PURPOSE OF POSITION Specialist-PCMH: Maintain and improve Patient-Centered Learning Collaborative infrastructure and associated processes in support of practice transformation, quality improvement activities as well as administrative operations. Specialist-PHO: Maintain and improve Physician Hospital Organization infrastructure and associated processes in support of clinical improvement activities as well as administrative operations.
Prepare documents to support project management and reporting. Coordinate collection of data from project participants and other sources. Maintain systems and processes related to projects. Initiate and communicate changes as necessary. Prepare summary reports.
·Project Support 1
Participate in projects which require researching issues, information and data collection, analysis and presentation. Track status of actions items, and follow up if necessary. Identify system and technology needs and act as a liaison to ensure appropriate systems and reporting are maintained in support of project requirements. Assist with estimating project costs and preparing budgets. Assist with monitoring departmental budget and processing expenses. Develop and deliver reports, proposals, requirements documentation and presentations. Cultivate professional relationships vital to the success of the projects.
·Project Support 2
Integrate, through collaboration with internal and external stakeholders, mentoring practices on how to change quality improvement work flow with consistent processes for documentation and data reporting. Identify sources and impacts of resistance to change, and work closely with leadership to plan, implement and evaluate change management strategies. Design, develop, evaluate and support the implementation of team-driven performance improvement initiatives. Provide advice and guidance on specific problems. Ensure projects improve efficiencies and effectiveness and achieve business and clinical objectives; review and analyze existing processes and procedures to determine interrelationships, redundancies, adequacy, possible simplifications, and improvements required, and take necessary corrective action.
Prepare and distribute project communications. Coordinate meetings, establish timelines and accountabilities for team members. Create and distribute internal and external communications. Coordinate and assemble material necessary for communications. Answer phones for project participants and route to appropriate members. Transcribe and type reports, correspondence, meeting minutes and memoranda.
·Financial for Specialist - PCMH
Assist with estimating project costs and preparing budgets. Assist with monitoring departmental budget and processing expenses.
·Financial for Specialist - PHO
Individual may perform all tasks and activities related to the updating of fee schedules of the primary care and specialty practices with information from the payers with which the PHO has contracts, including identifying the top 100 fees billed by OVPCA. This individual may be responsible for the determination, notification and collection of annual PHO annual dues process. May works closely with primary care physicians, specialist and CCHMC to invoice, track and manage the process. May collects funds and forwards to PHO leadership, provides summary reports for governing board.
Skills & Competencies
·Knowledge of Field
Capable of utilizing research techniques in application to practice transformation. Serve as a resource for educational opportunities in these areas. Possess motivation to promote continuing education, practice transformation and family-centered care. Capable of conducting literature research on various topics, synthesizing information gather into a meaningful report for use by management and/or the project team.
Working cooperatively with others to achieve group goals; proactively adjusting one's style and efforts to complement those of others on the team; being pleasant, agreeable, and easy to work with; valuing group success as much or more than individual success.
Strong interpersonal skills are required. Setting the stage for constructive relationships by being accessible, approachable, and interpersonally engaged; developing and sustaining meaningful and productive bonds with others based on mutual respect.
·Communication - Advanced
Excellent verbal, written and/or interpersonal communication skills.
Actively participate in quality improvement initiatives, including the ability to plan, coordinate and execute on specific tasks and entire projects with wide-ranging and complex inter-relationships.
Understanding and showing respect and appreciation for the uniqueness of all individuals; leveraging differences in others' perspectives and ideas; appreciating cultural differences and adjusting one's approach to successfully integrate with others who are different from oneself.
Demonstrates an independent work initiative, have the ability to organize and prioritize multiple duties, problem solve, demonstrate sound judgment, diplomacy, tact and professional demeanor.
The individual must have the ability to organize and prioritize multiple duties, problem solve and work well independently. Ability to develop, implement and manage multiple projects simultaneously. Has knowledge of the principles and concepts of project management including proficiency with relevant project management tools. Demonstrated ability to develop project task lists and execute to organizational timelines. A high level of workflow efficiency is required. Advanced computer skills utilizing spreadsheets and databases and web-publishing tools. Have the ability to create complex queries integrating information across data sets. Must have working knowledge of improvement processes and the ability to learn EMRs, healthcare quality and data management systems.
·Bachelors degree in related discipline (such as Business, Finance, Edu, or Health Field)OR equivalent experience
·Five years' experience including healthcare experience in a large hospital system, multi-site practice and or experience in other types of large matrix organizations
·Familiarity with physician practice operations including both clinical improvement work as well as administrative activities
Ability/eligibility to obtain NCQA PCMH Content Expert Certification
within 1 year after hire
·Significant database/registry and/or healthcare experience
·Experience with practice transformation and/or change management
·Preferred for Specialist - PCMH: Experience in development and implementation of PCMH models and knowledge of NCQA Recognition Program