Clinical Performance Partner

Unified Women's Healthcare • Fulton, Maryland, United States • $56.29k - $89.76k / year • 2w ago

Overview

*Must be located in MD, DC or VA*

Unified Women’s Healthcare is a company dedicated to caring for Ob-Gyn providers who care for others, be they physicians or their support staff. A team of like-minded professionals with significant business and healthcare experience, we operate with a singular mindset - great care needs great care. We take great pride in not just speaking about this but executing on it.

As a company, our mission is to be an indispensable source of business knowledge, innovation and support to the practices in our network. We are advocates for our Ob-Gyn medical affiliates – enabling them to focus solely on the practice of medicine while we focus on the business of medicine.

We are action oriented. We strategize, implement and execute – on behalf of the practices we serve.

The Clinical Performance Partner (CPP) is responsible for developing, implementing, and monitoring clinical initiatives at care centers. CPP is also responsible for provider performance management tracked by KPIs as well as review, implementation, and reporting of other merit-based incentive programs, including CWC Laboratory usage. This person will assist with defining quality metrics within episodes to establish meaningful thresholds. They will work directly with care providers to build relationships, ensure effective education and reporting, proactively identify performance improvement opportunities through analysis and discussion with subject matter experts; influence provider behavior to achieve needed results. They will review electronic medical medicals to look for gaps in workflow/ care and work with care center staff to facilitate coordination of care for patients. This person will collaborate with leadership to engage patients in their care and improve quality of care and patient experience to increase incentive payments and savings.

Responsibilities

Critical thinking and relationship building is a must. Solid relationships with the Managing Provider and Manager/ CDER, Billers & other key players are critical to the success of this position.
Timely documentation of care center issues and effective communication.
CPP’s are responsible for event planning and hosting Regional Engagement Dinners and Regional Touch Points.
Positive attitude including willingness to work within the team, bring a positive work culture, growth mindset & solution driven attitude
Travel position: 40-50% of time is spent in the field at care centers. Must be able to balance hybrid schedule responsibly (remote, division & CBO presence.)
Functioning independently, responsible for engaging providers to discuss tools and programs focused on improving the quality of care.
Provide ongoing strategic recommendations, training and coaching to provider groups on program implementation and barrier resolution.
Innovate to link evidence and practice algorithm to improve outcomes and create savings.
Establish relationships/liaison with hospitals and payers to partner to implement initiatives and improve quality metrics.
Must be well versed in laboratory workflow and troubleshooting to increase and support increasing utilization, reducing turnaround times due to collection errors, and decreasing opt-out rates.
Develop policies, workflows etc. & document conflicts/ resolution, project grids, scorecards etc.
Develop and implement clinical initiatives such as Telehealth or Laborist programs.
Must be able to represent the CBO in the QARM/ Compliance Committee, Lab Committee and Recruitment, Retirement and Succession Committee.
Act as lead to pull necessary internal resources together to provide appropriate, effective provider education, coaching and consultation. Training will include TPA measure and program administration, use of plan tools, reports, and systems.
Coordinate and lead meetings with provider groups with regular frequency to drive continual process improvement and achieve goals.
Provide reporting to Unified leadership on progress of overall performance, gap closure.
Facilitate/lead monthly or quarterly meetings, as required by leader, including report and material preparation.
Analyze workflow, provide suggestions and feedback.

Qualifications

Master’s Degree in healthcare field preferred, Bachelor’s Degree required.
5+ years of healthcare Industry experience.
5+ years of customer/patient outreach experience.
5+ years of experience working for a health plan and/or for a provider’s office.
Experience in leading initiatives/projects.
Must be located within driving distance of the Care Centers in Maryland, District of Columbia and Virgina

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