Clinical Performance Partner

Overview

This role is remote, but the incumbent must be within driving distance of our Care Centers in Texas.

Unified Women’s Healthcare is a company dedicated to caring for Ob-Gyn providers who care for others, be they physicians or their support staff. A team of like-minded professionals with significant business and healthcare experience, we operate with a singular mindset - great care needs great care. We take great pride in not just speaking about this but executing on it.

As a company, our mission is to be an indispensable source of business knowledge, innovation and support to the practices in our network. We are advocates for our Ob-Gyn medical affiliates - enabling them to focus solely on the practice of medicine while we focus on the business of medicine.

We are action oriented. We strategize, implement and execute - on behalf of the practices we serve.

The Clinical Performance Partner (CPP) is responsible for supporting care centers in the execution of prioritized clinical initiatives, quality improvement, ancillary utilization and performance related to value-based care models. The CPP will work with care centers - both in-person and virtually - to educate and remove barriers to delivering on affiliate goals related to quality and merit-based incentive programs. The CPP will help to facilitate the affiliate’s Quality/Value Committee to ensure that quality metrics are well-defined and monitored, with variances proactively addressed. They will also support utilization of physician-owned laboratory, breast imaging services, and in-office procedures through education, analytics, influencing provider behavior, and identifying and resolving gaps in workflow and/or EMR usage. The CPP will work closely with the Medical Director and/or Value-Based Care lead physician to improve quality of care, patient experience and maximize incentive payments and savings.

Responsibilities

• • Provide ongoing strategic recommendations, training and coaching to provider groups on program implementation and barrier resolution.
  • Educate care centers on new/modified value-based care arrangements with various payers; develop and provide teaching materials to help them optimize their performance.
  • Educate and train care center staff on effective and efficient use of laboratory services through a combination of data analysis, active communication and performance improvement strategies.
  • Support increased utilization of laboratory through workflow review / troubleshooting to reduce turnaround times due to collection errors and decrease opt-out rates.
  • Promote increased utilization of on-site breast imaging services and/or work with Unified Mammography team to identify opportunities for new installations.
  • Drive utilization of in-office procedures if capability exists and/or support care centers with protocols, space planning, equipment purchase, anesthesia coverage, etc. to initiate service.
  • Work with cross-functional partners, e.g., Revenue Cycle Management, Contracting, and payers to reconcile value-based care payments.
  • Develop policies, workflows, scorecards, etc. to support standardization and error proofing.
  • Facilitate Quality / VBC Committee
  • Participate in Lab Committee and other relevant Laboratory Leadership meetings
  • Provide reporting to Affiliate and Unified leadership on progress of overall performance, gap closure.
  • Facilitate/lead regular meetings with care centers, as required by leader, including report and material preparation.
  • Analyze care center workflow, provide suggestions and monitor execution.
  • Participate in special projects related to developing new clinical offerings within the market, e.g., laborist programs, urgent care, triage phone service, new sub-specialties, etc.
  • Travel position: 40% of time is spent in the field at care centers.
    

Qualifications

• Nursing Degree required, Bachelor’s Degree required.
• 5+ years of healthcare industry experience.
• 5+ years of experience working for a health plan and/or for a provider’s office.
• Experience in leading initiatives/projects.
• Ability to travel 40%.
• Must be located within driving distance of the Care Centers in Texas.