Our current opportunities are listed below. If you don’t see a position that matches your interests, and you think you’re up for the challenge, please send your resume and letter of interest firstname.lastname@example.org and we’ll keep you in mind for future opportunities.
Vice President, Network Development & Contracting
Direct and/or support the provider and payor network and contracting activities across all markets, existing and new. Lead all aspects of provider network strategy including, access and rate analysis, network operations and providing decision makers with analysis related to reimbursement and unit cost management. Over seethe coordination and negotiation for the contracting department.
This position will serve as the liaison between patients, providers and other facilities involved in the referral process. Will coordinate referrals for patients to ensure all referrals are processed and authorized in a timely manner.
Medical Management Clerk
Under the supervision of the Medical Management Nurses, this position is responsible for assisting the Medical Management department with clerical work, inbound and outbound phone calls and faxes, mailings, processes that do not require RN intervention, based on the scope of practice within the state. Through collaborative team work the clerk will assist the department and P3 Health Partners to enhance the achievement of the Quadruple Aim: improved outcomes, improved experience of care for patients and providers and lower healthcare costs.
Vice President, Healthcare Economics
As the VP of Health Care Economics, the successful candidate will be responsible for delivering tools that enable program performance on key metrics. The Vice President of Healthcare Economics will provide leadership and strategic vision in transforming business intelligence into actionable data and providing strategic recommendations to improve outcomes both internally and externally. The position will lead the team performing analysis of medical economics in reference to payer and provider financial arrangements and medical utilization. You’ll interact with senior leadership with a focus on performance to achieve business objectives. This position will require an understanding of Medicare Advantage products, medical utilization costs, capitation contract analysis, and fee-for-service contract analysis. Candidate should have demonstrated ability working within cross-functional teams and working with senior leadership. Successful candidates will have strong people, project, change and data management skills. Candidate should also have demonstrated ability to work in a matrix environment and lead through influence, as well as a history of improving results.
Senior Data Warehouse Developer
The Senior Date Warehouse Developer works closely with Healthcare Analytics staff to build, manage and support the enterprise Data Warehouse that feeds the cubes and views to the reports that help support clinical, financial and operational business processes and objectives. The incumbent demonstrates detailed level data warehouse understanding and is responsible for the creation and support of ETL, data marts, databases, reports and complex SQL. The Senior Developer will work with customers, employees and vendors to design and develop data warehouse structures that support reporting and analytical needs.
Healthcare Economics Senior Analyst
The Healthcare Economics Sr. Analyst provides value-added analysis of population healthcare medical and pharmacy data. The incumbent demonstrates business and data understanding; provides advanced comprehensive reporting of healthcare data, statistical analysis, including predictive analytics, data manipulation, interpretation, presentation, and recommendations on specific courses of action. The Senior Analyst is responsible to design and develop reports and analyze data to measure clinical outcomes, network performance and methodology levers. You will investigate key business problems through quantitative analyses of utilization and health care costs data.
RN-Utilization/Care Management (UM/CM) Nurse
The UM Nurse is responsible for compliance with the Medical Management Program Description of P3 Health Partners regarding Utilization Review, inclusive of prior authorization, on-site and telephonic, concurrent and retrospective review, discharge planning and transitions of care to the appropriate level. The UM Nurse adheres to the standard operating procedures that support achieving the Quadruple Aim: improved outcomes, improved patient experience, improved clinician experience and decreased cost of care. The UM Nurse will integrate the functions of utilization review, discharge planning and resource management into a singular effort to ensure, based on patient assessment and best practice, that care is provided in the appropriate setting utilizing medically indicated, contracted resources.
Configuration Analyst (EZ-CAP/EZ CARE)
The Configuration Analyst is responsible is responsible for the configuration and data maintenance of the EZ-Suite processing system (Citra Health). The position is accountable for the accuracy and quality of the claims payment processing and prior authorization systems set up. The Configuration Analyst will be required to engage in configuration, administration, implementation / installation, troubleshooting, and mapping. This position requires advanced coordination, communication, and analytical skills.
Clinical Coding Quality Specialist
The Clinical Coding Quality Specialist is responsible for working with the P3 Clinical Coding QA Manager to ensure the quality and integrity of codes abstracted or validated by internal coding staff or vendors working with P3 Comprehensive Clinicals department to enable complete and accurate coding compliance with proper medical record documentation. This will include building and managing relationships, processes and audits with vendors that result in accurate and complete submissions to health plans working with P3 Health Partners. S/He will develop and provide training to familiarize new vendors with the company’s business processes, coding policies and systems; track, measure, evaluate and report the status of vendor performance; and ensure the vendors meet or exceed their contractual obligations by delivering quality services as defined by their statements of work (SOW) and service line agreements (SLA’s). Similar metrics and performance standards will be established and maintained for internal P3 clinical coding teams.
Care Navigator (Tucson)
Under the supervision of the Medical Management Nurses, this position is responsible for assisting the nurses with Medical Management processes that do not require RN intervention, based on the scope of practice within the state. Through case finding, data and other tools, high risk patients will be identified and guided to enhance the achievement of the Quadruple Aim: improved outcomes, improved experience of care for patients and providers and lower healthcare costs.
RN Director of Care Management (Tucson, AZ)
The Registered Nurse responsible for development and oversight of care management functions including concurrent review functions, staffing, and daily operations for multiple delegated managed care health plan contracts.
Nationally Certified Medical Assistant
The Certified Medical Assistant is responsible for clinical and administrative tasks within their scope of practice. The Certified Medical Assistant follows standard operating procedures that support achieving the Quadruple Aim: improved outcomes, improved patient experience, improved clinician experience and decreased cost of care. The Certified Medical Assistant fulfills a key patient facing role in P3’s team approach to care delivery.
Primary Care Physician
We are looking for Primary Care Physician who dare to unbreak the system, restore purpose and meaning, and guide care and health back into healthcare.
Nurse Practitioner/Physician Assistant
We are looking for Nurse Practitioner/Physician Assistant who dare to unbreak the system, restore purpose and meaning, and guide care and health back into healthcare.