PACE Provider Support Specialist - San Ysidro Health Center : Job Details

Position Summary: Under the direct supervision of the PACE Network Manager, the Provider Relations (PRS) will serve as the business liaison between San Diego PACE and potential contracted and contracted providers. The major functions of the PSS will be to take a focused approach when conducting outreach and target areas identified as requiring development and ensuring to foster a strong and collaborative relationship with contracted provider network. The PRS is also responsible for securing all required documentation in a timely manner and will scheduling meetings with the appropriate PACE departments to conduct introductions and provide all newly contracted provider a warm hand-off upon contract execution. Essential Functions of the Job: Assist in identifying network deficiency and focus on growing the San Diego PACE network in these identified areas. Meet with providers to discuss the possibility of becoming a contracted provider. Responsible for securing all required documentation to ensure compliance. Conduct outreach, San Diego PACE presentations, facilitate onboarding and schedule trainings with providers. Conduct contractor assessments, ensure providers follow CMS guidelines, document findings, and generate reports. Bring to the attention of the Network Provider Administrator and Network Manager any trends or matters that may negatively impact our ability to maintain an agreement. Maintain a contract progress report and track all efforts weekly. Schedule conference calls with Providers and Network Manager to discuss services and reimbursement rates. Conduct site visits and ensure provider office location is appropriate and accessible to PACE participants. Review existing client contracts to accurately prepare new contract requests and/or respond to internal or external contract questions Ability to build and maintain positive relationships Ability to work independently as well as work effectively in a group. Additional Duties and Responsibilities:

• Enhances professional growth and development through participation in educational programs current literature, in-service meetings, and workshops.
• Adheres to and models SYHC's core values and behaviors of Excellence, Empowerment, Integrity and Respect.
• Adheres to SYHC and PACE attendance and punctuality policies and practices.
• Follows established PACE and departmental and position specific policies and procedures and updates as needed.
• Attends meetings as required and participates on committees as directed.

• Always maintain health and safety standards, and takes an active role in the Safety and Injury in the Workplace Program; maintains all records and documentation as

Job Requirements:Education Requirements:

• HS Diploma or GED Equivalent
• Bachelor's degree or equivalent combination of education and experience that provides the skills, knowledge, and ability to perform the essential job duties is required.

Experience Requirements:

• Previous experience or strong desire to learn and grow knowledge in the areas of network development, contracts, and compliance.
• Demonstrated experience preparing comprehensive, accurate, and detailed analyses.
• Technical proficiency with the Microsoft Office suite of applications.
• Demonstrated ability in resolving problems or rectify the situation and communicating solutions verbally and/or in writing to the affected parties.
• Experience identifying and presenting unfavorable or controversial information with tact and skill.
• Experience working with accreditation or regulatory standards.
• Demonstrated critical thinking skills, and consistent use of analytical and problem-solving skills.
• Demonstrated ability to be culturally sensitive and respect diversity.

Universal Requirements Pre-employment requirements include I-9, physical, positive background and reference check results, complete application, new hire orientation, pre-employment PPDs About Us San Ysidro Health is a Federally Qualified Health Care organization committed to providing high quality, compassionate, accessible and affordable healthcare services for the entire family. The organization was founded by seven women in search of medical services for their families and community. Almost 50 years later, San Ysidro Health now provides innovative care to over 108,000 patients through a vast and integrated network of 47 program sites across the county. San Ysidro Health could not serve our patients without the dedication of our passionate and hardworking employees. Apply today and become a part of our mission-driven team! San Ysidro Health has a long-standing commitment to equal employment opportunity for all applicants for employment. Employment decisions including, but not limited to, those such as employee selection, performance evaluation, administration of benefits, working conditions, employee programs, transfers, position changes, training, disciplinary action, compensation, and separations are made without regard to race, color, religion (including religious dress and grooming), creed, national origin, nationality, citizenship status, domestic partnership status, ancestry, gender, affectional or sexual orientation, gender identity or expression, marital status, civil union status, family status, age, mental or physical disability (including AIDS or HIV-related status), atypical heredity cellular or blood trait of an individual, genetic information or refusal to submit to a genetic test or make available the results of a genetic test, military status, veteran status, or any other characteristic protected by applicable federal, state, or local laws.