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CINQCARE · 1 month ago

Practice Facilitator

Brooklyn, NY

Full-time

Onsite

Mid Level

$90K/yr - $100K/yr

CINQCARE is an innovative health and care company dedicated to improving care in high-need communities. The Practice Facilitator plays a crucial role in guiding and supporting Value-Based Payment Programs, focusing on enhancing clinical outcomes and operational workflows in healthcare practices.

CommunitiesHealth CareHome Health CareMedical

Responsibilities

Facilitate understanding of value-based payment programs, such as ACOs, HEDIS, and Risk Scores

Present payor performance scorecards to review benchmarks and develop improvement strategies

Develop and provide quality improvement plans with tailored data, tools, and resources to support value-based care models

Obtain EMR access and provide support to close gaps in care and identify high-risk patients

Facilitate performance-based interventions with internal SMEs for HEDIS/STAR and risk adjustment benchmarks

Analyze practice-specific scorecards to identify trends and gaps and recommend improvements

Deliver education on ICD-10/CPT coding accuracy, risk adjustment, and population health management (e.g., TOC, AWVs, Diagnostic Attestation)

Guide action plans using models like Plan-Do-Study-Act (PDSA) to drive care transformation and workflow efficiency

Monitor key performance indicators (KPIs) and medical loss ratio (MLR) to drive improvements in quality measures and total cost of care (TCOT)

Build trust-based relationships with practices and care teams

Collaborate cross-functionally with internal departments and external stakeholders (e.g., IPAs, Providers, Payors)

Act as a liaison between Grace at Home and healthcare practices to ensure coordinated efforts

Act as an SME, supporting activities such as Transitions of Care (TOC), Pre-visit Planning, and Annual Wellness Visits (AWVs)

Update and maintain internal and practice facing health data portals for quality tracking and reporting

Identify drivers of medical expenses and recommend remediation strategies

Develop and maintain detailed project plans, tracking milestones, deadlines, and outcomes to ensure successful implementation of practice transformation strategies

Coordinate multiple projects simultaneously, managing priorities and resources effectively to meet the needs of diverse practices and stakeholders

Conduct scorecard analyses and develop action plans to enhance KPIs, including Quality, Risk Adjustment, Utilization, and practice growth metrics

Conduct regular check-ins with practices to ensure alignment with value-based care goals and identify emerging needs

Coordinate logistics for practice engagement meetings, including scheduling, agenda creation, and follow-up communications

Maintain up-to-date knowledge of healthcare regulations and value-based care models to provide relevant guidance to practices

Foster a culture of continuous improvement by encouraging regular feedback and promoting best practices across practices

Collaborate with leadership to identify opportunities for program enhancements and report on successes or challenges

Document workflows and processes to ensure standardization and facilitate onboarding or training for new staff

Actively participate in professional development opportunities to enhance skills related to quality improvement and practice transformation

Establish rapport with practice teams to facilitate effective communication and engagement

Provide regular updates to healthcare practices and Care at Home leadership on progress and challenges

Act as a resource for best practices in workflow optimization and care transformation

Participate in leadership meetings to share insights and build collaboration among stakeholders

Document all activities and insights related to practice operations in healthcare portals and team systems

Frequently travel to healthcare practices to support on-site implementation and coaching

Perform other job-related duties as assigned

Qualification

Registered Nurse (RN) licenseQuality improvement experienceHEDISEMRMicrosoft Office proficiencyBilingual preferredCommunication skillsInterpersonal skillsCollaborative environment