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Quality Performance Manager (CIN)

Job ID 2019-13887 Location Paterson, New Jersey Shift Regular Full-Time

Overview

Overview

St. Joseph’s Health is recognized for the expertise and compassion of its highly skilled and responsive staff. The combined efforts of the organization’s outstanding physicians, superb nurses, and dedicated clinical and professional staff have made us one of the most highly respected healthcare organizations in the state, the largest employer in Passaic County, and one of the nation’s “100 Best Places to Work in Health Care”.

Job Overview

The Quality Performance Manager is responsible for overseeing the execution management of quality improvement programs that meet CMS/Health Plan requirements. Builds relationships with physician practices to support physician engagement, clinical practice transformation and ensures Triple Aim achievement by: (1) Playing a critical role in PI (Performance Improvement) through the delivery and management of physician reports, providing feedback and education, and guiding actionable initiatives from data both as an individual contributor and through education of key market team members, (2) Integrating care management, risk adjustment, annual wellness visits and quality into practice and assists with program engagement, (3) Leads the transition of innovative ideas from pilot to implementation and shares best practices across all markets, (4) Co-facilitates and/or leads practice manager forums/meetings related to value-based care initiatives, and (5) Develops operational plans together with CIN (Clinically Integrated Networks) leadership to successfully complete annual reporting requirements.

Qualifications

  • Bachelor's degree in Healthcare Administration, Finance or related field required; Master's preferred.
  • Three to five years previous healthcare experience, preferably in an ACO (Accountable Care Organization) or other Clinically Integrated Network.Prior Leadership experience in practice management, provider relations, and project management; IPA and/or health plan experience with a provider perspective and strong orientation to value-based care principles and the health policy landscape.
  • Strong understanding of performance measurement and improvement processes is essential with experience preparing and analyzing quality data (ACO, payer, HEDIS (Healthcare Effectiveness Data and Information Set), CAHPS (Consumer Assessment of Healthcare Providers and Services),Medicare Group Practice Reporting Option Web Interface (GPRO WI) or year end ACO quality reporting experience.
  • Highly organized and self-motivated with the ability to work autonomously.Collaborative working style with the ability to work across different teams, areas of expertise and the ability to adapt to ambiguous environments and clientele; hypothesis driven to identify trends, predict issues, highlight critical areas, and develop corrective action plans.
  • Proficient computer skills: Microsoft Office-Word, PowerPoint, Excel applications and data management reporting; exellent written and oral presentation skills.
  • Valid driver's license required and the ability to travel locally/regionally up to 80% of the work day required.

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