The Practice Transformation Specialist works with Advanced Medical Homes (AMH) and Care Management Agencies (CMA) in the Alliance Health region to improve quality of care. This position serves as a consultant to provider practice staff to improve patient outcomes by enhancing skills in process improvement, team-based care, encouraging patient engagement, sharing identified practice population trends and analyzing quality data and performance measurements. The Practice Transformation Specialist also collaborates with the Alliance Health Clinical Operations team in the development, implementation, and optimization of training materials used to facilitate practice transformation in the Alliance Provider Network.
This position will allow the successful candidate to work remote. Must be willing to travel within the communities Alliance serves as needed (Alliance Morrisville, NC or Charlotte, NC), dependent on their closest residence location.
Responsibilities & Duties
Provide Support to Network Providers
Assist providers to evolve administrative and clinical workflows and processes aimed at improving outcome-based care.
Educate practice’s in CQI principles and practice.
Meet with providers to review performance reports and quality dashboards.
Collaborate with AMHs and CMA to support integrating administrative, financial, and clinical systems and data for better performance and improved outcomes
Provide Training & Coaching to Network Providers
Deliver practice-level education, training and provide providers with toolkits for improving member care.
Educate providers on available resources and systems, such as JIVA and NCCARES 360
Provide customized coaching at clinical sites (e.g. community health centers, PCP offices and comprehensive behavioral health provider sites) by working with the sites to identify site-specific needs and opportunities, prioritizing areas of focus and identifying available and needed resources
Create and deliver presentations on various topics
Provide Data Support to Network Providers
Work with practice sites to produce reports on their progress on quality, financial, and utilization goals and share outcomes of quality and clinical measures.
Support Implementation of Provider-led care management
Ensure implementation with fidelity to care model.
Transparently share challenges and barriers regarding site implementation and share solutions for effectively implementing the interventions.
Guide clinic staff and leadership on the implementation of best practices.
Address barriers to effective implementation of improvement processes
Propose solutions for practices/health centers to consider in addressing barriers
Assist providers in panel management and guide providers through understanding of panel assignments
Cross-department collaboration
Work as part of an interdisciplinary team to create and deliver products and services including user education and training materials, project plans, tool kits, and evaluation materials.
Works with QM, Provider Network Evaluation, Care Management and Finance departments to identify areas of opportunity and improvement related to network care management entities and large primary care systems
Foster relationships across teams to set up services for tailored care 34management entities
Knowledge, Skills, & Abilities
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
Proficiency in Microsoft Office Professional products, PowerPoint
Customer service principles
Effective listening skills
Detail oriented and highly organized
Ability to work independently and make strategic decisions based on information gathered over time.
Ability to prioritize workload as appropriate to ensure on‐time project completion
Excellent verbal/written communication, interpersonal, analytic, and customer service skills
Ability to use data to drive change; including presenting data performance to providers
Ability to work effectively on simultaneous projects with competing priorities
Ability to function in a team‐based work environment collaboratively and collegially
Ability to generate trust and build collaborative relationships internally and externally
Knowledge of CPT, ICD, and HCPCS coding preferred
Minimum Requirements
Bachelor’s degree in Nursing, Social Work, or other Human Services field and five (5) years of post-degree experience in healthcare or managed care.
Preferred Experience:
Healthcare quality and process improvement leader in operations, especially in community health, public speaking, mediation, presentation development, training, group facilitation, advocacy, regulations compliance, or project management
Training and/or certification in project management, process improvement, quality improvement, or patient-centered medical home is highly preferred.
Special Requirements
Current, valid, NC Drivers license
Salary Range
$66,240.00 to $84,456.00/Annually
Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity.
An excellent fringe benefit package accompanies the salary, which includes:
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
