ACO Performance Improvement Specialist

Job Requisition #: JR55720

End Date: 6/16/2021

Location: Wilmington, Delaware

Position Type: Clerical/Administrative/Billing, Clinical (non-nursing)

Shift: Day Shift, No Rotation

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PRIMARY FUNCTION:

To assist ACO Participating Practices in performance improvement and transformation activities to achieve annual quality and operational goals as established by the ACO Quality Improvement Committee.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

  • Conduct monthly review of practice performance reporting
  • Communicate ACO-specific initiatives and assist with implementation via workflow development
  • Supports in the education of Hierarchical Condition Categories (HCC) documentation and coding requirements
  • In coordination with ACO Quality Team, assist in the development and use of Quality Score Card and focus on Quality Measures
  • Participate and support node- and practice-level engagement efforts to achieve established quality, utilization and cost operational goals

ADDITIONAL RESPONSIBILITIES INCLUDE:

  • Assists with annual ACO regulatory reporting requirements for clinical quality measurement at both the individual practice and health system level.
  • Perform regular practice reviews to determine compliance status with ACO participation and performance requirements, while providing identification of available resources to assist as available.
  • Provides oversight to and support for Participants in the Focused Improvement Plan process so that they can contribute positively to the ACO's clinical, quality and financial goals.
  • Identify opportunities for improvement and alternate strategies when goals are not met.
  • Assist in the identification of EMR enhancements needed for practice improvement and transformation initiatives.
  • Facilitate and motivate personnel and leadership from throughout the practice and affiliated health system and ACO to implement evidenc based practices.
  • Performs assignments that need to be completed, even when outside the scope of routine responsibilities; adaptable to changing departmental conditions.

SCOPE, PURPOSE, AND FREQUENCY OF CONTACTS:

  • Works collaboratively with Carelink CareNow Director of Strategic Partnerships and ACO Quality Coordinator.
  • Frequent contact with departmental personnel, Medical-Dental Staff, Medical Records Staff, hospital personnel, physicians/staff that are ACO participants and executive leadership for the CCQP ACO for collection and exchange of relevant information. 
  • Intermittent contact with external personnel as assigned for the development and ongoing operation of Registry and EMR development.

EDUCATION AND EXPERIENCE REQUIREMENTS:

  • Bachelor's degree in healthcare or management
  • At least five years of work experience with two years in patient safety, quality or performance improvement or practice management.
  • Knowledge of medical terminology and anatomy required.
  • Knowledge of or experience in any of the following is preferred:  computers, data abstraction and entry, outcome analysis, utilization management, clinical experiences in patient care processes, medical records, performance improvement, and team facilitation and education (patient/staff) processes.
  • Organizational skills and project management required.

Why do WE offer careers full of possibilities?

For the Love of Health.

Inclusion & Diversity

At ChristianaCare, we’re committed to treating everyone with dignity and respect. We believe in a safe, inclusive work environment that fosters collaboration between caregivers from all walks of life. We know that each unique viewpoint is vital in delivering high-quality, safe patient care to everyone who walks through our doors. Our policies, benefits, hiring practices, employee resource groups, and corporate citizenship demonstrate our commitment to inclusion and diversity throughout our system.

Why do we embrace inclusion and diversity? For the Love of Health.

Our Values

We serve together in Love and Excellence. Our unique values, Love and Excellence are bold and powerful, and they are the reason why working for ChristianaCare is special. The behaviors associated with our values guide how caregivers interact with everyone they work with and make for an exceptional work experience. We believe that when you lead with Love, Excellence is inevitable.

Benefits

ChristianaCare’s comprehensive total rewards package is one of the most competitive in the region. We are proud to offer excellent benefits that reflect the organization’s commitment to being exceptional today and even better tomorrow.

At ChristianaCare, we provide access to high-quality and affordable benefits designed to meet our caregivers where they are. You can tailor your benefits to meet your needs now and adjust them as your priorities change.

Take advantage of ChristianaCare’s wide-ranging benefit offerings from supporting optimal health through medical, prescription, dental and vision coverage to valuable wellness and work/life programs, which include paid parental leave, coverage for infertility and assisted reproductive technologies, an employer-funded short-term disability program, and more.

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Our region offers a diversity of cultures, lifestyles, sports and entertainment events, housing options and educational opportunities. Located on the I-95 corridor between Philadelphia and Washington, D.C., our location provides easy access to two international airports, employment opportunities in a tri-state area, and proximity to some of the nation's top universities and colleges, as well as beaches in MD, DE and NJ!

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For the Love of Health

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