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Physician Performance Improvement Specialist- Somerset, NJReq #:0000157553

Category:Professional / Management

Status:Full-Time

Shift:Day

Facility:RWJBarnabas Health Corporate Services

Department:Accountable Care Organization

Location:

SBC Corporation, 95 Old Short Hills Road, West Orange, NJ 07052

Job Overview:

The Performance Improvement Specialist (PIS) represents and advances RWJBarnabas Health s interest as the preferred and ultimate preeminent health system through superior customer service and execution of Physicians performance improvement strategies.

The Performance Improvement Specialist represents commitment to developing and managing high performance network and to engaging various Physicians performance improvement strategies that follow five core principles: Quality Improvement, Cost Optimization, Clinical Efficiency, Administrative Efficiency, and Population Health. This PIS position will also be responsible for Merit based Incentive Payment Systems (MIPS) and will manage and coordinate the MIPS program for healthcare providers, ensuring they meet the requirements and achieve optimal performance. This includes monitoring quality measures, tracking data submission, providing education on documentation, and working with our service leaders and IT&S to improve performance.

Qualifications:

Required:

+ Associate Degree or equivalent

+ Two to four years of healthcare experience

+ Must possess strong interpersonal, communication, management, and technology skills.

+ Must demonstrate team building and collaborative practice behaviors.

+ Must demonstrate understanding of performance improvement and quality outcomes management.

+ Physician office operations experience

+ Ability to travel various part of New Jersey to visit the Physician/Physician Groups

+ Demonstrate ability to multi-task, prioritize, and use good judgement in a fast-paced environment.

+ Strong presentation and problem-solving skills; familiar with root cause analysis

Essential Functions:

+ Serves as health system liaison for Physicians/Physician groups in a specified geographical location. Will be the main point of contact for the respective physician/physician groups for all the issues including quality performance, referral pattern, patient outreach, cost optimization, and building relationship.

+ Participate in various Organization Projects to build a better Health System.

+ Conducts Physician on-boarding in various program; the on-boarding process includes but not limited to a comprehensive orientation of the health system, array of benefits, physician s responsibilities, etc.

+ Responsible for monitoring and coordinates recurring meeting with Physician/Physician groups to go over their quality performance, gaps in care, chronic fall-out outreach, and financial performance; to create strategic improvement plans.

+ Contribute creative solutions and ownership of daily assignments for seamless communication and systematic completion of routine and special projects. Follow protocols and use common sense to escalate situations to management appropriately.

+ Participates in meeting by providing analysis, feedback and recommendations that foster a successful relationship between RWJBarnabas Health System, essential Physicians, and external agencies.

+ Works cohesively with other departments with both clinical and non-clinical personnel to provide the best support for the Physicians to perform well.

+ Stay up-to-date on changes to MIPS program rules, coding guidelines, and documentation standard

+ Ensure accurate and timely reporting of quality measures, and track performance on the EPIC MIPS dashboard

+ Work with service line leaders to finalize, track, and submit data to MIPS registries

+ Review clinical documentation for accuracy and completeness, provide feedback, and develop educational materials (with EPIC)

+ Understand and support the MIPS requirements for interoperability and improvement activities, crucial for overall MIPS success

+ Understand and contribute to efforts to manage and improve the cost of patient care, a key component of MIPS

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Additional Information:

At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees physical, emotional, social, and financial health.

+ Paid Time Off (PTO)

+ Medical and Prescription Drug Insurance

+ Dental and Vision Insurance

+ Retirement Plans

+ Short & Long Term Disability

+ Life & Accidental Death Insurance

+ Tuition Reimbursement

+ Health Care/Dependent Care Flexible Spending Accounts

+ Wellness Programs

+ Voluntary Benefits (e.g., Pet Insurance)

+ Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!

Choosing RWJBarnabas Health!

RWJBarnabas Health is the premier health care destination providing patient-centered,

high-quality academic medicine in a compassionate and equitable manner, while delivering

a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.

RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.

Equal Opportunity Employer

RWJBarnabas Health is an Equal Opportunity Employer