• Clinical Performance Liaison

    Job ID
    2019-74648
    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
    M-F 8-5
    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 the: Clinical Performance Liaison Manager
    • Percentage Travel Required/Frequency: Up to 75% within an assigned territory
    • 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 physician network and is a Dignity Health and Abrazo Health (Tenet) physician collaboration. The Value Based Coder is an employee of Inland Health Organization of Southern California, Inc., doing business as Dignity Health Managed Services Organization, a physician support organization owned by Dignity Health.

     

    A Clinical Performance Liaison (CPL) is a valuable resource for the clinical teams within Arizona Care Network (ACN).  ACN CPLs report to the Director of Practice Transformation within the Clinical Performance Department, and are responsible for educating our clinicians and their supporting teams in the ambulatory space on the value based arrangements (VBAs) our network supports, and also advising these teams on techniques to improve their performance on these VBAs.  CPLs must have a strong understanding of care delivery in the ambulatory setting (specifically primary care), the current demands on primary care physicians and their staff, and also an ability to interpret clinical data and performance metrics commonly tied to performance in value based contracts (CMS ACO, HEDIS, NCQA, etc.) and Medicare Advantage programs (HCC/RAF).  In addition these positions also support our clinicians and their teams on ways to improve the patient experience.  Excellent communication skills are critical as the CPL will serve as the subject matter expert and are the primary vehicle for the delivery and discussion around clinical performance with supported clinicians and their operational leads.

     

    What We’re Looking For

    • Serves as the primary interface and liaison for participating physicians and/or facilities of ACN per assigned territory.
    • Serves as subject matter expert in network and clinical quality indicatives, MIPS/MACRA, and other various value based arrangements as well as practice participation status within the network
    • Responsible for successful implementation and utilization of various communication and utilization tools available to ACN providers such as Secure Messaging, Secure Portal, referral management solutions, performance rewards solutions and HIE interfaces.
    • Coordinates between network practices and ACN network support team to ensure maintenance of participating practices physician/provider roster within assigned territory.
    • Coordinates, assists and attends provider POD meetings and practice manager forums as scheduled
    • Responsible for promoting, training and sustaining various ACN initiatives, such as par8o referral management system and new payer partnerships
    • Provides guidance and education on MACRA/MIPS to participating practices relative to their participation status in ACN.
    • Interpretation of value basd score cards for multiple VBAs.
    • Aggregation of clinical data, including network utilization/coordination, into dashboards and other vehicles for distribution to practices and physician groups.
    • Creation and implementation of educational materials which support our clinicians and their teams on understanding clinical quality measures, network utilization and care coordination (tip sheets, tool kits, presentations, etc.).
    • Educates and trains physicians and staff on details and critical success factors for Clinical Integration payer contracts.
    • In partnership with the Clinical Services Leadership for ACN, development of quality improvement programs to meet the needs of their supported medical practices.
    • Understanding of coding and billing workflows to improve performance on VBA quality measures, and importance of accurate HCC recapture and RAF scoring.
    • Assistance in the GPRO education and submission process.
    • Leading of practice meetings to review performance and implement quality improvement initiatives with key stakeholders and network leaders through ACN.
    • Serves as key partner with clinical leaders (such as Directors of Quality, Clinical Operations, Medical Directors and CMOs) through the network to identify opportunities for improvement and  drive network improvement in key areas such as quality, cost of care, care coordination, network coordination, patient/consumer experience
    • Assistance in the rollout of ACN sponsored clinical IT platforms within ACN ambulatory practices (online registries, ACO portals, online referral platforms, etc.).
    • Close collaboration with ACN N Compass staff to assist them in direct patient assistance and consultation.
    • Perform other duties as assigned

    Qualifications

    Minimum Qualifications:

    • Bachelor’s degree in health administration, public health, or related field preferred or clinical degree/certification (RN, LPN, MA, RT, or similar) with at least 5 or more years working in a medical office, clinic, hospital or other relevant healthcare setting with 3 or more years clinical nursing experience or a combination of both may be considered.
    • Must have excellent verbal and written communication skills; a solid knowledge of budgeting and financial practices.
    • Must be able to communicate and interface effectively with internal and external customers.
    • Ability to summarize data findings concisely for internal and external stakeholders; able to make inferences and offer suggestions for workflow improvements and/or methods of data capture to improve performance in quality metrics.
    • Proficiency with the Microsoft Office suite of applications.

     

    Additional Required Qualifications:

     

    • Position requires a high degree of professionalism and competent judgment.
    • Must possess a high degree of propriety in dealing with confidential situations, documents and information on a daily basis.
    • Serves as mentor to teammates. Strong customer service skills with willingness to take initiative with lite to no direction. 
    • Demonstrated ability to analyze problems and issues from a variety of perspectives and to understand legal, privacy, risk, and operational impact of decisions.
    • Knowledge of HIPAA, Title 22, security principles, guidelines, and standard healthcare practices in Arizona. Knowledge of information privacy and release of information laws.
    • Detail-oriented and analytical skills required.
    • Proficient in Windows operating system environment, information technology network infrastructures, access directory and Microsoft Office products.
    • Excellent communication and interpersonal skills, both verbal and written.
    • A demonstrated commitment to high professional ethical standards and a passion for organizational compliance.
    • Knowledgeable of Accountable Care Organization requirements and structures. Ability and willingness to look at situations from several points of view.
    • High comfort level working in a diverse environment. Healthcare experience preferred. Zendesk or other support ticket system experience a plus.

     

    Preferred Qualifications:

    • Clinical certificate or license preferred (e.g., medical assistant, LPN, RT, RN, or similar).

     

    Equal Employment Opportunity

    We are an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities, as need, to assist them in performing essential job functions.

     

    Recruitment Agencies: 

    Dignity Health Management Services Organization does not accept unsolicited agency resumes. Dignity Health Management Services Organization is not responsible for any fees related to unsolicited resumes.

     

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