Alliance Health · 16 hours ago
Manager-Practice Transformation (Full-time Remote, North Carolina Based)
United States
Full-time
Remote
Mid, Senior Level
$89K/yr - $114K/yr
3+ years expAlliance Health is seeking a Manager of Practice Transformation who will oversee the Practice Transformation Specialists and develop strategies for Advanced Medical Homes and Care Management Agencies. The role involves ensuring effective team performance, compliance with policies, and collaboration with various stakeholders to address provider needs and improve care management processes.
Health Care
Responsibilities
Define and deliver the direction of the team(s) to ensure alignment to organizational and personal goals
Prioritize work and responsibilities to ensure objectives and priorities are aligned with business initiatives. Works with team members to create employee development plans to improve core competencies in alignment with organizational objectives
Responsible for establishing and implementing a safe working environment that meets all licensure, regulatory, and accreditation requirements
Monitor and manage staff productivity and interaction with providers, CIN and internal Alliance staff
Ensure staff are well trained in Alliance and Practice Transformation policies, procedures, and business processes
Ensure the department has the needed tools to fulfill functions and support employees with continuous quality improvement, interventions, Value Based Care, shift to data informed care management and total cost of care
Provides ongoing coaching and mentoring to staff on new technology tools and practices, including change management practices, to support a learning environment to advance team skills
Monitor PTS interactions and frequency of provider interactions and CINS and the frequency of provider and CIN interactions
Manage PTS workloads and provide daily directions on meeting team goals
Assess quality measures and coach Practice Transformation Specialists to provide effective on-going monitoring of provider’s drive to CQI and data informed care management
Effective listening and ability to identify solutions, especially for continuous quality improvement initiatives, data informed care management and the drive towards Total Cost of Care
Ability to create and deliver presentations on various topics
Educate on available resources and systems
Assist Practice Transformation Specialists in resolving provider issues through 1:1 supervisions and attending provider and CIN calls
Effectively review data for providers, internal PTS and assist in understanding and interpreting data to lead to solutions for workflows, panels, assignments of workloads, etc
Lead PTS in understanding the VBC goals of providers and track/review provider trends with analysis
Ensure implementation with fidelity to care model
Transparently share challenges and barriers regarding solutions for effectively implementing the data informed care management, continuous quality improvement and interventions for both
Work with providers and CINs to focus on data and data-informed care management
Guide PTS, clinic staff and leadership on the implementation of best practices for data informed care management
Address barriers to effective continuous quality improvement and the shift to data informed care management
Propose solutions for practices/health centers to consider in addressing barriers
Assist providers in panel management and guiding providers through understanding of panel assignments
Assist providers with understanding their barriers in regard to the Value Based Contracting agreements
Develop strong working relationships with providers, CINS, and external stakeholders by scheduling ongoing opportunities to share feedback and collaborate
Participate in local, regional, and state meetings as required
Exercise conflict resolution skills to appropriately resolve issues with providers and external stakeholders
Develop strong working relationships within Provider Networks, Provider Network Evaluation, Community Health and Well Being, as well as internal Care Management by scheduling ongoing opportunities to share feedback, collaborate, and identify shared responsibilities for achieving program and organizational deliverables
Qualification
Required
Master's degree from an accredited college or university in Social Work, Counseling, Healthcare Administration, Public Health, Business Administration
Three (3) years of post-degree experience in any of the following areas: healthcare quality and process improvement, population health, care management or value-based care
Understanding of Health Information Technology (HIT) and its role in improving healthcare outcomes
Knowledge of the fundamentals of lean or PDSA process improvement
Moderate analytic knowledge (including pivot tables, Pareto analysis, sources of errors in data, risk adjustment, price/volume variance analysis, application of benchmarks, coefficient of variance)
Understanding of specifications of quality, utilization and financial metrics, specifically HEDIS
Knowledge of population health, social determinants of health and clinical integration
Moderate project management skills (including ability to map dependencies, identify critical path)
Customer service principles
Knowledge of CPT, ICD, and HCPCS coding
Ability to prioritize workload as appropriate to ensure on‐time project completion
Proficiency in Microsoft Office Professional products, including Visio and PowerPoint
Excellent verbal/written communication, interpersonal, analytic, and customer service skills
Ability to use data to drive change; including presenting data performance to providers
Ability to work effectively on simultaneous projects with competing priorities
Ability to function in a team‐based work environment collaboratively and collegially
Detail oriented; Highly organized
Ability to generate trust and build collaborative relationships internally and externally
Preferred
Previous supervision/management experience preferred
Experience in any of the following areas would be valuable for this employee: Public speaking, mediation, presentation development, training, group facilitation, advocacy, regulations compliance, or project management
Benefits
Medical
Dental
Vision
Life
Long Term Disability
Generous retirement savings plan
Flexible work schedules including hybrid/remote options
Paid time off including vacation, sick leave, holiday, management leave
Dress flexibility
Company
Alliance Health
Alliance Health is the managed care organization for publicly funded behavioral healthcare services.
Founded in 2012Fayetteville, North Carolina, USA
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Kelly Goodfellow
Executive Vice President, Chief Financial Officer
Recent News
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