Care Coordination Program Coordinator

Imagine a career at one of the nation's most advanced health networks.

Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work.

LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day.

Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network.

Summary
Supports the value-based payer incentive programs for the network in collaboration with care management, quality, and payer contracting teams. Runs payer care gap & performance reports. Submits care gap data to secure paper portals. Serves as a resource and contact person for payer partners and to the network. Collaborates with other departments and programs to ensure effective and efficient patient care delivery and the achievement of desired patient, quality, and financial outcomes.

Job Duties

• Generates reports using data from EMR, Analytics, and Payer Portals to meet requirements of the program and assists with quality and process improvement.
• Maintains payer program information, reports, and data; analyzes data to assist departmental operations.
• Ensures accurate data entry in various databases regarding clinical information.
• Leads the team in the development, implementation, and use of measures and tools that ensure the team's effectiveness in improving patient care quality, service, and resource allocation.
• Coordinates and manages payer meetings and file sharing; serves as the departmental contact for these activities.
• Demonstrates knowledge of the problem-solving process in the identification and resolution of operational issues.
• Collaborates with department manager and other senior leadership in developing, implementing, and maintaining efficient processes within the department.

Minimum Qualifications

• Associate’s Degree in healthcare or management related field (relevant experience will be considered in lieu of degree).
• 2 years experience with project management, process improvement, or medical office coordination and
• 1 year experience with medical terminology and/or medical office registration, coding or billing.
• Excellent computer skills, including clinical systems and data collection.
• Knowledge of basic medical terminology.
• Ability to multi-task & manage multiple projects or priorities.
• Strong attention to detail.
• Experience with Microsoft Office suite including Excel and PowerPoint.

Preferred Qualifications

• Bachelor’s Degree in health care related field or business.
• CMA - Certified Medical Assistant - AAMA - State of Pennsylvania

Physical Demands
Lift and carry 7 lbs., continuous sitting >67%, frequent keyboard use/repetitive motion, frequent fine motor activity/wrist position deviation.

Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.

Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities.

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Lehigh Valley Health Network does not accept unsolicited agency resumes. Agencies should not forward resumes to our job aliases, our employees or any other organization location. Lehigh Valley Health Network is not responsible for any agency fees related to unsolicited resumes.

Work Shift:

Day Shift

Address:

23 N Walnut St

Primary Location:

Boyertown - 23 North Walnut Street

Position Type:

Onsite

Union:

Not Applicable

Work Schedule:

Monday - Friday

Department:

1012-99111 LVPG-L Clinical Services