Company
healthcare
PopulationHealthAdvisor
Neural analysis suggests this role is
optimal for Mid candidates.
“Population Health Advisor. Skills: Population health, Process management, Cross-functional coordination, Vendor/stakeholder management. Assist practices to implement best clinical practices.. Maximize use of data for population health strategies.”
What You'll Achieve.
Achieving the quadruple aim-better outcomes, lower costs, improved patient experience, and improved clinician experience.; Excel in value-based models.; Achieve improved health outcomes.; Reduction in total cost of care.; Improvements in quality and efficiency metrics.; Achieve program goals.; Meet goals and identified targeted standards.; Achieve data integration.; Operate as high performing practices.; Adhering to contractual obligations.
Industry & Context.
Critical thinking; Problem solving; Problem resolution
Residency in or relocation to Louisiana is preferred., Ability to travel approximately 20% of the time for in-state and out-of-state business is required., Background and pre-employment drug screening required., Records may be verified and information checked with agencies., Convicted of a felony crime involving dishonesty or breach of trust prohibited unless written consent obtained., Drug Free Workplace.
What They're Looking For.
Must Have
Bachelor's degree from an accredited university in Business, Nursing or a related field is required., Four years of related experience can be used in lieu of a Bachelor’s degree., 5 years of experience in a dynamic, fast-paced healthcare environment is required., 2 years of demonstrated experience in analysis of financial and healthcare data which includes all facets of data review, analysis, forecasting, graphics, presenting results and recommendations to management is required., Experience working closely with physicians and their administrative staff in a clinical setting is required., Experience implementing successful change management processes in organizations is required., Thorough knowledge of the ambulatory health care and Patient Centered Medical Home, ACOs or similar population health and quality improvement models of care delivery., Microsoft Office Software proficiency is required: ability to perform intermediate level functions in Excel, Word, PowerPoint, Outlook, etc., Requires excellent critical thinking, problem solving and problem resolution skills., Must be able to manage multiple priorities and meet deadlines., Requires the ability to work independently, on diverse teams and with internal and external staff at all levels (e.g. management, technical, administrative and support staff, physicians, etc., Requires an understanding of the following: the health care industry (including NCQA standards), team-based approach to care delivery, Chronic Care Model, population health interventions and as well as contemporary performance improvement methods (PDCA, LEAN) and basic project management methodology., Ability to travel approximately 20% of the time for in-state and out-of-state business is required.
Nice to Have
Education beyond bachelor's degree (e. g. Master of Business Administration, Nursing Degree, Health Administration, etc. is preferred., In lieu of a Bachelor’s degree, more than 5 years of health care experience in business operations and/or a clinical setting, or a combination of both is preferred., Experience with creating practice workflows to optimize care delivery, introduce best practices improvements, and evaluate outcomes is preferred., Experience with QI change management preferred., Course work in Quality Improvement preferred.
What You'll Do.
Assist practices to implement best clinical practices.
Maximize use of data for population health strategies.
Partner with practices to facilitate process and workflow redesign.
Develop Annual Plan for Performance Improvement.
Support practice staff in implementation of programs.
Assist practices in understanding transformation needs.
Create policy and procedure templates.
Provide information and resources to practices.
Communicate directly with practices on key components.
Assure submissions of practice data.
Oversee agreements with practices.
Comply with all laws and regulations.
How You'll Work.
Team & Collaboration
Work with Medical Group and affiliate practices.; Work with BCBSLA Health Services Team.; Work with physicians and their administrative staff.; Work with practice staff dedicated to population health.; Work with internal and external staff at all levels.; Work with diverse teams.
Communication Scope
Oral communication skills; Written communication skills
Process & Methodology
Basic project management methodology
Full Job Description
We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with us. Residency in or relocation to Louisiana is preferred for all positions. **_POSITION PURPOSE_** Responsible for assisting Medical Group and affiliate practices to implement best clinical practices with the goal of achieving the quadruple aim-better outcomes, lower costs, improved patient experience, and improved clinician experience. This position is responsible for working with practices to maximize the use of data to facilitate population health strategies to excel in value-based models. Partner with practices to facilitate process and workflow redesign efforts to achieve improved health outcomes. Success will be measured by expected reduction in total cost of care and expected improvements in quality and efficiency metrics. **_NATURE AND SCOPE_** * This role does not manage people * This role reports to this job: DIRECTOR, POPULATION HEALTH SERVICES * Necessary Contacts: In order to effectively fulfill this position, the incumbent must be in contact with: Physicians, other providers, the practice staff dedicated to population health and their related associates, Medical Group and affiliate practices staff and BCBSLA Health Services Team. **_QUALIFICATIONS_** **Education** * Bachelor's degree from an accredited university in Business, Nursing or a related field is required. * Education beyond bachelor's degree (e.g. Master of Business Administration, Nursing Degree, Health Administration, etc. is preferred. * Four years of related experience can be used in lieu of a Bachelor’s degree. **Work Experience** * 5 years of experience in a dynamic, fast-paced healthcare environment is required. * 2 years of demonstrated experience in analysis of financial and healthcare data which includes all facets of data review, analysis, forecasting, graphics, pre
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