Practice Transformation Specialist – South and Northeast Regions

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, with preference given to applicants residing in the Southeast.

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 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.
• 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.
• Schedule monthly/quarterly visits to assigned group of 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 ACO GPRO Quality Audit through coordination of data collection and submission. Assist as needed in chart reviews and quality data collection for assigned practices.
• Provide data support to providers by exporting data, running reports, and analyzing trends.
• Collaborate on the development of training materials, project plans, tool kits, and evaluation materials.
• Deliver practice-level training and toolkits for improving member care.
• Communicate challenges and barriers to achieving goals and share solutions for effectively implementing the interventions.
• Review performance reports, quality dashboards and identify and develop suggestions for improvement plans for assigned practices.
• Willingness to travel in assigned region as needed.

Qualifications

Required Education: Bachelor’s Degree from accredited college/university.
Preferred Education: Master’s Degree in relevant field preferred, relevant clinical/operational experience can be substituted.

Required Experience:

• 1-4 years of experience in nursing, social work, 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.

Physical Demands:

In order to successfully perform this job, with or without a reasonable accommodation, the following are outlined below:

• The Employee is required to read, review, prepare and analyze written data and figures, using a PC or similar, and should possess visual acuity.
• The Employee may be required to occasionally climb, push, stand, walk, reach, grasp, kneel, stoop, and/or perform repetitive motions.
• The Employee is not substantially exposed to adverse environmental conditions and; therefore, job functions are typically performed under conditions such as those found within general office or administrative work.