Population Health Specialist

Beth Israel Lahey Health Performance Network, LLC; Wakefield (MA); Sur place; USD 34 000 - 44 000; Plein temps

Résumé du poste

Beth Israel Lahey Health seeks a Population Health Specialist to support collaboration, care coordination, and quality improvement across POD leaders, practices and hospital leadership. Under the supervision of the Quality Manager, you will analyze quality, cost and utilization data to help meet contractual targets and optimize patient outcomes.

Responsibilities include acting as SME on HEDIS measures, managing chronic-disease registries, running campaigns to close care gaps, auditing

Qualifications

• Bachelor’s degree required; healthcare environment preferred.
• Medical Assistant Certification or 3–5 years experience in healthcare.
• 3–5 years related experience in a healthcare environment.
• Strong knowledge of HEDIS ambulatory quality measures.
• Proficient with Microsoft Office; ability to create analyses and documents.
• Knowledge of LEAN or Six Sigma is a plus; travel to offsite meetings may be required.
• Familiarity with EMR systems such as eClinical Works, Athena, GE Centricity or Epic.

Responsabilités

• Serve as SME on HEDIS ambulatory quality measures and central resource for teams.
• Manage registries of chronic disease patients; ensure testing and meds adherence.
• Develop campaigns to address care gaps; monitor compliance and adjust as needed.
• Support process improvements to workflows and communicate findings.
• Provide training and ongoing support for quality measures and EMR systems.
• Review analytic reports monthly to track performance and opportunities.

Connaissances

HEDIS knowledge

MS Office suite

LEAN/Six Sigma knowledge

EMR knowledge: eClinical Works, Athena

Formation

Bachelor’s Degree

Outils

eClinical Works

Athena

GE Centricity

Epic

Description du poste

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Under the supervision of the Quality Manager, the Population Health Specialist (PHS) supports collaboration, communication and care coordination with all members of the health care team, including but not limited to POD leaders, practices, clinicians and hospital leadership. The Population Health Specialist is the primary point of contact with and an integral member of the health care team. They will work to ensure safety, best practice and high quality standards of care across the health care continuum to achieve the quality incentives as part of global payment and managed care contracts 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 the communication of targets for medical expense trend and quality outcomes and the facilitation of activities to meet identified targets through analysis of quality, cost and utilization reports. 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 implementation of project plan(s) initiatives to impact those key drivers

Job Description:

1. Serves as subject matter expert on HEDIS ambulatory quality measures and uses that knowledge to effectively communicate information as the central resource to assigned hospital, POD leaders, physician groups and clinical teams participating in the BILPN risk arrangement quality programs
2. Acts as a key resource to practice(s) for the management of registries of patients that have chronic diseases to ensure they have the required testing and medication management to promote optimal health and clinical outcomes. Ensures pre-visit planning, reminders and processes on day of visit and subsequent tests and referrals following visits to improve population health
3. Works collaboratively with practice/providers to develop campaigns to address gaps in care, monitors patient and practice/provider compliance with campaigns and provide feedback and adjustment as needed to ensure success
4. 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
5. Provides expertise, training, and ongoing support for quality measures and the EHRs and related clinical and technical systems which support the collection and tracking of such measures
6. Performs monthly review of key analytic reports to track overall POD and provider performance by extracting data from the analytic tool(s) and practices’ electronic medical record. Ensures POD, practices, and clinicians are informed on current performance and areas of opportunity for improvement
7. Provides an effective communication link between POD leaders, practices and clinicians and BILPN leadership. Escalates issues and/or concerns with practice engagement, participation or performance to quality manager and medical director as needed
8. Identifies and communicates best practice opportunities to POD leaders, practices, clinicians and team members to help improve performance. Participates in team decisions regarding data requirements for pro-actively managing the team’s panel
9. Participates as necessary on payer audits for numerator compliance and exclusions on quality measures
10. Coordinates with Manager of Quality to track and share data with practice on patient experience improvement measures and performance against

Minimum Qualifications:

• Education: Bachelor’s Degree
• Licensure, Certification & Registration: Medical Assistant Certification or 3-5 years related experience in a health care environment
• Experience: 3-5 years related experience in a health care environment
• Skills, Knowledge & Abilities: Strong knowledge of and experience with HEDIS ambulatory quality measures a must. Ability to travel to offsite meetings at various provider practices and hospitals
• Strong knowledge in Microsoft Office applications – Word, Excel, Access, PowerPoint 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 a plus
• Knowledge of electronic medical records; eClinical Works, Athena, GE Centricity or Epic a plus

Pay Range: $24.50 - $32.00

The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled At Beth Israel Lahey Health, we are driving the change in health care that Massachusetts wants and needs. Our culture promotes continuous learning, growth, innovation and a sense of belonging. We make it a priority to offer comprehensive compensation and benefits and help you achieve a healthy and balanced life. While you're busy caring for and supporting our patients, we take care of you.