Beth Israel Deaconess Medical Center Senior Population Health Specialist in Boston, Massachusetts
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Senior Population Health Specialist
Department Description:Physician Performance LLC (PPLLC) is an organization of 2,300 physicians that participates in value-based contracts. PPLLC physicians strive to deliver the highest quality of coordinated care to their patients, with a focus on local communities of care.
Job Location:Boston, MA
Job Summary:The Population Health Specialist (PHS) supports collaboration, communication, and care coordination with all members of the health care team, including but not limited practice leaders, physicians, and support staff to achieve the quality and efficiency targets with the goal of optimizing our patients' health and well-being, ensuring that contractual metrics are met, and maximizing financial revenue in our quality risk arrangements. This role is responsible for working with practices to improve quality outcomes and acuity documentation and facilitate activities to meet identified targets through analysis of reports. This position assists the health care team in implementing and using systems and interventions to improve patient care and outcomes by identifying key drivers of performance and implementing project plan(s) initiatives to impact those key drivers, optimizing work flow, and focusing on patient engagement. Must be able to travel to offsite meetings at various provider practices.
Acts as a key resource to the practice(s) for the management of registries of patients to ensure they have the required testing and medication management to promote optimal health and clinical outcomes. This includes pre-visit planning, reminders and processes on day of visit and subsequent tests and referrals following visits to improve population health.
Organizes and implements payer audits with practices for numerator compliance and exclusions on quality measures.
Works collaboratively with practice/providers to develop campaigns to address quality and acuity gaps in care, monitors patient and practice/provider compliance with campaigns, and provide feedback and adjustment as needed to ensure success.
Supports process improvements to enhance clinician and staff workflows by identifying potential barriers and making recommendations on improvement initiatives. Audits performance based on recommendations and evaluates compliance and engagement. Effectively communicates key findings to drive informed decision making.
Performs monthly review of key analytic reports to track overall Risk Unit and provider performance by extracting data from the analytic tool(s) and practices' electronic medical record. Ensures Risk Unit, practices, and physicians are informed on current performance and areas of opportunity for improvement.
Educating and assisting physician practice staff with use of Population Management and Electronic Health Record applications to support reporting and monitoring of quality performance.
Conducts pre-visit planning reviews with practices
Participates in practice team meetings and joint meetings with other Risk Unit PHS staff, to support the overall organizational goals of improving quality and coding.
Associate's degree required. Bachelor's degree preferred.
3-5 years related work experience required in health care environment or Associate's Degree, or Medical Assistant Certification required.
Strong knowledge of and experience with HEDIS ambulatory quality measures.
Knowledge of electronic medical records; eClinical Works, Athena, GE Centricity or Epic.
Must be highly attentive to detail, accuracy, and achieving end results.
Must be able to travel to offsite meetings at various provider practices.
Advanced skills with Microsoft applications which may include Outlook, Word, Excel, PowerPoint or Access and other web-based applications. May produce complex documents, perform analysis and maintain databases.
- Knowledge of process improvement initiatives such as LEAN or Six Sigma.
Decision Making:Ability to make decisions that are guided by general instructions and practices requiring some interpretation. May make recommendations for solving problems of moderate complexity and importance.
Problem Solving:Ability to address problems that are varied, requiring analysis or interpretation of the situation using direct observation, knowledge and skills based on general precedents.
Independence of Action:Ability to follow precedents and procedures. May set priorities and organize work within general guidelines. Seeks assistance when confronted with difficult and/or unpredictable situations. Work progress is monitored by supervisor/manager.
Written Communications:Ability to communicate clearly and effectively in written English with internal and external customers.
Oral Communications:Ability to comprehend and converse in English to communicate effectively with medical center staff, patients, families and external customers.
Knowledge:Ability to demonstrate full working knowledge of standard concepts, practices, procedures and policies with the ability to use them in varied situations.
Team Work:Ability to work collaboratively in small teams to improve the operations of immediate work group by offering ideas, identifying issues, and respecting team members.
Customer Service:Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. Ability to remain calm in stressful situations.
Physical Nature of the Job:
Sedentary work: Exerting up to 10 pounds of force occasionally in carrying, lifting, pushing, pulling objects. Sitting most of the time, with walking and standing required only occasionally