POPULATION HEALTH - PRACTICE TRANSFORMATION SPECIALIST

About the role

The population health practice transformation specialist supports MVH's initiatives towards clinical integration and accountable care strategies to achieve the triple aim in healthcare: improving quality and patient satisfaction, improving outcomes and the overall health of the population, and reducing the total cost of care.

Responsibilities

• Review bi-weekly/monthly reporting to track MIPS and ACO measures.
• Review CCM and Annual Wellness Visit outreach reporting for all clinics.
• Understand all contract requirements and regulations to be a resource to the clinic staff for related questions.
• Collaborate with other members of the Population Health Team and Clinic Manager to provide the clinic with resources, ideas, and suggestions on implementation.
• Understand outpatient clinic operation and build relationships with staff and providers in the clinics.
• Provide outreach for all clinics in need such as Mailers, Phone calls to patients, Scheduling for AWV Materials and education.
• Create ideas to help with outreach.
• Assist with data entry and chart audits to close care gaps.
• Review, monitor, and engage clinics in care gap closure for all payers.
• Provide support to Care Coordinators within the clinic setting.
• Participate in webinars, conferences, educational meetings, and transitional calls.
• Collaborate with Charge Master to get codes added, updated, deleted, etc. in EMR’s as needed.
• Collaborate with all specialty clinics on MIPS reporting and their roles in the ACO.
• Collaborate with Point of Care for all Cerner related documentation being added, updated, or deleted as necessary.
• Understand and help implement all contractual obligations for the ACO, Blue Cross, and Medicaid VCO and assist with educating the population health team on these needs.
• Solid understanding of HCC coding and quality measures for all payors.
• Continue any outstanding projects and work through them.
• Offer solutions to road blocks while implementing processes.
• Interact professionally with clinic and ancillary staff members.
• Support measurement and system improvement.
• Consult other departments as appropriate for an interdisciplinary approach to the patient’s needs.
• Collaborate with population health team members in recommendations for change as appropriate.
• Communicate appropriately and clearly to manager, co-workers and physicians.
• Maintain a good working relationship both within the department and with other departments/affiliations.
• Identify and address opportunities for optimized clinic growth and utilization impact.
• Ensure all deadlines are met.
• Maintain patient confidentiality at all times.
• Report to work on time and as scheduled, complete work within designated time.
• Wear identification while on duty, use computerized punch time system correctly.
• Complete in-services and return in a timely fashion.
• Attend annual review and department in-services, as scheduled.
• Attend at least 75% of staff meetings annually.
• Represent the organization in a positive and professional manner.
• Actively participate in performance improvement and continuous quality improvement (CQI) activities.
• Comply with all organizational policies regarding ethical business practices.
• Flexible in scheduling, work weekends and holidays and work overtime when needed.
• Maintain flexibility in a growing environment and be willing to grow, change, and accept new duties as the scope of urgent care changes with the needs of the community and hospital.

Qualifications

• Education/Certifications: Bachelor’s degree in related field preferred.
• Experience: 1 year required healthcare experience, 2-5 years healthcare experience preferred.
• Equipment/Technology: Experience with Word, PowerPoint, and various EMR systems. Proficient in Excel and Microsoft Office.
• Language/Communication: Ability to read and interpret documents such as quality measure implementation guidelines and requirements as well as utilization reports. Ability to write routine reports and correspondence. Ability to speak effectively before groups or employees of the organization.
• Mathematical Skills: General mathematic skills.
• Mental Capabilities: Can concentrate for long periods of time in order to complete assigned tasks with a better than average attention span in order to listen, read and remember verbal and written instructions. Can understand input from the supervisor and/or manager concerning errors and instructions. Ability to deal with problems involving several concrete variables in standardized situations. A clear understanding of the importance of patient confidentiality and sensitivity regarding complex health problems. Ability to use critical thinking skills to assess patients and intervene as needed within scope of practice.
• Interpersonal: Ability to work well with others as a team player. Organized, detail oriented, and the ability to multi-task while maintaining a heavy load of various tasks. Maintain a neat and professional appearance and workspace.
• Performance: Must be able to handle conflict issues with staff. Must follow established recommendations and guidelines. Must meet deadlines as needed.

Benefits

• Medical, Dental and Vision Insurance
• Paid Time Off (vacation, holidays and sick days)
• Medical Paid Time Off
• Retail Plans (401K with up to 6% match)
• Earned Quarterly Bonus Program
• Education Reimbursement Program
• Discount for medically necessary procedures performed at Mountain View Hospital and Idaho Falls Community Hospital