Practice Optimization Manager - TMIN

Job Profile Summary

This role focuses on developing and implementing programs to establish, maintain, and improve patient quality care standards.

In addition, this role focuses on performing the following Performance Improvement / Quality duties : Identifies and executes performance improvement and quality opportunities across the enterprise, enabling successful transformations and driving cost savings, process and product quality, and achievement of business goals.

Responsibilities also include partnering with business leaders to provide expert insight on existing processes and procedures, applies process improvement methodologies to achieve PI / Quality objectives, and builds process improvement capabilities.

A professional individual contributor role that may direct the work of other lower level professionals or manage processes and programs.

The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education.

An experienced level role that requires basic knowledge of job procedures and tools obtained through work experience and may require vocational or technical education.

Works under moderate supervision, problems are typically of a routine nature, but may at times require interpretation or deviation from standard procedures, and communicates information that requires some explanation or interpretation.

Our Integrated Network brings together a diversity of experienced private practice and employed physicians as well as community and academic providers.

While we are one unified network, we focus on different geographic regions, with local care teams convening to ensure healthy, happy neighborhoods throughout the greater Boston region.

Job Overview

This role is responsible for supporting the Practice Optimization Program (POP). This program is a resource to facilitate and ensure providers and practice staff are engaged, empowered, and enabled to achieve success in a patient-centric, physician inspired and clinically driven value-based care model.

This program supports the physician patient relationship inside the practice which allows for sustained engagement to address patient needs in a manner that impacts costs, quality, access, and overall patient experience.

This program is designed to address what matters to providers and the care team through the physician lens. Practice optimization activities occur within the practice to empower and enable the entire care team to operate at top of license to improve workflows and processes, enhance point of care experience for both provider and patient, improve practice performance, reduce variation and eliminate duplication.

Transforming into a population health and value-based care organization requires processes, teams, and technology to eliminate the barriers that fragment care.

This role requires travel to provider offices throughout the region.

We are hiring for individual roles in the following covered regions :

• North - Middlesex, Essex, & Worcester counties
• South - Plymouth & Barnstable counties

Job Description

Minimum Qualifications :

1. Bachelor's degree in business, healthcare, or a related field or equivalent combination of education and experience such as Associate’s degree in business, healthcare, or a related field and two (2) years of relevant business experience.

2. Four (4) years of healthcare management or clinic manager experience working directly with physicians and practice members with a demonstrated ability to use data, PDSA rapid cycle optimization to influence utilization, costs, and quality metrics.

Preferred Qualifications :

1. Experience in primary care.

2. Experience with and knowledge of HCC / RAF, PCMH, HEDIS / Quality.

Duties and Responsibilities : The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list.

Other duties and responsibilities may be assigned.

1. Responsible for regular, self-driven in-practice engagement within assigned market.

2. Completes independent analysis and interpretation of healthcare data, including utilization, cost, and quality metrics to proactively address provider, practice, and system needs.

3. Deploys rapid cycle optimization to support all aspects of quality patient care delivery, and ensure desired outcomes are monitored and achieved through PDSA and robust documentation.

4. Collaborates with internal and external partners to support deployed practice optimization strategies.

5. Ensures providers and practices are engaged, empowered, and enabled to achieve success in Value-Based Care.

6. Supports efforts to maximize technology (EMR, Coreo, Patient Portals, Telemedicine, etc.).

7. Meets or exceeds quarterly market review key performance indicators including measurable outcomes and engagement expectations.

8. Identifies, assesses, and collaboratively works to resolve short-term and long-term issues.

9. Ensures buy-in from key stakeholders and those affected by changes.

10. Accountable for establishing and maintaining sustained engagement within practices that impacts costs, quality, access, and overall patient experience through the deployment of tactical and strategic methodologies.

11. Builds and effectively maintains strong relationships with practice operational and clinical leadership that informs development of performance improvement initiatives to achieve identified goals.

12. Be a subject matter expert in value-based care who is seen as a thought partner and a trusted point of contact. Including regularly identifying educational needs and proactively seeking to address these barriers across the practice team.

13. Develops and deploys localized practice optimization strategies based on data analysis that includes measurable and time-specific aim statements as part of a data-informed PDSA rapid cycle optimization approach.

14. Regularly holds practice optimization meetings with practice leadership and key clinical influencers to monitor progress toward, and discuss opportunities related to, deployed practice optimization strategies.

15. Uses internal and external data to analyze and interpret trends. Works with appropriate stakeholders to implement proactive strategies to address issues and measure POP impact.

16. Demonstrates ability to impact the fourth aim in the quadruple aim by improving physician satisfaction across the areas of personal, professional and income lifestyle to decrease physician burnout.

17. Routinely assists and supports the Enterprise Practice Optimization team and leadership team in summarizing and measuring Practice Optimization Program impact, sharing best practices, provider feedback, and opportunities for organizational alignment.

Physical Requirements :

1. Work environment : professional office environment with typical office requirements such as computers, phones, photocopiers, filing cabinets, etc.

2. This is largely a sedentary role, which involves sitting most of the time, but may involve movements such as walking, standing, reaching, ascending / descending stairs and operate office equipment.

3. Able to see and read computers displays, read fine print, and / or normal type size print and distinguish letters, numbers and symbols.

4. Occasionally lift and / or move up to 25 pounds.

5. Ability to work in confined or open environments.

6. Ability to work independently or in a team environment.

7. Ability to travel to various locations both within the state and outside the state.

Skills & Abilities :

1. Demonstrated ability to work effectively as a member of an interdisciplinary team, displaying good judgment, problem solving, and decision-making skills in a matrixed organization.

2. Excellent oral and written communication skills; able to communicate professionally and effectively to a diverse audience.

3. Demonstrated analytic skills to gather, transform, research, and communicate data in an actionable manner necessary for performance improvement, including intermediate to advanced Excel knowledge.

4. Ability to manage stressful situations.

5. Ability to de-escalate situations.

6. Proficiency with Microsoft Office 365, productivity software, including but not limited to Word, Outlook, PowerPoint, Excel, Lists, Skype meetings and SharePoint

7. Proficient in population health management technology platforms.

8. Knowledge of in-practice clinical workflows and protocols.