Brown University Health · 1 month ago
Performance Liaison
North Dartmouth, MA
Full-time
Onsite
Entry Level
$36K/yr - $55K/yr
2+ years expBrown University Health is focused on improving healthcare quality and patient experience. The Performance Liaison collaborates with physician practices to enhance quality metrics and provides guidance to low performing providers in managing Medicaid ACO Quality Programs.
EducationHealth CareMedicalUniversities
Responsibilities
Works in collaboration with provider offices to target opportunities for improved quality, risk adjustment, clinical and documentation workflow, patient experience and performance
Maintains collaborative 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
Evaluates 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
Completes medical record data review/collection for appeals and exclusions at the time of data submission per contractual obligations
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
Interacts with and provides providers and office staff best practices and workflows regarding billing and documentation policies, procedures, and conflictingmbiguous or non-specific documentation
Responsible for monitoring provider performance and reporting to SMG/Hawthorn 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, evaluate strengths and weaknesses, and address workflow deficiencies
Works 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
Produces and maintains record by keeping documentation up to date and reporting progress on a weekly basis
Provides dashboard reports to providers, practices, and recommendations on improvement
Educates providers and leadership on clinical indicators to capture the severity of illness of the patient
Develops and delivers training materials (Provider and Practice-Facing)
Provides leadership and staff with training, on-site collaboration and on-going performance reporting
Responsible for managing Medicaid ACO Model B Quality Programs 13 measures in 3 domains (Preventative and Pediatric Care/Care Coordination/Care for Acute and Chronis Conditions/Member Experience) by working with low performing providers to identify areas of opportunity
Qualification
Required
High school diploma or equivalent plus additional training in clinical health care field of study
Knowledge of quality metrics and risk adjustment
Ability to manage projects and work with multiple priorities
Ability to organize and prepare training materials, conduct in person and computer-based training
Ability to use technology effectively with basic Microsoft product proficiency
Ability to work under pressure and demonstrate a strong sense of diplomacy
Ability to work independently with excellent written and oral communication skills, organization skills, and attention to detail
Ability to demonstrate strong interpersonal and communication skills; able to effect areas of opportunity to providers and practices as well as leadership
Preferred
Medical Assistant or LPN license preferred or equivalent clinical experience
2-3 years of physician practice experience preferred in a pediatric or family medicine environment
ICD10 coding experience preferred
Experience in quality measures preferred
Company
Brown University Health
Brown University Health provides an integrated academic health system offering hospital services, outpatient care and clinical education.
10001+ employees
Funding
Current Stage
Late StageRecent News
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