Jobs · Administrative · Michigan

Practice Transformation Coordinator

Corewell Health · Southfield, MI · 4 wk ago
AdministrativeFull-time

Under general supervision, develops, coordinates, and implements operational components of pay-for-performance and quality programs under various health plan and employer agreements. Works closely with providers to ensure effective participation in and adherence to payer-defined requirements. Continually evaluates, communicates, and implements measures aimed at meeting program requirements.

Responsibilities

  • Manages assigned projects and initiatives including health plan/payer reporting needs, develops project plans, and implements steps needed to achieve goals and timelines for pay-for-performance and quality initiatives; assesses current state, analyzes practice, and gains support for required changes.
  • Regular travel required to designated practices in the region.
  • Provides support for Corewell Health network providers to maintain compliance in all value-based health plan quality program requirements. Stays abreast of program changes and implements them as needed.
  • Establishes and maintains strong partnerships with ACO physicians, provider office staff, and other key stakeholders to ensure timely and accurate communication of program requirements and updates.
  • Collaborates with ACO team, Medical Directors, and operational leaders to ensure the development and implementation of strategies for success related to quality and process improvement, utilization, and cost.
  • Manages multiple ambulatory practices in implementing action plans, monitors, and evaluates progress as needed to achieve targets for programs.
  • Assists with ongoing data collection (including audits), data entry, and data evaluation.
  • Responsible for training staff regarding HEDIS measures, quality improvement principles and standards, conducting PDSA, Cycle Time analysis, Process Mapping, Gap analysis, and facilitating quality improvement.
  • Works with ACO data staff to develop reporting procedures that will guide the management of processes and improve compliance with specified metrics needed to meet program goals.
  • Travel to other office/practice sites and meeting and training locations.

Requirements

  • Bachelor's Degree or equivalent in business or healthcare-related field.
  • 3 years of relevant experience in administrative healthcare or healthcare management.

Qualifications

  • Strong presentation skills.
  • Experience working with value-based care.

About Corewell Health

As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members, and communities. We are committed to cultivating and investing in you. Our top-notch teams are comprised of collaborators, leaders, and innovators that continue to build on one shared mission statement - to improve health, instill humanity, and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.

Benefits

  • Comprehensive benefits package to meet your financial, health, and work/life balance goals.
  • On-demand pay program powered by Payactiv.
  • Discounts directory with deals on restaurants, phone plans, spas, and more.
  • Optional identity theft protection, home, and auto insurance.
  • Traditional and Roth retirement options with service contribution and match savings.

Schedule

  • Full time.
  • Day shift (8:00 a.m. to 5:00 p.m.).
  • Weekly scheduled hours: 40.
  • Days worked: Monday to Friday.

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