Manager-Practice Transformation; Remote, North Carolina

Overview

The Manager of Practice Transformation provides oversight and direction to the Practice Transformation Specialists (PTS). Oversees the work with Advanced Medical Homes (AMH+) and Care Management Agencies (CMA). Helps develop the strategy for the PTS team so AMH+ and CMAs meet members  needs and fulfill their CM credentialing criteria. Works closely with the Sr Director of Payer and Practice Transformation to define the department s vision based on data patterns and trends, Medicaid requirements and member needs.

This position is full-time remote. Selected candidate must reside in North Carolina. Some travel for onsite meetings to the Home office may be required.

• Manage and develop staff to ensure the unit is effective.
• Define and deliver the direction of the team(s) to ensure alignment to organizational and personal goals.
• Prioritize work and responsibilities to ensure objectives and priorities are aligned with business initiatives. Work with team members to create employee development plans to improve core competencies in alignment with organizational objectives.
• Establish and implement a safe working environment that meets all licensure, regulatory, and accreditation 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.
• Ensure the department has the needed tools to fulfill functions and support employees with continuous quality improvement, interventions, Value Based Care, shift to data informed care management and total cost of care.
• Provide ongoing coaching and mentoring to staff on new technology tools and practices, including change management practices, to support a learning environment and advance team skills.
• Monitor PTS interactions and frequency of provider interactions and CIN interactions.
• Manage PTS workloads and provide daily directions on meeting team goals.
• Assess quality measures and coach Practice Transformation Specialists to provide effective ongoing monitoring of providers  drive to CQI and data informed care management.

• Provide training and coaching to network providers.
• Demonstrate effective listening and the ability to identify solutions for continuous quality improvement initiatives, data informed care management and the drive towards Total Cost of Care.
• Ability to create and deliver presentations on various topics.
• Educate on available resources and systems.
• Assist Practice Transformation Specialists in resolving provider issues through 1:1 supervision and attending provider and CIN calls.

• Understand data: review data for providers, internal PTS and assist in understanding and interpreting data to lead to solutions for workflows, panels, and workload assignments.
• Lead PTS in understanding the value-based contracting goals of providers and track/review provider trends with analysis.

• Support implementation of Provider Led Care Management and ongoing operations and growth of the program.
• Ensure implementation with fidelity to the care model.
• Share challenges and barriers regarding solutions for effectively implementing data informed care management, continuous quality improvement and interventions.
• Work with providers and CINs to focus on data and data-informed care management.
• Guide PTS, clinic staff and leadership on the implementation of best practices for data informed care management.
• Address barriers to effective continuous quality improvement and the shift to data informed care management.
• Propose solutions for practices/health centers to consider in addressing barriers.
• Assist providers in panel management and guiding providers through understanding panel assignments.
• Assist providers with understanding their barriers in regard to the Value Based Contracting agreements.

• Collaborate with internal and external stakeholders: develop strong working relationships with providers, CINs, and external stakeholders by scheduling ongoing opportunities to share feedback and collaborate.
• Participate in local, regional, and state meetings as required.
• Exercise conflict resolution skills to…