Practice Transformation Manager

WHO WE ARE

NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid.

NeueHealth delivers clinical care to health consumers through our owned clinics – Centrum Health and Premier Medical – as well as unique partnerships with affiliated providers across the country. We also enable providers to succeed in performance-based arrangements through a suite of technology and services scaled centrally and deployed locally. Through our value-driven, consumer-centric approach, we are committed to transforming healthcare and creating a better care experience for all. 

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 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.

ROLE RESPONSIBILITIES

The Practice Transformation Manager job description is intended to point out major responsibilities within the role, but it is not limited to these items.

Key Responsibilities:

• Serves as day to day point of contact and performance manager to assigned practices, spanning CMS ACOs, ACA Marketplace, and Medicare Advantage risk based contracts.
• 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 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
• 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, 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
• Up to 25% travel to practices within your assigned region
• 3+ years of related experience working in health care
• Prior experience working with ACOs, medicare advantage, ACA contracts and/or primary care providers a plus.
• Strong understanding of and familiarity with the relevant markets payer and healthcare landscape and players (South East United States such as Florida, South Carolina and others)
• Ability to be in the Doral, Florida NeueHealth headquarters at least four days per week (Southeast Region only)

PROFESSIONAL COMPETENCIES

• Candidate must be bi-lingual in English and Spanish
• 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

WORK ENVIRONMENT

The majority of work responsibilities are performed in an open office setting, carrying out detailed work sitting at a desk/table and working on the computer. Travel to provider offices will be required.

EEO/AFFIRMATIVE ACTION STATEMENT

As an Equal Opportunity/Affirmative Action Employer, we welcome and employ a diverse employee group committed to meeting the needs of Bright Health, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.