Practice Transformation Facilitator

2 weeks ago

Buffalo, United States CINQCARE Full time
Job DescriptionJob DescriptionCINQCARE
Practice Transformation Facilitator
Position DescriptionOverview
The Practice Transformation Facilitator reports to the Practice Transformation Manager, CINQCARE.,
with accountability for aiding the practice transformation efforts for CINQCARE. The Practice
Performance Facilitator should embody CINQCARE core values, including, Trusted, Empathetic,
Committed, Humble, Creative and Community-Minded. At CINQCARE, we don’t have patients or
customers – we have Family Members.

Primary Responsibilities
  • The Practice Transformation facilitator will utilize advanced knowledge, discretion, and judgment to independently support the practice in maximizing available information technology resources to achieve improved Family Member’s outcomes and increased office efficiencies.
  • Work with IPAs, and other provider groups/ supporting practice workflows, fulfillment of HEDIS and other quality measures, comfortable presenting to physician practices, sharing data and implementing action plans.
  • Obtains and analyzes practice specific cost and quality data and reports for cost of care and quality opportunities and assists practice to target high risk members and gaps in care based on data/reports provided.
  • Displays strong time & communication management skills as well as a collaborative care approach ideology.
  • Monitor, interpret, and report HEDIS and other quality performance measures, market trends, and initiatives that impact IPA regional performance.
  • Drives success in population health performance by guiding care teams (practice staff) towards best practices, identifying gaps both through data and operational observation, by providing feedback, education, and training.
  • Deliver progress reports and review with practices and care teams. Assess and document practice progression throughout the transformation process.
  • Identify performance gaps from report data and guide care teams towards solutions.
  • Identify and prioritize key quality and utilization initiatives critical to success under performance-based programs.
  • Coordinates, as appropriate, practice interactions and/or follow-up actions with other CINQCARE functional areas, including, but not limited to, Network Management/Provider Relations, Medical Economics, and Health Home.
  • Works closely with appropriate company resources for (Medicaid VBP, Medicare ACO and Health Homes) to monitor and report metrics such as resource utilization, patient satisfaction, and other key performance indicators.
  • Assists in identifying opportunities for improvement within the region's sites and brings forward proposals incorporating solutions to improve efficiency and reduce expenses.
  • Works with other third-party organizations such as health plans to resolve operational and roster issues.
  • Serves as a liaison with CINQCARE Management to facilitate processes between the organization and the practice, creates and hosts tailored learning opportunities to support the deployment of program interventions, use of CINQCARE’s support tools and other data resources, and provides technical support for such tools, as required.
  • Assist with the design, development, and implementation of CINQCARE community learning forums.
  • Build trust-based relationships with practices and care teams to facilitate change management, engagement, solutioning, and sustainability of population health initiatives.
  • Registry and enrollment functionality, including DCE voluntary alignment activities.
  • Coordinate patient care by directing the most appropriate specialist or ancillary provider.
  • Participate in Daily Hospital Census Rounds forum to discuss the patient’s inpatient status, anticipated discharge and create a post discharge care plan in conjunction with the PHN, Nurse Case Manager and PCP, leveraging others in the Care Team as required.
  • Work with our medical providers, consulting the primary care provider for input, and refer the patient to that provider in real time whenever appropriate.
  • Offer patient education when appropriate.
  • Perform other job-related as assigned.
Qualifications:

Education/Experience:
  • AAS/AS minimum. BA/BS or Master’s in healthcare related field preferred.
  • Experience with analytical skills and data analysis plus experience is HEDIS/STARS at the practice level.
  • Coursework or experience in Quality Improvement, and/or facilitation skills preferred. Qualified experience in healthcare settings preferred.
  • The ideal candidate will have had experience in a primary care practice that successfully implemented quality improvement initiatives and Value Base Payment methodology.
Computer Knowledge:
  • Excellent computer skills required particularly related to Microsoft applications including Word, Excel, PowerPoint, and Outlook.
  • Willingness required to explore and learn new or unfamiliar applications and databases, and when prepared to teach practices and team members how to maximize technology.
  • Knowledge of statistical software and other analytic software preferred.
  • Microsoft suite of applications with exemplary Excel/spreadsheet skills.


PHYSICAL DEMANDS
Requires sitting and standing associated with a normal office environment. Manual dexterity is needed using a computer keyboard. While performing duties of this position, the employee is regularly required to talk or listen. The employee needs to be able to see and frequently is required to use hands or finger,
handle, or feel objects. The employee is frequently required to stand; walk; sit; and reach with hands and
arms. Ability to travel frequently by car and/or public transportation.
Work Environment:
• Will require regular travel to Physician offices, hospitals, sub-acute facilities, community partners and non-home-based market offices.
• Noise level is usually moderate.
• Practice sites onsite and remote support.

Compensation: $58,458.40
Location: Buffalo, NY

 

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