Quality Provider Performance Manager

Job Description:

The Provider Quality and Practice Transformation Manager is responsible for working directly with providers and care teams to build relationships and educate and implement structures and processes in alignment with population health management models.

The Manager will familiarize providers and their care teams with tools, reporting, and best practices and assist in the development of skills necessary to support meaningful changes in the way care is delivered. The incumbent assists providers/practices in utilizing analytic tools and practice level member data to improve coordination of care, quality metric performance, appropriate utilization, patient access, and patient outcomes. The incumbent collaborates with practice teams to create a culture of learning, coordinate activities, review work, exchange information, resolve problems, and proactively identify opportunities for improvement. The Manager provides on-site and remote support as providers and their practices work with Select Health Medical Home. This work requires frequent travel as the Manager visits practices to support with clinical practice improvement and transformation. Coordinates resources for other Select Health and Intermountain stakeholders who are impacted by medical home initiatives. Manages program requirement compliance / acts as project manager.

• Consults and assesses practice/provider readiness for practice improvement and transformation and assists in clinical process transformation and improvement.
• Supports clinic leadership in the oversight of clinical practice of assigned practices and provides clinical support within assigned sites.
• Understands tools, reports, and best practices and utilizes understanding to inform practice improvement.
• Provides infrastructure and education to empower providers and care teams to achieve desired clinical transformation outcomes.
• Supports accountability for action items and follow-up on improvement plans.
• Meets with practice staff based on action plans for improvement, facilitates ongoing discussions, drives progress, and addresses barriers.
• Proficient in data and terminology necessary for population health management.
• Lead continuous quality improvement discussions and exercises with clinic staff to elevate performance and efficiencies of workflows.
• Expert in program reporting tools. Develop training and training materials to educate clinic staff and providers on actionable tools provided to program participants.
• Maintain complete and accurate provider database to support contracting and performance reporting.
• Responsible to monitor, analyze, and interpret operational performance of program participants. Work with clinics to develop action plans for deficiencies.
• Shadow clinic staff to evaluate workflows and utilize continuous quality improvement expertise to help clinic staff identify root cause for issues and continuous quality improvement methods.
• Manages the process of contracting new and existing providers to the program. Prepares contract documentation for providers who participate in Medical Home and pay-for-performance programs. Ensures accuracy of contract exhibits. Manages the maintenance of accurate records on the status and location of all contracted Medical Home practitioners.
• Develops and maintains system databases for tracking and reporting of providers, provider compliance and assignments.
• Oversees multiple databases and documentation repositories which provide access and information of providers and ensures information is accurate and updated. Audits and reviews accuracy of provider list databases. Coordinates with multiple departments and clinics to ensure updated provider and clinic information.
• Works with high level professionals to develop agenda, procure necessary technical support, prepare materials, schedule and plan venue set up, and secures catering services as needed for annual best practice symposium events.
• Provides support to Medical Home Consultants as needed. May perform chart audits related to provider pay-for-performance programs to ensure compliance to program requirements.
• Works closely with the Select Health Provider Development team to coordinate provider communication, meetings, outreach, and escalations.
• Responsible to escalate issues and barriers as well as program outcomes to Select Health Senior Leadership.

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Minimum Qualifications

• Bachelor’s degree in a business-related field. Degree must be obtained through an accredited institution. Education is verified.
• -Or- five years’ experience in Project Management or Quality Improvement area.
• Experience with basic computer programs, statistical analysis, and quality reviews.
• Experience working in practice transformation.
• Experience working in a high-pressure, dynamic, demanding, and ambiguous work environment.
• Leadership experience including achieving results while working with others.
• Experience with change management in large organizations.
• Excellent presentation, interpersonal, and relationship-building skills.
• High level of proficiency creating executive-facing deliverables.

Preferred Qualifications

• Master’s degree in a business-related field. Degree must be obtained through an accredited institution. Education is verified.
• Health insurance experience or experience working in a clinical setting.
• Experience in value-based care delivery and/or population health services.
• Experience consulting within the healthcare setting
• Experience working directly with physicians including using data to influence physician behavior.
• Ability to analyze and interpret data and provide education to other customers.

Physical Requirements:

Location:

SelectHealth - Las Vegas, SelectHealth - Murray

Work City:

Murray

Work State:

Utah

Scheduled Weekly Hours:

20

The hourly range for this position is listed below. Actual hourly rate dependent upon experience. 

$37.98 - $58.61

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits packages for our Idaho, Nevada, and Utah based caregivers, and for our Colorado, Montana, and Kansas based caregivers; and our commitment to diversity, equity, and inclusion.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

All positions subject to close without notice.