Clinical Programs Consultant

3 weeks ago

Shelton, United States Direct Recruiters Full time

Client Summary: This company is answering the technology needs of organizations in today's rapidly modernizing environments.

This company is an information technology company

providing

app development and data warehouse services.

Position Responsibilities:

Provides strategic leadership to the clinical quality, risk and performance improvement agenda within the assigned division.

Develops, in collaboration with the Product Owners, Corporate Executives, and client leadership, a customized clinical and quality agenda specific to the market driven needs of the organization and clients.

Directs efforts to ensure effective clinical quality program and performance improvement implementation throughout the client organizations. Provides guidance to client’s employees/management in complying with the requirements and intentions of the program.

Provides leadership to drive work for clinical improvement and service enhancement.

Acts as a support leader for client’s Quality Improvement and Patient Safety initiatives, as directed. Prepares and submits minutes from all meetings as directed.

In coordination with the Client Relations Managers (CRM) and clients, develops and implements programs, initiatives, and improvement strategies to ensure consistency in compliance with applicable laws, regulations, and other governmental requirements.

Monitors and communicates with client leadership regarding quality improvement trends. Assists in preparations of metric reports and development of meaningful improvement plans. Participates in client Business Reviews / Operating reviews.

Facilitates effective communication with clients and leadership regarding key clinical performance improvement activities and initiatives.

Responsible for facilitating investigation, required reporting, and corrective action development for serious quality or risk issues within the organization as requested by Executives. Accesses company resources as appropriate. Facilitates completion of Root Cause Analysis.

Maintains awareness of regulations, keeping abreast of pending and or implemented changes. Develops communication tools to alert Product Managers and Executives.

Maintains current competency with all current Quality Program initiatives.

Provides practice assessments and identifies deficiencies as applicable, develops in collaboration with CRM any needed corrective action plans, and assists in the management of the action plan to completion.

Submits meaningful reports to the Executives outlining the client’s performance on quality and Clinical initiatives and provides action plan for any initiative not being met.

Provides education to employees and Medical Staff and supports ongoing education related to Quality Program and Clinical initiatives.

Meets regularly with CRMs and Client Leadership and encourages shared learning.

Provides product and client support and leadership for all government payor initiatives including, but not limited to, the Merit Based Incentive Payment System (MIPS), and as applicable advanced alternative payment models such as Accountable Care Organizations (ACOs) and Comprehensive Primary Care Plus (CPC)+.

Provides product and client support and leadership for all government clinical initiatives including, but not limited to, the Non-Complex Chronic Care Management (CCM), Behavioral Health Initiatives (BHI), and other initiatives including Remote Patient Monitoring (RPM)

Provide consultative leadership and support to client practices and personnel as appropriate and as directed by Leadership

Experience & Skills: Required Experience and Qualifications:

Education Necessary for Position:

Bachelor’s Degree required; Master’s Degree highly preferred

Experience & Skills Necessary for Position:

3-7 years relevant experience in the clinical quality, risk and performance improvement agenda is required

Exceptional communication and interpersonal skills, with a track record of building strong relationships

Demonstrated ability in managing multiple projects and priorities in a fast-paced environment

Strong problem-solving and analytical skills, with the ability to identify and manage risks

Highly organized, detail-oriented, and focused on delivering results

Experience with electronic health records (EHR) and healthcare technology

Passionate about delivering an exceptional client experience and dedicated to client success

Work Environment:

This position operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Notice will be provided if travel is required.

Organizational Relationships:

Develop and maintain positive internal and external organizational relationships that would contribute to the success and growth of the company.

Preferred Experience and Qualifications:

Practice Management, RN or LPN

license experience a highly preferred

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