What are the responsibilities and job description for the Performance Improvement Specialist position at Saint Alphonsus Health System?
GENERAL SUMMARY AND PURPOSE:
The Performance Improvement Specialist serves as a key member of the Saint Alphonsus Health Alliance (Alliance) Quality and Performance Improvement team. This position works collaboratively with internal (i.e. Alliance) and aligned (Saint Alphonsus Medical Group [SAMG], Saint Alphonsus Health System [SAHS], independent practices, and payers) stakeholders to: assess the network and its participant's achievement of the Triple Aim (i.e. reduce cost, improve quality, and optimize patient experience), identify performance improvement opportunities, and support performance improvement initiatives.
Through collaboration and clinical integration, this position will play a key role in empowering providers to maximize the value of care provided to the patients that the Alliance and its participants serve.
REQUIREMENTS:
Must possess knowledge normally acquired through the completion of a bachelor’s degree in business or healthcare related field, with two (2) or more years of related experience, or equivalent combination of education and experience. Experience working in a health system, hospital, medical practice or payer organization preferred.
Strong analytic skills required. Excellent verbal and written communication skills including a proven ability to make clear, concise presentations that inspire and motivate others required. An understanding of the fundamentals of patient-centered health care preferred. Working knowledge of six sigma and LEAN preferred.
Working knowledge of health care business practices, physician practice workflow, provider billing, risk coding and payer contracting preferred gained through experience. Experience working in a quality and/or performance/process improvement role preferred. Knowledge of NCQA and HEDIS standards and Medicare Advantage Star ratings gained through experience preferred. Experience analyzing and identifying performance improvement opportunities using quality, cost and utilization data preferred.
What you will do:
Develop an expert-level knowledge of performance measures (e.g. quality, utilization, cost, care coordination, etc.), performance improvement initiatives and performance improvement methodologies. Educate providers, practice managers and other members of the healthcare team on performance measures (e.g. quality, utilization, cost, care coordination, etc.), performance improvement initiatives and performance improvement methodologies.
Ensure Population Health Management tools are functioning and communicate issues to team members as necessary. Prepare and distribute educational materials for providers and clinic staff. Support and perform as necessary outreach to current members (e.g. facilitating establishment with a primary care provider, supporting scheduling appointments for care gap closure, etc.).
Prepare and distribute patient rosters to practices on a monthly basis. Support data collection, input, and reporting for all performance improvement programs. Prepare and analyze monthly/quarterly practice gaps in care and performance reports. Prepare and analyze performance dashboard for Alliance Board and Committee meetings.
Validate the accuracy of Alliance and payer performance reports and communicate discrepancies to Alliance team members as necessary. Initiate and execute operational assessments for participating practices. Identify process improvement opportunities within practices. Develop, document, execute, track and communicate progress in relation to practice based performance improvement plans/initiatives. Collaborate with practices to optimize documentation, data capture performance improvement initiative related workflows.
Collaborate with payer partners to: assess practice and network performance; identify opportunities for improvement; and coordinate improvement and outreach initiatives. Establish, influence, and manage internal and external cross-functional relationships to ensure the effective execution of Alliance initiatives. Meet and adhere to established confidentiality, productivity and quality standards.
Highlights and Benefits:
When Saint Alphonsus takes care of you, you can take better care of our patients. We foster personal and professional growth and offer opportunities that empower our colleagues to develop their careers. Our belief in work-life balance compliments the natural beauty, diverse landscapes, and outdoor recreation lifestyle that is unique to Idaho and Oregon.
- We offer market-competitive pay, generous PTO, and multiple options for comprehensive benefits that begin on day one.
- Benefits for your future include retirement planning and matching, college savings plans for your family, and multiple life insurance plans that can change as your needs develop.
- We are proud to offer Employee Assistance Programs, tuition reimbursement, and educational opportunities to help you learn and grow.
Visit https://www.saintalphonsus.org/careers/ to learn more!
Ministry/Facility Information:
Saint Alphonsus Health System is a faith-based ministry and not-for-profit health system serving Idaho, Oregon, and northern Nevada communities. The health system boasts 4 hospitals, 609 licensed beds, and 73 clinic locations. Through innovative technologies, compassionate staff, and healing environments, Saint Alphonsus' goal is to improve the health and well-being of people by emphasizing care that is patient-centered, physician-led, innovative, and community-based.
BEST Largest Employers, Forbes
Top 15 Health Systems in the country by IBM Watson Health
The region’s most advanced Trauma Center (Level II);
Commission on Cancer Accredited Program through demonstrating an uncompromising commitment to improving patient survival and quality of life.
Our Commitment to Diversity and Inclusion
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.
