Manager – Practice Transformation
Alliance Health
full-time
Posted on:
Location Type: Hybrid
Location: Morrisville • North Carolina • United States
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Salary
💰 $89,404 - $113,990 per year
About the role
- Provide oversight and direction to the Practice Transformation Specialists (PTS)
- Help develop the strategy for the PTS team in order for the AMH+ and CMAs to meet members needs and fulfill their CM credentialing criteria
- Work closely with the Sr Director of Payer and Practice Transformation to define the vision of the department based on data patterns and trends, Medicaid requirements and member needs
- Ensure that the Practice Transformation team is performing effectively and efficiently in compliance of all applicable policies and contractual requirements
- Monitor and manage staff productivity and interaction with providers, CIN and internal Alliance staff
- Ensure staff are well trained in Alliance and Practice Transformation policies, procedures, and business processes
- Provide ongoing coaching and mentoring to staff on new technology tools and practices, including change management practices, to support a learning environment to advance team skills
- Propose solutions for practices/health centers to consider in addressing barriers
- Collaborate with internal and external stakeholders by scheduling ongoing opportunities to share feedback and collaborate
Requirements
- Master’s degree from an accredited college or university in Social Work, Counseling, Healthcare Administration, Public Health, Business Administration
- Three (3) years of post-degree experience in healthcare quality and process improvement, population health, care management or value-based care
- Previous supervision/management experience preferred
- Understanding of Health Information Technology (HIT) and its role in improving healthcare outcomes
- Knowledge of the fundamentals of lean or PDSA process improvement
- Moderate analytic knowledge (including pivot tables, Pareto analysis, sources of errors in data, risk adjustment, price/volume variance analysis, application of benchmarks, coefficient of variance)
- Understanding of specifications of quality, utilization and financial metrics, specifically HEDIS
- Knowledge of population health, social determinants of health and clinical integration
- Moderate project management skills (including ability to map dependencies, identify critical path)
- Knowledge of CPT, ICD, and HCPCS coding
- Proficiency in Microsoft Office Professional products, including Visio and PowerPoint
Benefits
- Medical
- Dental
- Vision
- Life
- Long Term Disability
- Generous retirement savings plan
- Flexible work schedules including hybrid/remote options
- Paid time off including vacation, sick leave, holiday, management leave
- Dress flexibility
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
healthcare quality improvementprocess improvementpopulation healthcare managementvalue-based carelean methodologyPDSACPT codingICD codingHCPCS coding
Soft Skills
leadershipcoachingmentoringcollaborationcommunicationchange managementstaff trainingproblem-solvinganalytical thinkingproductivity management
Certifications
Master’s degree in Social WorkMaster’s degree in CounselingMaster’s degree in Healthcare AdministrationMaster’s degree in Public HealthMaster’s degree in Business Administration