Our mission is Better Health. Our passion is helping others.

What’s Your Why?

• Are you looking for a career opportunity that will help you grow personally and professionally?
• Do you have a passion for helping others achieve Better Health?
• Are you ready to join a growing team that shares your mission?

Why Join Our Team: At Votion, it’s our commitment, our passion, and our culture that sets us apart. Our Team Members make a difference each and every day! We don’t just talk the talk - we believe in it and live by it. Our core value is always to deliver 5-star service. And by doing so, we successfully achieve our mission of Better Health. We support our providers with all the necessary tools and resources they need to deliver the care all patients deserve. Be part of a team that is rebuilding sick care into Better Health Care. We take great care of our team, patients, providers, and affiliates because together, we can achieve: Better Care. Better Outcomes. Better Health.

Summary/Objective:

This Team Member will be responsible to run all of the day-to-day operations in Puerto Rico and continue to identify and execute against efficiencies and process improvement. They will also identify, evaluate, and cultivate business opportunities. They are the face of our business to our customers in Puerto Rico.

Responsibilities & Experience:

The Market Leader, Puerto Rico will directly lead the Puerto Rico team to deliver MSO performance for payor and provider group partnerships. They will be expected to perform within the following scope and other assigned duties and activities that aid and leverage our Team function. Responsibilities include and are not limited to:

• 
  Manage the entire network of Medicare Advantage/ Fee for Service affiliate Providers in Puerto Rico
  • Build and maintain relationships
  • Strategize with Votion leaders and Puerto Rico Market leaders on success variants throughout market
  • Track and evaluate performance indicators of affiliate medical offices
  • Represent and uphold the Mejor Salud/ Votion brand at any events (ie: Health Plan operational meetings)
• Oversee and manage the goals of the Field Ops Team relative to Mejor Salud/ Votion programs and their respective market performance
• Lead and facilitate team building throughout the market
• Foster and develop relationships within all BHG departments
  • Facilitate, create, and present education and training on new initiatives and programs
  • Foster strong matrix relationships with all functional teams outside the direct operating model
• Manage the relationships of the health plan partners and vendors in the BHG network
  • Strategize on and build out the network of Providers for each health plan (expansion plan)
• Attend individual market and provider performance meetings as needed
• Facilitate training and performance coaching to all designated market team members
• Evaluate potential affiliate Providers for Votion and present affiliation opportunities to Executive Leadership Team
• Delivery and presentation of monthly Provider Packets to include: notices and updates, financial information and scorecard, and all in office program documents
• Lead monthly Provider Packet Role Practice meeting via video conference with Field Ops Team
  • Divide participants into groups for practice and education around rollout, communication, and efficacy
  • Identify presentation opportunities with team members and collaborate on additional training or mentoring
• Participate in the hiring process with Team Resources
• Travel to Tampa HQ, attend and participate in meetings as needed
• Management and oversight of the successful creation, delivery, implementation, and outcomes of the following programs:
  • Performance improvement plans for Providers
  • Membership Roster
    • Assisting the medical office in the identification of members to be scheduled for appointments
  • Quality Program:
    • Accessing various office EMRs to review upcoming schedule
    • Accessing proprietary portal to download and print forms for the clinic to distribute to members upon visit
      • Ensuring the accuracy of form information
  • HEDIS Part C
    • Gap reports (ie: data mining relevant to appointments, referrals, etc.)
    • Assist with closing identified HEDIS gaps and achieving specified Star measures
    • Work with the medical office to assist with scheduling of care gap vendor events
  • HEDIS Part D
    • Working in accordance with the Health Services Call Center and medical office teams to ensure medication adherence
  • PODS (as applicable)
    • Work with the medical office team to assist in scheduling members for preventative diagnostic screening in accordance with Tampa HQ
  • Complex Care Management Report
    • Responsible for utilizing research and investigative skills to assist medical offices with admission management, utilization management, and preventative care outreach to high-risk members
• Review weekly email updates Regional Managers send to their respective markets regarding program progress
• Readily available to support Team and medical offices via phone, email, etc.
• Manage Project Management software to include:
• Expected to set and maintain appointments with all network medical offices at least once a year
• Other designated management, training, administrative, clerical, or operational tasks as assigned to leverage Team and program goals

Key Attributes:

• Has a contagious and positive work ethic, inspires others, and models the behaviors of our core values and guiding principles
• An effective team player who contributes valuable ideas and feedback and can be counted on to meet commitments.
• Is able to work within our Better Health environment by facing tasks and challenges with energy and passion.
• Pursues activities with focus and drive, defines work in terms of success, and can be counted on to complete goals.
• Demonstrated ability to handle data with confidentiality

Education & Skills:

• Bachelor's Degree Required
• At least 10+ years of experience in healthcare, value-based care is preferred
• Fluent in English and Spanish REQUIRED
• Proven ability to work with Google Suite software or equivalent (MS Excel and MS PowerPoint)
• Ability to work independently with minimal supervision
• Excellent organizational, time-management, and multi-tasking skills with strong attention to detail
• Demonstrated resourcefulness, initiative, and results-oriented capabilities
• Ability to work in a shifting and fast-paced environment
• Must be able to work professionally with confidential information
• Excellent written and verbal communication skills.
• Ability to work cross-functionally with multiple teams
• Ability to shift focus, multi-task, and prioritize in a rapidly changing environment.
• STRONG reasoning and critical thinking are required.
• MUST be results oriented with a focus on quality execution and delivery.

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