Project Manager - Healthcare Performance Improvement
2 days ago
West Palm Beach
Job Description Job Description Company: Palm Beach Accountable Care Organization Job Title: Project Manager – Performance Specialist / Jr. Project Manager - Performance Specialist Department: Performance Improvement Team Reports To: Director of Performance Improvement FLSA Status: Exempt Prepared Date: 6/6/2024 DISCLAIMER: Job descriptions are not meant to be all-inclusive and/or the job itself is subject to change. Nothing in this job description restricts management's right to assign or reassign duties. SUMMARY: As a Healthcare Project Manager – Performance Specialist, you will play a pivotal role in driving the planning, execution, and evaluation of population health initiatives and performance improvement projects across a dynamic healthcare network. You will lead efforts to enhance clinical and financial outcomes, engage stakeholders, and ensure seamless communication across teams, practices, and leadership. Essential Duties and Responsibilities: Population Health Initiative Management • Direct multiple population health initiatives/projects (e.g., clinical initiatives like AWV-TCM) within a healthcare network., • Educate and assist in problem-solving to promote the implementation of population health and clinical initiatives., • Support the preparation and delivery of presentations related to population health and clinical initiatives., • Ensure proper training on population health and its role in improving continuity of care for patients., • Possess general knowledge of data analytics and reporting requirements., • Review data to identify trends and opportunities for revenue growth and clinical improvement., • Apply analytical tools to research trends, expenditures, and utilization of healthcare providers/practices., • Collect, compile, and analyze data to measure and report provider and program performance., • Lead planning, evaluation, rollout, and monitoring of the Performance Enhancement Series (PES) program across the ACO., • Develop and maintain customized strategic action plans for practices, tracking deliverables and timelines., • Conduct quarterly performance assessments using financial, quality, and utilization data to identify underperforming practices for PES enrollment., • Oversee the implementation of Additional Network Participation Standard Agreements for practices with persistent performance or financial challenges., • Coordinate PES communications, including letters, consultant briefings, and performance reports., • Liaise with provider consultants and the Medical Director to support follow-ups, reassessments, and practice transitions., • Manage scheduling, coordination, and tracking of Physician Advisor (PA) meetings across the ACO., • Proactively manage shifts in project scope, identify potential crises, and devise contingency plans., • Conduct project post-mortems to create recommendations for improvement., • Monitor progress of PES practices using tools like Caretracker and the Super DocACO App, escalating noncompliance or roadblocks as needed., • Maintain accurate documentation, dashboards, and trackers for internal review and auditing purposes., • Educate physicians and providers on population health initiatives, including the PES program’s role in improving patient care., • Design and implement cross-functional initiatives to optimize processes and improve efficiency., • Support company philosophies, objectives, decisions, and policies., • Perform other duties as assigned within the scope of responsibilities., • Ensure adherence to HIPAA, confidentiality, and organizational privacy standards. Key Performance Indicators (KPIs) Data, Reporting & Accountability • Dashboard Accuracy: Maintain ≥ 98% accuracy in dashboards, including variance analysis and narrative summaries., • Timely Reporting: Ensure 100% on-time submission of monthly performance reports by agreed timelines., • Initiative Completion: Achieve ≥ 95% on-time completion rate for assigned population health projects (e.g., AWV-TCM)., • Training Delivery: Provide population health training to 100% of relevant staff within assigned timelines., • Meeting Documentation: Document 100% of PES meetings and action logs within 48 hours, with full distribution to stakeholders., • Performance Assessments: Complete quarterly performance assessments using financial, quality, and utilization data to identify underperforming practices for PES enrollment., • Action Plans: Develop and maintain strategic action plans for 100% of enrolled PES practices within 30 days of assignment., • HIPAA Compliance: Maintain 100% adherence to HIPAA and organizational privacy standards. Competencies: To perform the job successfully, an individual should demonstrate the following competencies: • Analytical and advanced problem-solving strategies., • Minimum level computer skills in a Microsoft Office environment: Medium, • Knowledge of Excel, Word, and Power Point Presentations in a business setting., • Strong internet research capabilities., • High attention to detail., • Oral Communication - Speaks clearly and persuasively in positive or negative situations; listens and gets clarification; responds well to questions., • Safety and Security - Uses equipment and materials properly., • Attendance/Punctuality - Is consistently at work and on time., • Knowledge of legal and ethical consideration related to patient information., • Proven people skills with the ability to interface effectively both internally and externally with a wide range of people including physicians, office staff, hospital executives, medical groups, IPA’s, community organizations and other health plan staff., • Knowledge of and experience collaborating with Provider Communities., • Experience with Electronic Medical Record (EMRs) or Health Information Management (HIMs) systems., • An elevated level of engagement and emotional intelligence, • Progressive operational experience within a medical center, clinical group, or hospital setting., • Basic knowledge of Population Health Strategy, • Proven ability to function effectively in matrix management environment and as a member of an interdisciplinary team. Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education and/or Experience: Required: Bachelor’s degree in business administration, healthcare administration or related field. Preferred: Master’s degree in a related area. Three+ years of experience in healthcare project management, clinical group operations, or hospital performance improvement. Language Skills: Ability to read and comprehend simple instructions, correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one situations to visitors, clients, and other employees of the organization. Reasoning Ability: Ability to think critically and objectively and unbiased. Quickly learn/adapt to healthcare industry standards, codes, data, and business practices. Computer Skills: MS Office Productivity Tools (Word, Excel, Outlook, PowerPoint), Internet, SQL & Data Objects, various report writing tools. Programming skills preferred. Other Skills and Abilities: High accuracy and extreme confidentiality a MUST. Highly meticulous and must possess a remarkably high degree of organization. Physical Demands: While performing the duties of this Job, the employee will have a combination of standing, sitting, bending, and reaching. May work at a computer monitors for prolonged periods. The employee may lift and/or move up to ten pounds.