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Summary
The PracticePerformance Manager(PPM)is responsible forall value-based careinitiatives,interventions to supportthe implementation and transition to Value BasedCareprocesses. ThePPMis responsible forproviding on-site and remoteassistanceand /or education to clinicians, careteamsand their associated practices to drive improvement in clinical quality, riskadjustmentand operationalefficiency. ThePPMis responsible forpartnering with practicestoensureVBCgoals are met.
This position coaches practice staff to improve patient outcomes by developing skills in process improvement, value-based and teambased care, encouraging patient engagement, and analyzing quality data and measurements. ThePPMis committed toleveragingdata and analyticsfor qualityimprovement, research, and practice transformation. ThePPMwill provide guidance andexpertisein the development, implementation, and optimization of training materials used tofacilitatepracticetransformation. ThePPMwill work as part of an interdisciplinary team to create and deliverproducts and services including user education and training materials, project plans, tool kits, and evaluation materials.
Key Responsibilities
Establish a planned care model withpractices inintegrating administrative, financial, and clinical systems for better performance and improved outcomes.
Develop and implement workflow design and redesign, including electronic health record (EHR) optimization,clinical documentation, billing practices, assessments, financial analyses, and financial performanceimprovement and reporting.
Works with practice sites on clinical documentation improvement activities,to includechart review,feedbackand education.
Utilize available tools toassistclinicians with capturing and analyzing populationbased data to supportpractices with datadriven decision making and direct improvement efforts to support practice leadershipdevelop the skills to interpret and act on quality metric data with performance management tactics.
Build trusting relationships to help drive continuous change with physicians/physician staff to find ways toencourage member clinical participation in wellness and education by providing resources and educationalopportunities toproviderand staff.
Engage directly with patients as needed to schedule annual wellness visits,facilitatereferrals, andhelp with patient navigation.
Develop and implement changes to root causes of financial and quality under performance and communicatestrategies to providers and provider groups.
Understand the role of analytics and the importance of clear, defined, andaccuratedata for improvinghealthcare outcomes.
Execute responsibilities in a manner that promotes collegial, collaborative, and effective communicationto successfully reach mutually agreed upon goals with practice sites and colleagues.
Provide support for other interdisciplinary teams (e.g. sclinical implementation, analysis, research,support services, training, medical record retrieval projects).
Qualifications
BachelorsDegreein related field or five years related experience
A license in one of the following is preferred:
Certified Risk Adjustment Coder (CRC)
Certified Professional Coder (CPC)
Certified Professional in Healthcare Quality (CPHQ)
Licensed Vocational Nurse (LVN)
Minimumthreeyears of experience with a focus on EMR operations, use, design, and implementation
Minimum three years of medical practice management, clinical program development, clinical transformation, healthcare qualityanalyticsand/or quality improvement