Performance Liaison

Job Summary: We are seeking a highly skilled Performance Liaison to join our team at Steward Health Care. As a Performance Liaison, you will work closely with physician practices to identify opportunities for improved quality, risk adjustment, clinical and documentation workflow, patient experience, and performance.

Key Responsibilities:

• Collaborate with provider offices to target opportunities for improved quality, risk adjustment, clinical and documentation workflow, patient experience, and performance.
• Interact with and provide providers and office staff with best practices and workflows regarding billing and documentation policies, procedures, and conflicting/ambiguous or non-specific documentation.
• Educate providers and leadership on clinical indicators to capture the severity of illness of the patient. Develop and deliver training materials (Provider and Practice-Facing). Provides leadership and staff with training, on-site collaboration, and on-going performance reporting.
• Work collaboratively with assigned Performance staff, Office Managers, and practice staff to coordinate improvement efforts related to overall performance. Implements performance improvement plans at the practice level.
• Maintain collaborative team relationships with peers and colleagues in order to effectively contribute to the working group's achievement of goals, and to help foster a positive work environment.
• Evaluate provider and office staff workflow to identify opportunities for workflow improvement and is responsible for developing and implementing process improvement to enhance provider and staff workflow.
• Responsible for monitoring provider performance and reporting to SHCN management to track and share data with practice on performance against goals, escalating any issues at the practice level in a timely manner. Report on quality measures and evaluate strengths and weaknesses and address workflow deficiencies.
• Completes medical record data review/collection for appeals and exclusions at the time of data submission per contractual obligations.
• Produces and maintains record by keeping documentation up to date and reporting progress on a weekly basis. Provides dashboard reports to providers and practices and recommendations on improvement.
• Ensures compliance with all applicable Federal, State, and/or County laws and regulations related to coding and documentation guidelines for Risk Adjustment and HEDIS measures.

Requirements:

• Medical Assistant or LPN license preferred, or equivalent clinical experience.
• 2-3 years of physician practice experience preferred.
• Knowledge of quality metrics and risk adjustment preferred.
• Must possess a strong belief in diversity, health equity, and inclusion, promoted through best practices with patients, as well as within the organization.

About Steward Health Care:

Steward Health Care is a different kind of health care company designed to usher in a new era of wellness. One that provides our patients better, more proactive care at a sustainable cost, our providers unrivaled coordination of care, and our communities greater prosperity and stability.

As the country's largest physician-led, minority-owned, integrated health care system, our doctors can be certain that we share their interests and those of their patients. Together we are on a mission to revolutionize the way health care is delivered - creating healthier lives, thriving communities, and a better world.