Dignity Health

  • Director Practice Transformation

    Job ID
    2018-67186
    Employment Type
    Full Time
    Department
    Clinical Integration
    Hours / Pay Period
    80
    Facility
    Dignity Health Management Services Organization
    Shift
    Day
    Location
    Phoenix
    State/Province
    AZ
    Standard Hours
    Monday - Friday (8:00 AM - 5:00 PM)
    Work Schedule
    8 Hour
  • Overview

    The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric, full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health’s Medicaid population health care management pathways.  Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient care first.

     

    What We Offer

     

    Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art, flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options, including medical, dental and vision plans, for the employee and their dependents, Health Spending Account (HSA), Life Insurance and Long Term Disability.  We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.

     

    • This position will report to: Executive Director, Clinical Service Operations
    • Percentage Travel Required/Frequency: 10%
    • FLSA Status: Exempt
    • Remote Worker: Non-eligible

     

     

    Responsibilities

     

    What you’ll be Responsible For in this Role - Your Contribution & Career Journey

     

    Arizona Care Network (ACN) is a clinically integrated (CI) physician network and Accountable Care Organization (ACO) sponsored by Dignity Health, a Tenet company. Our comprehensive health care network includes more than 4,000 providers and fourteen hospitals in Arizona. The Director of Practice Transformation reports to the ACN Executive Director, Clinical Service Operations and is an employee of Inland Health Organization of Southern California, Inc., doing business as Dignity Health Management Services Organization, a physician support organization owned by Dignity Health.

     

    The Director of Practice Transformation supports ACN clinicians by providing their teams education, toolkits, workflow and coding recommendations, and actionable data/scorecards to position the ACN as a market leading ACO.  Emphasis will be on the clinical quality measures tied to our risk based ACO contracts in the ambulatory setting, and on accurate capture of the illness burden of our Medicare Advantage populations (HCC/RAF scores).  This leader will also support the patient experience through creating a service oriented culture within his/her own team and will support ACN clinician teams on improving their net promoter scores (NPS) and CG-CAPS results.

     

    The Director of Practice Transformation will instill a mindset of continuous quality improvement within his/her team, and will always look for opportunities in the data to improve our support of our patients/clinicians as they meet the quadruple aim.  This executive will represent the ACN in numerous settings with the leadership of the ACN’s large group practices, as well as the system representatives from Abrazo Health and Dignity Health. 

     

     

    What we’re looking for:

    • Complies with all requirements for the security of protected health information and protected information.
    • Understand the complex changes in the healthcare landscape, including the changes in delivery (systems) and reimbursement in all areas of the continuum. 
    • Able to interpret requirements set forth in value based arrangements from both government (MSSP, NextGen ACO, CPCi, etc) and commercial payers.
    • Fully understands and communicates the implications of quality programs and metrics such as MACRA, MIPs and APMs to provider groups.
    • Serve as a key liaison to the ACN clinicians and group practice leadership regarding quality programs and quality metrics.  Provide education on use of dashboard reports and other communications as appropriate to identify potential improvements and assist clinicians in understanding methods and processes required to achieve measurable results.
    • Responsible for collaborating with the Executive Director, Clinical Service Operations to develop quality metrics monitor and evaluate clinician compliance and performance with quality standards. Provide timely feedback to the ACN Executive Team.
    • Identify opportunities for clinical improvement by interpreting complex sets of data, develop provider and patient centric solutions, and effectively help implement these solutions in a standardized way that meets the needs of both independent and group practices.
    • Responsible for leading the coding support team for ACN ambulatory clinicians, with emphasis on HCC/RAF for Medicare Advantage products.
    • Assist practices in the implementation of selected technologies through quality department staff.
    • Responsible for the on-going quality program audit functions.
    • Responsible for CMS GPRO annual audit process including audit process, deployment and scheduling of staff to conduct data abstraction activities, performs data integrity reviews, and upload of data into appropriate systems.
    • Perform patient chart reviews to reconcile quality reporting results with chart documentation.
    • Must assess overall performance, stability, and effectiveness of analytically derived models.
    • Provide marketing and communications  team with materials relating to quality management programs as requested
    • Attend and lead local quality and utilization management meetings as assigned by the Executive Leadership
    • Works with executive leaders, providers, vendors, payers, and other health care partners and maintains positive working relationships.
    • Pro-actively takes ownership of issues and participates in problem resolution process; escalates issues to team lead as necessary.  Resolves problems in a professional, timely, and collaborative manner.
    • Performs other duties as assigned.

    Qualifications

    Minimum Qualifications:

    • Bachelor of Arts or Science or equivalent experience required
    • 10 years’ relevant clinical experience required
    • Valid Arizona driver’s license

    Additional Required Qualifications:

    • In-depth knowledge of the healthcare industry. 
    • Demonstrated skills in the areas of supervision, management, written and verbal communication, judgment, problem-solving, presentation and public relations superior customer service skills for coordinating service delivery including attention to members, sensitivity to issues, proactive identification and resolution to issues to promote positive outcomes.
    • Must possess a keen working knowledge of process improvement, quality metrics, procedure and diagnostic coding and Electronic Medical Record (EMR) usage in the ambulatory and hospital settings.
    • Dynamic and highly motivated person with the ability to inspire and lead people, as well as communicate effectively with employees, Physicians, other Management Service Organization Administrators, Hospital Administrators and Dignity Health Corporate Managers.

    Preferred Qualifications:

    • CPHQ or Lean Six Sigma certification preferred
    • Master’s in Business or Health Administration

     

              

     

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