[Hiring] Manager Clinical Services @Bon Secours Mercy Health

Role Description

This role will manage the Operation Integration Specialists (OIS) in the administrative and clinical practice transformation programs and alternative payment models (APM) leading to an advanced level patient-centric approach that allows the organization to thrive in a value-based health care model.

• Proactively maintain a thorough understanding of the requirements and regulations of the alternative payment practice transformation programs (i.e., CPC+, Ohio CPC, PCF etc.)
• Provide guidance and support to team members who provide practice level guidance and assist to drive continuous quality improvement efforts through process redesign and performance management.
• Ensure accountability for accurate performance of processes and workflows.
• Support the development and maintenance of high performing teams.

Essential Job Functions

• Effectively educate the OIS team on the elements, measures, tasks, and tools to support various practice transformation functions and activities.
• Act as a professional role model and provide leadership in motivating and inspiring the team.
• Maintain thorough working knowledge of all models of care, data elements, and tools/resources to support a high functioning team.
• Act as a liaison between the OIS team and population health team, including monitoring and appropriately elevating any potential issues, challenges, barriers, and success stories with leadership.
• Manage activities of the OIS team members including rounding schedules, communications, issue resolution, workflows for onboarding new providers, and complying with evolving government reporting requirements.
• Develop and maintain the team plan to reflect necessary resources, tasks, and overall timeline needed to complete program requirements.
• Ensure the OIS team supports, encourages, and works closely with providers and their care teams to implement process & quality improvement activities.
• Monitor and elevate any potential issues, challenges, or barriers and communicate escalation as appropriate.
• Educate and communicate with providers as the primary resource for alternative payment practice transformation programs.
• Manage the collection, analysis, translation, and reporting of quality and performance metrics.
• Work closely with the data analytics team and EPIC EHR team to obtain accurate and actionable information/data.
• Direct activities to collect, track, and analyze practice demographics and transformation activities.
• Attend required training, education, and learning events by webinar, teleconference, virtual or in person.
• Act as the subject matter expert (SME) on government alternative payment models.
• Perform other duties as assigned.

Qualifications

• Bachelors in Healthcare Administration or nursing related field
• Masters in Healthcare Administration or nursing related field (preferred)

Requirements

• 5 years of experience in an ambulatory healthcare setting, preferably in a leadership role in a highly matrixed organization.
• Subject Matter Expert in physician practice operations and practice transformation activities.
• Strong analytical skills.
• Ability to manage multiple simultaneous projects.
• Work independently and proactively in a stressful medical environment.
• Attentive to details and accuracy.
• Able to manage time, priorities, and resources.
• Strong verbal, written, and interpersonal skills.
• Experience and working knowledge of Microsoft Office (Word, Excel, PowerPoint).
• Ability to travel locally and regionally.
• Ability to plan, hold, and facilitate meetings and networking events.
• Working knowledge of EHR’s, preferably EPIC.
• Familiarization with process improvement models (such as PDSA, A3, CQI, Lean, Six Sigma).

Benefits

• Competitive pay, incentives, referral bonuses, and 403(b) with employer contributions (when eligible).
• Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, mental health resources, and discounts.
• Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders.
• Tuition assistance, professional development, and continuing education support.
• Benefits may vary based on the market and employment status.