Practice Performance Manager (Houston, TX)

Summary

The Practice Performance Manager (P PM ) is responsible for all value-based care initiatives, interventions to support the implementation and transition to Value Based Care processes. The PPM is responsible for providing on-site and remote assistance and /or education to clinicians, care teams and their associated practices to drive improvement in clinical quality, risk adjustment and operational efficiency. The PPM is responsible for partnering with practices to ensure VBC goals are me t .

This position coaches practice staff to improve patient outcomes by developing skills in process improvement, value-based and team ‐ based care, encouraging patient engagement, and analyzing quality data and measurements. The PPM is committed to leveraging data and analytics for quality improvement, research, and practice transformation. The PPM will provide guidance and expertise in the development, implementation, and optimization of training materials used to facilitate practice transformation. The PPM will work as part of an interdisciplinary team to create and deliver products and services including user education and training materials, project plans, tool kits, and evaluation materials.

Key Responsibilities

• Establish a planned care model with practices in integrating administrative, financial, and clinical systems for better performance and improved outcomes.

• Develop and implement workflow design and redesign, including electronic health record (EHR) optimization, clinical documentation, billing practices, assessments, financial analyses, and financial performance improvement and reporting.

• Works with practice sites on clinical documentation improvement activities, to include chart review, feedback and education.

• Utilize available tools to assist clinicians with capturing and analyzing population ‐ based data to support practices with data ‐ driven decision making and direct improvement efforts to support practice leadership develop the skills to interpret and act on quality metric data with performance management tactics.

• Build trusting relationships to help drive continuous change with physicians/physician staff to find ways to encourage member clinical participation in wellness and education by providing resources and educational opportunities to provider and staff.

• Engage directly with patients as needed to schedule annual wellness visits, facilitate referrals, and help with patient navigation.

• Develop and implement changes to root causes of financial and quality under performance and communicate strategies to providers and provider groups.

• Understand the role of analytics and the importance of clear, defined, and accurate data for improving healthcare outcomes.

• Execute responsibilities in a manner that promotes collegial, collaborative, and effective communication to successfully reach mutually agreed upon goals with practice sites and colleagues.

• Provide support for other interdisciplinary teams (e.g . s clinical implementation, analysis, research , support services, training, medical record retrieval projects).

Qualifications

• Bachelors Degree in related field or five years related experience

• A license in one of the following is preferred:

• Certified Risk Adjustment Coder (CRC)

• Certified Professional Coder (CPC)

• Certified Professional in Healthcare Quality (CPHQ)

• Licensed Vocational Nurse (LVN)

• Minimum three years of experience with a focus on EMR operations, use, design, and implementation

• Minimum three years of medical practice management, clinical program development, clinical transformation, healthcare quality analytics and/or quality improvement