OverviewThe Clinical Performance Partner (CPP) is responsible for supporting care centers in the execution of prioritized clinical initiatives, quality improvement, ancillary utilization, and performance related to value-based care models. The CPP will work with care centers - both in-person and virtually - to educate and remove barriers to delivering on affiliate goals related to quality and merit-based incentive programs. The CPP will help to facilitate the affiliate's Quality/Value Committee to ensure that quality metrics are well-defined and monitored, with variances proactively addressed. They will also support utilization of physician-owned laboratory, breast imaging services, and in-office procedures through education, analytics, influencing provider behavior, and identifying and resolving gaps in workflow and/or EMR usage. The CPP will work closely with the Medical Director to improve quality of care, patient experience, and maximize incentive payments and savings.
ResponsibilitiesReasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Provide ongoing strategic recommendations, training and coaching to provider groups on program implementation and barrier resolution.
- Educate care centers on new/modified value-based care arrangements with various payers; develop and provide teaching materials to help them optimize their performance.
- Support increased utilization of laboratory through workflow review / troubleshooting to reduce turnaround times due to collection errors and decrease opt-out rates.
- Promote increased utilization of on-site breast imaging services and/or work with Unified Mammography team to identify opportunities for new installations.
- Drive utilization of in-office procedures if capability exists and/or support care centers with protocols, space planning, equipment purchase, anesthesia coverage, etc. to initiate service.
- Work with cross-functional partners, e.g., Revenue Cycle Management, Contracting, and payers to reconcile value-based care payments.
- Develop policies, workflows, scorecards, etc. to support standardization and error proofing.
- Facilitate Quality Committee
- Participate in Lab Committee
- Provide reporting to Affiliate and Unified leadership on progress of overall performance, gap closure.
- Facilitate/lead regular meetings with care centers, as required by leader, including report and material preparation.
- Analyze care center workflow, provide suggestions and monitor execution.
- Participate in special projects related to developing new clinical offerings within the market, e.g., laborist programs, urgent care, triage phone service, new sub-specialties, etc.
- Travel position: 40% of time is spent in the field at care centers.
Qualifications- Nursing Degree preferred, Bachelor's Degree required.
- 5+ years of healthcare Industry experience.
- 5+ years of experience working for a health plan and/or for a provider's office.
- Experience in leading initiatives/projects.
We're here for you-both personally and professionally.Our benefits are designed to support you and your family at every stage of life. From health and wellness to financial security and career growth, we offer a comprehensive package to help you thrive.
Here's a look at what we offer: Medical, dental, and vision plans, fertility benefits, and supplemental insurance options.
Vacation, personal days, and paid holidays to help you recharge.
- Financial & Retirement Planning
401(k) with employer contribution, plus Flexible Spending Accounts (FSAs) and Health Savings Accounts (HSAs).
Short- and long-term disability, paid parental leave, basic life insurance, and optional additional coverage.
Employee Assistance Program, commuter benefits, pet insurance, and identity theft protection.
Opportunities and resources to support your career growth.
#UNIFIEDWHC
Compensation MinimumUSD $80,000.00/Yr.
Compensation MaximumUSD $120,000.00/Yr.
