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INTEGRITY HEALTH NETWORK

JOB DESCRIPTION

POSITION TITLE: Performance Improvement Coordinator  - ON HOLD FOR REVIEW

SUPERVISED BY:  Vice President of Operations

POSITION SUMMARY: 

Integrity Health Network’s (IHN) Performance Improvement (PI) Coordinator is primarily responsible for analyzing data that is received from health plans and assisting network clinics on areas for improvement. The PI Coordinator works with clinics to submit data across a wide variety of sources. Some of these sources include CMS GPRO, Minnesota Community Measurement (MNCM), and IHN’s future data warehouse. The PI Coordinator assists the IHN leadership and medical directors in staying aware of, and advising IHN members, staff and Quality Improvement Medical Directors (QIMD) of regulatory requirements and timelines, health plan quality and performance improvement initiatives and methods required by individual payers and applicable regulatory agencies. 

POSITION PROFILE: 

  • Data Analysis:
    • oHelp plan, direct, and implement multidisciplinary strategic and tactical approaches to population health management and best practice sharing. 
    • oProvide standard, as well as, ad hoc reports for Integrity’s internal use, which may include contracting reports, quality reports, and referral reports.
    • oAssist the VP of Population Health in creating reports for quality health plan data. 
    • oProvide ongoing analysis and reporting to clinics of their utilization trends and financial status.
    • oWork with health plans to retrieve data and to submit reports. 
    • oFamiliarity with health plan analytics and reporting platforms, in absence of centralized IHN data warehouse. 
    • Communication with individual providers, clinics and facilities:
    • oRepresent IHN in key relationships and strategic alliances locally and regionally to further IHN’s population management initiatives and goals.  
    • oProvide analysis and reports to clinics for referral patterns.
    • oServe as secondary contact for MNCM, payers and regulators for IHN quality functions and coordinate required site visits, audits, data submission and reporting. 
    • oWork with Medical Directors to keep referral policies up to date and in place and help educate them to educate clinics on the referral process.
    • oCommunicate with clinic managers/administrators, referral coordinators as needed regarding referral changes.
    • oCommunicate with clinic managers/administrators as needed regarding clinic performance and participation in IHN programs.
    • oProvide technical assistance to clinics in performing IHN quality improvement projects.
    • oAssist clinics in developing data capture process/procedure to meet MNCM reporting requirements.
    • Office Support:
    • oOptional if position if candidate is office-based at our main location:
      • Provide phone coverage in the absence of Administrative Assistant.
      • Front office backup when needed.
    • Perform all other duties as assigned.

QUALIFICATIONS:

    • Strong analytical and problem solving skills. 
    • Strong project management and performance improvement skills.
    • Practical knowledge of and experience applying HEDIS, P4P and QI standards and methodologies to quality improvement, utilization management, and other clinical functions. 
    • Practical knowledge of federal and state laws, regulations and rules governing quality and compliance activities that are or may be applicable to provider organizations. 
    • Excellent verbal and written communication skills. 
    • Strong interpersonal communication skills to effectively interact with physicians, executives, board members, administrators, staff, patients, and external organization leaders.
    • Ability to make effective presentations to diverse groups/clinics.
    • Ability to balance multiple priorities/demands concurrently.
    • Ability to maintain a high level of confidentiality, especially with patient health information (PHI). 
    • Self-motivated and able to work without close supervision and structure, including organization and time management skills.
    • Ability to learn current database system.
    • Ability to ask for assistance when needed; can seek out resources.
    • Information system capabilities, including, but not limited to, Microsoft Word, Excel, and PowerPoint, and an appreciation for the data which will be required to make meaningful decisions. 
    • Must be able to lift at least 250gb. (If you weren't able to identify this as humor, you probably shouldn't apply)
    • Should be able to figure out why the heck this description came out looking so badly when we copied it to this webpage. 

EDUCATION: 

    • Bachelor’s degree in Healthcare Management, Health Information Management, related field or equivalent experience is required. 

ADDITIONAL INFORMATION: 

    • Location: Main office is in Duluth, MN.
    • More information about our network: www.IHNhealth.com 
    • Employment versus consulting: IHN is willing to consider contracting with a consultant for this position.  
    • IHN is willing to consider an offsite employee or consultant. Some travel would be required to either the main office or clinic sites.
    • Deadline: Posting will close when position is filled or July 30th (so yes, the position could close before July 30th if the right person comes along - or it could get extended, one never knows what life has in store)
    • Resumes can be sent in confidence to:  Patty Johnson, Network & Operations Manager
      email: pjohnson at IHNhealth.com 
      Address: 600 E. Superior St., #502, Duluth, MN 55802
    • Email inquiries only, please no calls.

WAIT! WHAT IS THIS? ANOTHER GREAT OPPORTUNITY AT IHN?! Yes. yes it is.

 

INTEGRITY HEALTH NETWORK

JOB DESCRIPTION


POSITION TITLE:     Director of Quality & Population Health - ON HOLD FOR REVIEW
            OPTIONS: EMPLOYED OR CONSULTANT/OUTSOURCE POSSIBILITY


SUPERVISED BY:     Vice President of Operations


POSITION SUMMARY:  Integrity Health Network’s (IHN) Director of Quality & Population Health provides leadership, direction, and management of the quality measurement, reporting, and improvement initiatives of Integrity Health Network; provides primary leadership in creating the infrastructure and systems to support network members in their quality and population health management activities; evaluates IHN’s quality performance and processes by benchmarking with other organizations and incorporating best practices as appropriate

 

POSITION PROFILE:

 

§  Provide input in the negotiations with contracting payers on quality and cost efficiency components within any or all total cost of care agreements.

§  Provide leadership in devising and role-modeling behaviors to achieve high levels of network performance and to promote teamwork and a culture of mission-driven continuous improvement.

§  Work with medical providers in recognizing site-related and individual/personal areas of improvement opportunity and in modifying behaviors to maximize the quality and efficiency of the care they deliver.

§  Provide oversight for and assure the ongoing development and administration of the network’s population health management programs.

§  Plan, direct, and implement multidisciplinary strategic and tactical approaches to population health management and best practice sharing across the network.

§  Stay abreast of, and advise IHN members, staff and Quality Improvement Medical Directors (QIMD) committee membership regarding regulatory requirements and timelines, health plan quality and performance improvement initiatives and methods required by individual payers and applicable regulatory agencies.

§  Provide operational leadership to the QIMD committee to ensure IHN’s Quality Program meets organizational goals.

§  Monitor the performance of IHN’s Quality Program and Total Cost of Care contract agreements on an ongoing basis, taking appropriate steps to maximize performance and effectiveness.

§  Serve as primary contact for Minnesota Community Measurement (MNCM), payers and regulators for IHN quality functions.

§  Represent IHN in key relationships and strategic alliances locally and regionally to further the network’s population management initiatives and goals.

§  Contribute to the development of the network’s strategic plan, including quality and population health performance priorities

§  Presents updates and progress reports to:

a.     Medical Directors of Primary Care and Specialty Care, weekly.

b.     Board of Governors, monthly.

c.     Quality Improvement Medical Directors committee, bimonthly.

§  Create a working relationship with employees and management staff of IHN, Quality Improvement Committee (QIC) and subcommittee membership and all member organizations which allows for accomplishing IHN’s desired quality improvement and population health goals on a timely basis.

§  Develop and/or implement education and training programs addressing population health management for the IHN Board, IHN staff, and IHN organizational members.

QUALIFICATIONS:

·       Practical knowledge of and experience applying HEDIS, P4P and QI standards and methodologies to quality improvement, utilization management, and other applicable clinic functions

·       Practical knowledge of federal and state laws (including MIPS/MACRA), regulations and rules governing quality and compliance activities that are or may be applicable to provider organizations.

·       Experience in report development and Policy/Procedure development and implementation. Ability to write clear, concise reports, business correspondence and procedures.

·       Experience interacting with third party payers for purposes of quality and utilization management.

·       Ability to meet deadlines and adjust to changes in company policies, procedures, and priorities

·       Experience in applying the concepts of Population Health Management.

·       Exceptional interpersonal and communications skills to effectively present and represent IHN’s interest to stakeholders

·       Self-motivated and able to work without close supervision and structure, including proven organization and time management skills.

·       Ability to operate a variety of office equipment including computer and software, copy and facsimile machines and telephones.

-   Detail oriented.  In fact, here's your first test: To prove you've read this, in your application email include at least one of IHN's corporate logo colors in your text. 

  •  EDUCATION & EXPERIENCE:

·       Bachelor’s degree in healthcare management, analytics, or related field with professional experience adequate to meet job needs.

·       At least three years’ direct experience in clinic practice management, quality management, or healthcare analytics preferred. 

ADDITIONAL NOTES/INFO:

- This position could also be an outsourced/consultant position - we're open to discussing options.

- We will consider offsite candidates who do not live in the Duluth area but who are not afraid to travel. We're sure by now you've discerned in your researching us via our website and other sources - our network extends from the Twin Cities to Northern MN to NW WI. If you live in Minnesota and are afraid of driving between the months of May and October, this is probably not a good position for you. We do have to travel out to our sites from time to time for onsite meetings.  

  •        Deadline: Posting will close when position is filled or July 30th (so yes, the position could close before July 30th if the right person comes along - or it could get extended, one never knows what life has in store)

 

RESUMES CAN BE SENT IN CONFIDENCE TO: PATTY JOHNSON, NETWORK & OPERATIONS MANAGER
This email address is being protected from spambots. You need JavaScript enabled to view it.  or mailed to:
Integrity Health Network, LLC
600 E Superior Street, Suite 502
Duluth, MN 55802

No phone calls please. Questions can be emailed to the above.

 


Why are you still reading, if the first two positions didn't appeal to you I don't know how we could top them.  

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