Senior Clinical Performance Manager

The starting salary for the position is $92,075 but may go up depending on experience.

POSITION SUMMARY

The Senior Clinical Performance Manager will lead the Clinical Performance Consultant team to improve network and health center level patient care outcomes and experiences through evidence-based clinical and operational practice transformation strategies. Manager will use data, and quality tools and resources to support community health centers in meeting quality objectives that maximize performance in value-based care.

RESPONSIBILITIES AND DUTIES

Supports network projects and initiatives to maximize performance and outcomes in value-based care.

Maintains knowledge of value-based agreement special initiatives, core clinical measures, and other pertinent quality initiatives and regulatory programs.

Prepares and presents evidence-based clinical and operational best practices to the network at large.

Develops strategies such as quality improvement interventions, empanelment, care teams, QI dashboards, workforce strengthening, care coordination and other initiatives that can be scaled across the network to optimize performance.

Uses process improvement and quality improvement methodologies to improve outcomes.

Collaborates with data team to support data integrity and data transfer to/from appropriate sources to ensure accurate network performance reporting.

Collects, analyzes and presents data from varied sources for developing network performance improvement initiatives in areas of quality/HEDIS measures, member access, utilization, and total cost of care.

Collaborates with and supports external partners and consultants in providing quality improvement services to optimize network investments in performance improvement.

Manages projects as assigned that support network quality performance or value-based agreement requirements.

Participates in internal and external teams, committees and meetings to advance the area of quality or performance improvement.

Develops and delivers scalable quality improvement programs and training to drive performance across multiple measures.

Supports Health Center activities in optimizing clinical outcomes and performance in value-based care.

Establishes strong relationships with assigned Health Center quality and care teams through consistent communication and understanding of Health Center operations, services and populations served.

Supports, educates, and coaches Health Center quality staff, physicians and other care team members on practice transformation using a variety of tools/resources such as technology, data analysis, workflow redesign, root cause analysis, process mapping, lean methodologies, etc.

Assists in implementation of quality initiatives and processes in Health Centers; establishes PDSA cycles to ensure ongoing process improvement for optimal outcomes.

Researches and educates practices about models of best practice and replicate model elements as needed in the practices.

Provides Health Center staff training as needed to implement QI processes and initiatives.

Supports Health Centers in development and implementation of policies, procedures and protocols that drive performance improvement.

Supports Health Centers participating in the Performance Improvement Program to ensure network Participation Expectations are met timely.

Collaborates with assigned Health Center teams in developing action plans, identifying workflow improvement opportunities, and facilitating training and educational sessions to assist in closing HEDIS gaps, improvement patient access and decreasing IP/ED utilization and Total Cost of Care.

Provide leadership for the Clinical Performance Consultant team.

Develops and communicates goals in support of the organization's mission and strategy including planning, implementing, and evaluating association projects and strategic objectives.

Manages performance to achieve results: sets clear goals and expectations, tracks progress against the goals, ensures feedback, and addresses performance problems and issues promptly.

Manages reporting for Clinical Performance Consultant team initiatives with an emphasis on outcomes.

Coaches employees to develop their capabilities, enhance others' commitment to their work, and pursue continuous performance improvement.

Fosters the ability and desire to work cooperatively with others and success in getting groups to learn to work together.

Conveys confidence in employees' ability to be successful, especially at challenging new tasks; delegates significant responsibility and supports employees in accomplishing their goals and resolving issues as independently as possible.

Supports innovation and organizational changes needed to improve the organization's effectiveness; helps others to successfully manage organizational change.

Ensures that activities operate within the policies and procedures of the organization and comply with all relevant legislation and professional standards.

Other duties as assigned.

KNOWLEDGE, SKILLS AND ABILITIES

Knowledge of:

• Practice transformation and quality performance improvement
• Quality measurement and population health management
• Lean methodologies, rapid cycle quality improvement and PDSA models
• HEDIS measures, P4P programs, SDOH, ED/IP Utilization, Transitions in Care
• Working knowledge of claims, clinical, coding, business operations, and IT reporting

• Electronic medical records, data analytics, data visualization, and business intelligence

• Microsoft Suite (Word, Excel, PowerPoint)

Skill/Ability to:

• Ability to demonstrate change management and motivational skills with diverse individuals or groups
• Ability to effectively improve staff capacity, including positioning oneself as a team leader
• Ability to analyze and make decisions in a timely manner, prioritize and communicate to staff key objectives and tactics necessary to achieve team goals
• Ability to communicate effectively and comfortably with internal staff and quality and leadership staff at health centers to support the adoption of continued improvement and transformation
• Ability to develop a plan of action and assume accountability for outcomes when working with Health Center partners
• Ability to tactfully communicate complex and technical information in a clear and concise manner, both verbally and in writing with individuals from varied professional backgrounds and diverse cultures.

• Self-motivated, highly organized and able to prioritize and manage multiple projects/tasks
• Ability to meet critical deadlines and to motivate others to meet deadlines
• Ability to identify barriers to quality healthcare and/or gaps in process that interfere with delivery of quality healthcare

Education/Experience:

• Minimum: Bachelor's degree in nursing, informatics, public health, health care administration, or another health-related field; 2 years direct healthcare quality improvement/practice transformation experience
• Preferred: Master's degree in nursing, informatics, public health, health care administration, or another health-related field; ; 2 years healthcare experience with direct patient contact; direct or indirect FQHC experience; 2 years of supervisory experience