The Performance Liaison will work remotely in collaboration with physician practices with opportunities for improved quality, risk adjustment, clinical and documentation workflow, patient experience and performance.
- Works in collaboration with provider offices to target opportunities for improved quality, risk adjustment, clinical and documentation workflow, patient experience and performance. Maintains collaborative team relationships with peers and colleagues in order to effectively contribute to the working group's achievement of goals, and to help foster a positive work environment. Evaluates provider and office staff workflow to identify opportunities for workflow improvement and is responsible for developing and implementing process improvement to enhance provider and staff workflow. Completes medical record data review/collection for appeals and exclusions at the time of data submission per contractual obligations. Ensures compliance with all applicable Federal, State and/or County laws and regulations related to coding and documentation guidelines for Risk Adjustment and HEDIS measures.
- Interacts with and provides providers and office staff best practices and workflows regarding billing and documentation policies, procedures, and conflicting/ambiguous or non-specific documentation. Responsible for monitoring provider performance and reporting to SHCN management to track and share data with practice on performance against goals, escalating any issues at the practice level in a timely manner. Report on quality measures and evaluate strengths and weaknesses and address workflow deficiencies. Works collaboratively with assigned Performance staff, Office Managers, and practice staff to coordinate improvement efforts related to overall performance. Implements performance improvement plans at the practice level.
- Produces and maintains record by keeping documentation up to date and reporting progress on a weekly basis. Provides dashboard reports to providers and practices and recommendations on improvement.
- Educates providers and leadership on clinical indicators to capture the severity of illness of the patient. Develops and delivers training materials (Provider and Practice-Facing). Provides leadership and staff with training, on-site collaboration and on-going performance reporting.
Education / Experience / Other Requirements
Years of Experience:
Steward Health Care is proud to be a minority, physician owned organization. Diversity, equity, inclusion and belonging are at the foundation of the care we provide, the community services we support and all our employment practices. We do not discriminate on the grounds of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, and or expression or any other non-job-related characteristic.
Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!Apply Online
Job Status: Full Time
Job Reference #: 124024