhere, starting in rural America. Today, 60 million Americans living in rural communities are facing a crisis of access to care. In the U.S. healthcare system, rural Americans experience significantly poorer clinical outcomes. This trend is rapidly accelerating as rural hospitals close and physician shortages increase, exacerbating health disparities. In fact, Americans living in rural communities suffer a mortality rate 23 percent higher than those in urban communities, in part because of the lack of access to quality care.

Our vision is care that enables everyone to achieve their best health. So, we’re creating a new healthcare delivery model that is purpose-built for rural America and directly addresses the issues that have historically limited access and quality. Homeward supports Medicare-eligible beneficiaries by partnering with health plans, providers, and communities to align incentives – taking full financial accountability for clinical outcomes and the total cost of care across rural counties.

As a public benefit corporation and Certified B Corp™, Homeward’s mission and business model are aligned to address the healthcare, economic, and demographic challenges that make it challenging for rural Americans to stay healthy. Our Homeward Navigation™ platform uses advanced analytics to connect members to the right care and local resources that address social determinants of health and improve holistic health outcomes. Since many rural communities lack adequate clinical capacity, Homeward also employs care teams that supplement local practices and reach people who cannot otherwise access care.

Homeward is co-founded by a leadership team that defined and delivered Livongo’s products, and backed most recently by a $50 million series B co-led by Arch Ventures and Human Capital, with participation from General Catalyst for a total of $70 million in funding. With this leadership team and funding, Homeward is committed to bringing high-quality healthcare to rural communities in need.


The Opportunity

We are seeking a highly motivated Physician Business Manager. The Physician Business Manager is responsible for provider optimization. This includes maintaining servicing a high quality, marketable, and satisfied provider network within an assigned Minnesota geographic area. Key responsibilities include educating providers on the Homeward Navigation Model and Homeward Model of Care, ensuring they have the tools they need to meet quality, acuity capture, growth, and total medical cost goals for assigned providers.

The Physician Business Manager helps assigned providers operate successfully within our healthcare delivery model by providing strategic planning, tools, and analytics to meet goals. This position is expected to build and sustain solid working relationships with cross-functional departments, vendors, and assigned providers. The Physician Business Manager is also accountable for overall performance and profitability for their assigned groups, as well as ownership and oversight, to provide redirection as appropriate. This in-market role will require frequent travel within the assigned rural Minnesota region.


What You’ll Do:

  • Educate providers on the Homeward Navigation Model to ensure they have the tools they need to meet quality, acuity capture, growth, and total medical cost goals per the business plan
  • Ensure providers have an in-depth understanding of the Homeward Model of Care to include, but not limited to, program incentives, quality and acuity capture tools, and patient care best practices
  • Compiling and reviewing comprehensive Value-Based Care quality and cost reporting with providers to support Homeward contracts in the market
  • Conduct detailed analysis of various reports by tracking and trending data to develop a strategic plan to ensure performance goals are achieved
  • Ensure the overall strategic plan incorporates interventions with internal departments or subject matter experts, external vendors, and others as needed
  • Conduct new provider orientations and ongoing education to providers and their staffs on healthcare delivery products, health plan partnerships, processes, and possible compensation arrangements
  • Conduct provider meetings to share and discuss performance data, troubleshoot for issue resolution, and implement an escalation process for discrepancies
  • Develop a collaborative relationship with provider practices and clinics to develop, execute, and monitor performance and patient outcomes improvement plans
  • Collaborate with Homeward Medical Director to monitor utilization trends and total cost of care opportunities, then share results with assigned PCPs
  • Oversee strategic Homeward projects as they relate to quality improvement, risk adjustment, network development, post-acute care optimization and/or other initiatives as determined by Homeward management
  • Provide information and participate in internal management meetings as requested
  • Regularly meet with internal cross-functional teams to provide in-market visibility to create, revise, and adjust strategy for assigned Provider Groups to meet overall performance goals
  • Introduce and advocate company resources to facilitate practice optimization
  • Identify at-risk situations and develop a plan for escalation and corrective action
  • Understand value-based care and risk-sharing methodology
  • Must be able to travel frequently within the assigned Minnesota service areas
  • Other duties assigned by department leaders

What You Bring:

  • Bachelor’s Degree or equivalent work experience
  • 2+ years of medical industry consultative sales or equivalent work experience
  • 2+ years of provider network experience in provider relations, contracting, credentialing, etc.
  • 2+ years experience in risk adjustment coding or clinical documentation improvement; AAPC or AHIMA certification
  • Experience with claims processing and issue resolution
  • Experienced in healthcare, provider engagement, Medicare, Medicare Advantage, Medicaid, and Commercial managed care systems
  • Experience with Medicare, Medicaid, and Commercial regulations
  • Strong understanding of the rural community healthcare system
  • Relentlessly resourceful, you enjoy taking ownership and can get things done without excuses
  • You are resilient, detail-oriented, and truly believe that no task is beneath you
  • Possess strong organizational skills, plan daily activities, and demonstrate initiative with minimal supervision to complete projects
  • Excellent written, verbal, and presentation skills
  • Intermediate level of proficiency with Google Workspace, Google Drive, Google Docs, Sheets, Slides, and Meet
  • Access to reliable transportation and the ability to travel up to 80% within the Minnesota Market area
  • Flexibility to working outside regular business hours (evenings/weekends) as needs require

What Shapes Homeward:

  • Deep commitment to one another, the people and communities we serve, and to provide care that enables everyone to achieve their best health
  • Compassion and empathy
  • Curiosity and an eagerness to listen
  • Drive to deliver high-quality experiences, clinical care, and cost-effectiveness
  • Strong focus on the sustainability of our business and scalability of our services to maximize our reach and impact
  • Nurturing a diverse workforce with a wide range of backgrounds, experiences, and points of view
  • Taking our mission and business seriously, but not taking ourselves too seriously– having fun as we build!

Benefits:

  • Competitive salary and equity grant
  • Unlimited PTO
  • Comprehensive benefits package including medical, dental & vision insurance with 100% of monthly premium covered for employees
  • Unlimited Paid Time Off
  • Company-sponsored 401k plan

At Homeward, a diverse set of backgrounds and experiences enrich our teams and allow us to achieve above and beyond our goals. If you have yet to gain experience in the areas detailed above, we hope you will share your unique background with us in your application and how it can be additive to our teams.

Homeward is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. Homeward is committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities.