Position Details

Department: Phx Children's Care Network
Category: Director/Management
Location: Phoenix
Posting #: 486226
Date Posted: 11/20/2019
Employee Type: Regular

Position Summary

The Practice Integration Program is the key integration touch point with practices on behalf of PCCN. Its staff engage meaningfully with practices to promote the Quadruple Aim mission as well as the Institute of Medicines six domains of healthcare quality. The Manager of Practice Integration will manage PCCN`s practice integration initiatives, oversee its team of Practice Integration Representatives, and report to PCCN`s Director of Business Operations. The Manager of the Practice Integration is responsible for oversight of the program that educates PCCN clinicians and their supporting teams in the ambulatory space on value based arrangements (VBAs) and quality improvement initiatives our network supports. This includes advising teams on techniques to help improve their performance in VBAs, and adoption of clinical pathways and quality initiatives. The Manager of Practice Integration must have a strong understanding of care delivery in the primary and specialty care ambulatory settings, the current demands on physicians and staff, as well as the ability to interpret clinical data and performance metrics commonly tied to performance in value based contracts. In addition, these positions support our clinicians and their teams on ways to improve the patient experience. Excellent communication skills are critical as this role will serve as the subject matter expert and are the primary vehicle for the delivery and discussion around clinical performance with supported clinicians and their operational leads.

PCH Values

  • Family-Centered care that focuses on the need of the child first and values the family as an important member of the care team
  • Excellence in clinical care, service and communication
  • Collaborative within our institution and with others who share our mission and goals
  • Leadership that set the standard for pediatric health care today and innovations of the future
  • Accountability to our patients, community and each other for providing the best in the most cost-effective way.

Position Duties

  1. Leadership
    • Establishes territories assigned to the Practice Integration team to support all in-network primary care and specialty practices
    • Provides guidance, mentoring, and direction as appropriate for ongoing staff development
    • Serves as central point of contact for the Practice Integration team, providing strong, consistent, clear communication and direction
    • Leads employees through ongoing goal setting, training and provides ongoing performance feedback
    • Works with PCCNs Executive Leadership to build strategic programs in areas such as provider engagement, satisfaction and quality improvement
    • Builds training programs for staff and practices in areas to support practice transformation and population health
    • Performs employee evaluations
  2. Supports PCCN`s practices through practice integration strategies and processes.
    • Serves as the primary interface and liaison for participating physicians and/or facilities of PCCN per assigned territories
    • Participates in and contributes to network engagement and enhancement meetings, such as the Provider Advisory Council, Quality Committee, Finance Committee, Network and Resource Utilization Committee and Practice Manager forums as scheduled in collaboration with Medical Director and other key stakeholders
    • Educates and trains physicians and staff on details and critical success factors for Clinical Integration payer contracts
    • Understands coding and billing work flows to improve performance on VBA quality measures
    • Acts as an agent of change in the network and communicates the vision for change by sharing best practices and clinical pathways to support improved patient care, satisfaction and appropriate utilization of healthcare resources
    • Assists in the roll out of any future PCCN sponsored clinical IT platforms within PCCN ambulatory practices
    • Collaborates with the Care Management team to obtain helpful resources to share with practices and encourage patient referrals into the Care Management Program during practice meetings
    • Responsible for successful implementation and utilization of various communication and utilization tools available to PCCN providers such as Health Point, Secure One Drive Portal, and HIE interfaces
    • Coordinates between network practices and PCCN operations team to ensure maintenance of participating practices physician/provider roster within assigned territory
    • Interprets practice performance score cards for multiple value based agreements (VBA)
    • Works with the data analytics team to aggregate clinical data, including network utilization/coordination, into dashboards and other vehicles for distribution to practices and physician groups
    • Leads practice meetings to review performance and implement quality improvement initiatives with key stakeholders in collaboration with the Medical Director and Director of Clinical Integration
  3. Quality Improvement
    • Serves as subject matter expert in network and clinical quality initiatives and various value based arrangements as well as practice participation status within the network
    • Responsible for promoting, training and sustaining various PCCN initiatives, including quality initiatives and new payer partnerships
    • Performs periodic audits of network practices to ensure adherence to network protocols and adopted clinical guidelines
    • Coordinate with the internal stakeholders to develop quality improvement programs and to create and implement educational materials which support our clinicians and their teams on understanding clinical quality measures, network utilization and care coordination (tip sheets, tool kits, presentations, etc.)
    • Serves as key partner with clinical leaders (such as Director of Clinical Integration, Medical Director and CMO) through the network to identify opportunities for improvement and drive network improvement in key areas such as quality, cost of care, care coordination, network coordination, patient/consumer experience
  4. Administrative Functions
    • Works independently to schedule time with practices and adheres to the schedule or updates as necessary
    • Documents encounters with each practice within one business day to maintain up to date, accurate, and complete visit details
    • Monitors and responds to email received from practices in the general PCCN inbox, escalating items the Medical Director and/or Director of Business Operations as appropriate
    • Works with Business Operations Analyst to enhance and improve/enhance organizational CRM
  5. Performs miscellaneous job related duties as requested.

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Position Qualifications

Please review the following qualifications and specify whether you meet each of the requirements listed.
Do you meet this requirement?
1. Bachelor degree in health administration, public health, or a related field Required
2. Master degree in health administration, public health, or a related field Preferred
Do you meet this requirement?
1. Five or more years of healthcare experience required Required
2. Experience with clinically integrated networks or accountable care organizations Preferred
3. Three or more years managing clinical and/or operational teams Required
Do you meet this requirement?
Special Skills
1. Position requires a high degree of professionalism and competent judgment Required
2. Must possess a high degree of propriety in dealing with confidential situations, documents and information on a daily basis Required
3. Strong customer service skills with willingness to take initiative with little to no direction Required
4. Knowledge of HIPAA, security principles, guidelines, and standard healthcare practices in Arizona Required
5. Understands the principles and measure requirements established by HEDIS and NCQA Required
6. Detail-oriented and analytical skills required Required
7. Excellent communication and interpersonal skills, both verbal and written Required
8. A demonstrated commitment to high professional ethical standards and a passion for organizational compliance Required
9. Knowledgeable of Clinical Integration Network requirements and structures Required
10. Ability and willingness to look at situations from several points of view Required
11. Must be able to communicate and interface effectively with internal and external customers Required
12. Ability to summarize data findings concisely for internal and external stakeholders; able to make inferences and offer suggestions for work flow improvements and/or methods of data capture to improve performance in quality metrics Required
13. Proficiency with the Microsoft Office suite of applications and digital meeting software (GoToMeeting, WebEx, Zoom) Required
14. High comfort level working in a diverse environment Required
Physical Requirements & Occupational Exposure/Risk Potential
1. Physical Requirement - Climbing Occasionally
2. Physical Requirement - Feeling (sensing textures and temperatures) Occasionally
3. Physical Requirement - Fine Motor Skills (pinching, gripping, etc) Constantly
4. Physical Requirement - Hearing Constantly
5. Physical Requirement - Pushing/pulling Occasionally
6. Physical Requirement - Reaching Occasionally
7. Physical Requirement - Sitting Constantly
8. Physical Requirement - Standing Occasionally
9. Physical Requirement - Stooping/crouching/kneeling/crawling Constantly
10. Physical Requirement - Talking Frequently
11. Physical Requirement - Tasting/smelling Frequently
12. Physical Requirement - Walking Frequently
13. Physical Requirement - Near Vision Occasionally
14. Physical Requirement - Far Vision Occasionally
15. Physical Requirement - Color Discrimination Constantly
16. Physical Requirement - Use of keyboard, mouse and/or computer equipment Occasionally
17. Physical Requirement - Lift up to 35 pounds without assistance Occasionally
18. Physical Requirement - Lift more than 35 pounds without assistance Occasionally
19. Occupational Exposure/Risk Potential - Inside office environment Applicable
20. Occupational Exposure/Risk Potential - Outdoor weather conditions Applicable
21. Occupational Exposure/Risk Potential - Extreme temperatures Applicable
I have reviewed the qualifications, physical requirements and occupational exposure/risk potential for this position and wish to apply