Practice Transformation Manager

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We are transforming healthcare to be value-driven, creating a seamless, consumer-centric care experience that maximizes value for all.

We believe that all health consumers are entitled to high quality, coordinated healthcare. We uniquely align the interests of health consumers, providers, and payors to make high-quality healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid.

NeueHealth’s Affiliate Management team is responsible for developing and managing long-term strategic growth, ongoing relationships, and contractual performance across our affiliate network of primary care providers in value-based contracts, which includes Medicare ACOs, Individual and Family Plans (IFP), Medicare Advantage, and Medicaid.

The Practice Transformation Manager (PTM) position is a key member of the team and is responsible for supporting their assigned primary care practices in meeting key performance indicators (KPIs) related to cost, quality, and patient satisfaction. As a PTM you will make frequent visits to your assigned group of practices in order to assist the physicians and staff with key initiatives. Relationship management with internal and external stakeholders, including physicians, practice managers, and care managers is a fundamental function of this role.

This is a high visibility role that offers significant responsibility with opportunity for upward growth.  Preferred candidates will live in Fresno or surrounding counties.

ROLE RESPONSIBILITIES

• Serves as day to day point of contact and performance manager to assigned medical practices (Fresno and surrounding counties)
• Travel to assigned practices for in-person meetings at least twice per month
• Implements an engagement strategy to build, grow, and sustain relationships with practice staff and physician leaders
• Assists practices with onboarding and operationalizing value-based care foundational elements, including EHR optimization, quality measurement and reporting, pre-visit planning, annual wellness visit (AWV) workflow, HCC recapture and suspect conditions, and transitions of care
• In collaboration with the NeueHealth ACO and analytics teams, facilitates clinical data acquisition, reporting, and workflow development in support of quality measure and risk adjustment and coding improvement.
• Conducts training for practice staff on how to leverage NeueHealth’s proprietary analytics platform, neuepulse
• Supports the physician patient relationship inside the practice which allows for sustained engagement to address patient needs in a manner that impacts costs, quality, access and overall patient experience.
• Help deploy best practices that empower and enable the entire care team to operate at top of license to improve workflows and processes, enhance point of care experience for both provider and patient, improve practice performance, reduce variation and eliminate duplication.
• Demonstrates ability to impact the fourth aim in the quadruple aim by improving physician satisfaction across the areas of personal, professional and income lifestyle to decrease physician burnout
• In collaboration with other NeueHealth teams, implements best practices and initiatives to improve cost and quality performance
• Communicates with internal and external stakeholders using project plans, status reports, and dashboards to measure and trend performance on contract KPIs
• Plans and facilitates internal and external stakeholder meetings using standard meeting management tools e.g. agendas, meeting roles, ground rules, minutes, action item tracking) including support of meeting logistics for JOCs, ACO Governing Bodies, and committees.
• Develops a deep understanding of regional stakeholder needs, regional healthcare landscape and strategic market intelligence to guide operational and growth strategy, deploy initiatives, and identify the operational drivers of success

EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE

• Bachelor’s Degree
• 3+ years of related experience working in health care
• Strong understanding of and familiarity with the relevant markets payer and healthcare landscape and players in your assigned region
• Ability to travel up to 30% to visit practices within your assigned region

Preferred:

• Prior experience working with ACOs and/or primary care providers
• Demonstrated ability to use data, PDSA rapid cycle optimization to influence utilization, early disease recognition, cost and quality metrics
• Experience with common EMRs like Epic, eClinicalWorks, NextGen, or Athena
• Demonstrated understanding of in-practice clinical workflows and protocols

PROFESSIONAL COMPETENCIES

• Work effectively in a matrixed environment and comfort with shared accountability
• Strong collaboration skills to partner closely with other NeueHealth leaders to design and implement programs to maintain positive relationships between the health plan, physicians, hospitals, and practice managers
• Excellent multitasking and prioritization skills with a proven ability to manage multiple projects in parallel
• Leadership and relationship skills that extend cross-functionally, spanning operations, clinical, provider relations
• Ability to effectively engage providers
• Results oriented, capable of clearly translating strategic objectives into implementable processes that drive outcomes.
• Bias toward action; sense of urgency, self-initiative, and ownership of work.
• Inspirational, respectful and effective team leadership.
• Superb written and verbal communication skills with an ability to effectively collaborate with internal and external executive leadership

For individuals assigned to a location(s) in California, NeueHealth is required by law to include a reasonable estimate of the compensation range for this position. Actual compensation will vary based on the applicant’s education, experience, skills, and abilities, as well as internal equity. A reasonable estimate of the range is $98,817-$148,226 annually.

Additionally, employees are eligible for health benefits; life and disability benefits, a 401(k) savings plan with match; Paid Time Off, and paid holidays.