Job Summary

This position will schedule virtual or (permitting) in-person visits to assigned provider practices. This position serves as a consultant to assist in the transition to value-based care by enhancing provider practice skills in process improvement and quality, sharing identified practice population trends, and analyzing data and performance measurements. The position will be hybrid/remote.

Essential Duties and Responsibilities

Support operations, promote development, and maintain industry knowledge related to:
Accountable Care Organizations (ACOs)
Clinically Integrated Networks (CINs)
Other value-based care models as applicable
Provide data support to providers by exporting data, running reports, and analyzing trends, and demonstrate proficiency in interpreting the key insights and improvement areas to communicate to practices.
Provide general support of payer-driven and value-based quality programs. This includes but is not limited to Medicare Traditional and Advantage, Commercial, governmental, ACO, BPCI, CJR, and other quality-related and value-based reimbursement programs.
Schedule monthly/quarterly visits to assigned group practices in order to assist the physicians and staff with practice transformation action plans and update on progress toward established goals.
Support annual regulatory reporting submission requirements related to Medicare Quality programs (CQM, eCQM, MIPS, etc.) through coordination of data collection and submission. Assist as needed in EMR data extraction, chart reviews, and quality data collection for assigned practices.
Develop deep practice understanding by listening to providers and staff to help identify areas for improvement.
Understand practice-level challenges and barriers to achieving goals and share solutions for effectively resolving these issues.
Partner with assigned practices to train clinicians and office staff on workflows to incorporate into their daily activities that drive toward outcomes in the practice that improve care and reduce costs.
Collaborate on the development of training materials, project plans, tool kits, and evaluation materials.
Deliver practice-level training and toolkits for improving member care.
Review performance reports, quality dashboards and identify and develop suggestions for improvement plans for assigned practices.
Willingness to travel in assigned regions as needed.

Qualifications

Required Education: Bachelor’s Degree from accredited school/university.

Preferred Education: Masters degree in relevant field preferred, relevant clinical/operational experience can be substituted.

Local candidates are preferred but will consider Remote

** Up to 20% travel required***

Required Experience

3-5 years of experience in practice engagement or operations, nursing, health technology, healthcare coding, population health, office management, or other healthcare related fields.
Excellent verbal/written communication, interpersonal, and customer service skills.
Moderate analytic knowledge needed to interpret and explain reports.

Preferred Experience

Experience with Electronic Health Records (EHR) for clinical/practice management processes.

Computer Skills Required

Proficient in Microsoft Office products such as Word, Excel, PowerPoint, email applications and in at least one analytics platform.

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Practice Transformation Specialist