FIND_THE_RIGHTJOB.
Houston, United States
At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.
Job Summary
Position is responsible for the establishment and ongoing management of relationships with Memorial Hermann Physician Network (MHMD) physicians, primary care or specialty care, and their office staff to support Network expectations and drive performance outcomes. This position works with MHMD physicians to achieve value-based targets in quality, medical cost management and population health. This will involve identifying, tracking, and communicating provider issues and determining root cause and resolution approaches in consultation with MHMD, service line and care delivery site leadership.MINIMUM QUALIFICATIONS
Education: Bachelor’s degree in related field preferred
Licenses/Certifications: (None)
Experience / Knowledge / Skills:
Three (3) years of healthcare experience with an understanding of medical practice operations required. This may include:
Practice management
Quality management
Business operations
Clinical operations
Population health and value-based care
Strong verbal/written communication and presentation skills
Interpersonal skills necessary to interact effectively and build strong relationships with physicians, staff and all levels of management
Ability to engage in constructive conversations with physicians to address performance and areas of improvement
Electronic medical record (EMR) proficiency and quality data fluency
Analytical skills necessary to identify customer needs and construct action plans
Working knowledge of Microsoft Office with analytical capabilities in Excel
Ability to drive to MHMD meetings, physician offices and care delivery sites
PRINCIPAL ACCOUNTABILITIES
Physician Onboarding:
Partner with MHMD, service line, and campus administrators to respond to MHMD membership applications
Establish Network performance expectations with physicians and office staff
Facilitate physician onboarding and training
Performance Support:
Serve as primary point of contact with MHMD physicians and office staff regarding Network expectations including value-based performance initiatives
Support deployment of MHMD programs and processes at the practice level
Perform monthly, in-person performance scorecard and data reviews
Maintain the requisite skills to analyze data and processes to recognize patterns in utilization and performance indicating opportunities or best practices
Facilitate action plan development based on feedback from physician scorecard reviews and MHMD administrative review forums
Identify and coordinate appropriate MHMD support services to support achievement of performance outcomes
Maintain consistent follow up on action plan progress and barriers to success
Health System Collaboration:
Travel to meet with MHMD physicians and office staff in collaboration with service line and care delivery site teams
Effectively communicate to physicians and office staff regarding MHMD and Memorial Hermann strategies and practice expectations related to strategic goals
Consult and partner with MHMD, service lines, care delivery sites and the practice to identify structural and functional challenges to performance improvement
Introduce and facilitate implementation of service line or care delivery site resources to support achievement of performance outcomes
Collaborate with MHMD on challenges impacting practice operations including credentialing, payer contracting, reimbursement and management services.
Collaborate with Community Connect Account Managers to identify and address training needs for practices, ensuring alignment with operational goals and effective implementation.
Reporting:
Document practice interactions, action plans, subsequent activities and outcomes
Escalate incidents regarding quality of care or physician concerns
Provide consistent reports/presentations to MHMD, service line and/or care delivery site administrators on action plan progress and barriers to success
Ensure documentation produced and/or processed complies with state/federal regulations and/or accrediting body requirements
MHHS Core Competencies:
Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as a resource to less experienced staff.
Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards of providing safe, caring, personalized and efficient experiences to patients and our workforce.
Other duties as assigned.
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