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Job Summary

This position is responsible for championing strategic initiatives in partnership with internal stakeholders and provider partners to meet or exceed targets and objectives. This role requires hands-on expertise in quality management, data analytics, workflow optimization, and clinical process improvement. The position functions in a matrixed environment, requiring collaboration across the organization. Is directly responsible for driving healthcare transformation across the ambulatory practices in quality, cost control, clinical quality improvement, and provider performance for those contracted in Medicare Advantage and value-based programs.

Essential Functions

+ Serves as the subject matter expert in HEDIS, risk revenue, value-based programs, practice transformation, incentive programs, ad Patient-Centered Medical Home (PCMH) programs.

+ In collaboration with medical office physicians and staff, designs and implements new workflow interventions and clinical practice interventions to achieve CMS and payer value-based reimbursement targets.

+ Responsible for overall direction of tracking progress toward milestones and deadlines. Escalates concerns to physicians and operational leadership in a timely manner.

+ Oversees the processes for working with program participants to obtain missing data to close quality gaps in care.

+ Provides support to practices around quality, data collection, reporting, and program initiatives.

+ Provides key data to physicians and practices to support continuous improvement in clinical quality initiatives.

+ Develops and implement a plan and tools to enable specialty practices are successful in the incentive-based programs.

+ Leads and fosters an environment for promoting sense of team and effective collaboration.

+ Identifies performance improvement opportunities and makes constructive suggestions within the team; assists with process improvement activities to improve workflow.

+ Facilitates ability to identify and share best practices as well as identify strategies and tactics that are ineffective.

+ Advises practice and administrative leaders of potential problems and recommends solutions.

+ Identifies and implements opportunities to improve operations and payer program deliverables.

+ Responsible for integrating new processes and best practices as requested by leadership.

+ Provides necessary education and training to practice physicians and staff, panel management, and operational teams related to quality requirements, EPIC workflows and skill gaps for practice transformation.

+ Confers with physicians, leadership and staff to effectively disseminate new policies, strategies, and tactics related to practice transformation and payer quality.

+ Manages practice transformation including practice transformation coordinators related to human resource activities, performance evaluations and work product.

Qualifications

Required

+ Bachelor's Degree health care administration or a related field

+ 2 years of relevant experience 2-4 years management experience

+ 3 years of relevant experience 3-5 years of Quality, Process Improvement, and Patient Experience in a healthcare related field with demonstrated data analytics, quantitative methods and reporting practices.

Preferred

+ Master's Degree

+ CRT-Professional in Patient Safety, Certified - IHI Institute for Healthcare Improvement

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 our 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.

How Corewell Health cares for you

+ Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here (https://careers.corewellhealth.org/us/en/benefits-new) .

+ On-demand pay program powered by Payactiv

+ Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!

+ Optional identity theft protection, home and auto insurance, pet insurance

+ Traditional and Roth retirement options with service contribution and match savings

+ Eligibility for benefits is determined by employment type and status

Primary Location

SITE - Corewell Health Southfield Center - 26901 Beaumont Blvd

Department Name

Accountable Care Organization

Employment Type

Full time

Shift

Day (United States of America)

Weekly Scheduled Hours

40

Hours of Work

40

Days Worked

M-F

Weekend Frequency

N/A

CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling 616.486.7447.