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Care Transformation Specialist
Banner Health. Educate, support, and build partnerships with providers and office teams .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates strong relationship-building and communication skills while managing provider partnerships and supporting clinical operations. Proficient in analyzing data to drive process improvements and enhance financial performance within healthcare settings.
Highest-signal resume keywords
Bachelor’s Degree In Business Or HealthcareExperience In Clinical Care Or Provider OperationsStrong Knowledge Of Medicare And Medicaid ProgramsPublic Speaking And Presentation SkillsProficiency In Microsoft Excel
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Clinical Care SupportProvider Operations ManagementData AnalysisProcess ImprovementRegulatory ComplianceHealthcare Program KnowledgeContract ManagementFinancial Performance ImprovementValue-Based Care ModelsBehavioral Health Support
Soft Skills
Relationship-BuildingCommunicationCritical ThinkingAdaptabilityIndependence
Tools & Technologies
Microsoft ExcelSophisticated Software Programs
Certifications & Qualifications
Current Clinical License/Certification
Industry Keywords
MedicareMedicaidCMS RegulationsAHCCCS RequirementsAccountable Care OrganizationsClinically Integrated NetworksSkilled NursingLong-Term CareHealthcare OperationsPublic Speaking
About the role
Key responsibilities & impact- Educate, support, and build partnerships with providers and office teams
- Manage an assigned territory of provider practices throughout Arizona
- Communicate health plan initiatives and education to physicians and office staff
- Serve as the primary relationship point for designated offices/territories
- Manage office relationships, contract requests, and contract expansion
- Build relationships with internal and external stakeholders and organizations
- Coordinate activities, exchange information, and resolve program-related problems
- Gather data and support improvement efforts and financial performance
- Coordinate and oversee implementation of improvements
- Travel frequently to physician offices for site visits, staff education, and problem resolution
- Review analyses and reports to measure progress toward goals
- Implement process improvement addressing clinical and operational performance
- Provide recommendations to company leadership
- Maintain reporting and communication for timelines and deliverables
- Work independently under general supervision and interact with Banner leadership, personnel, regulatory agencies, outside organizations, and vendors
Requirements
What you’ll need- Bachelor’s Degree in business, healthcare related field or equivalent experience
- One to two years experience in clinical care or a role supporting clinical or provider operations
- Strong working knowledge of Medicare and Medicaid programs
- Understanding of health plan operations, CMS regulations, AHCCCS requirements, and regulatory deliverables
- Experience supporting Medicaid Behavioral Health and Long-Term Care populations highly desirable
- Knowledge of private insurance plans, accountable care organizations (ACOs), clinically integrated networks, skilled nursing, and other value-based care models preferred
- Strong relationship-building, communication, presentation, and public speaking skills
- Public speaking experience, including developing presentation content and delivering training or educational sessions, required
- Strong proficiency in Microsoft Excel required
- Strong critical thinking, adaptability, and ability to work independently
- Must reside in Maricopa County, Arizona
- Proficiency in sophisticated software programs
- Current clinical license/certification or equivalent experience preferred
Benefits
Comp & perks- Remote & hybrid work options
- EEO/Disabled/Veterans
- Drug-free work environment