Allegheny Health Network Careers

Date Posted: 08/31/2016
Position Number: 53062
Location: Allegheny Clinic, Greentree

Allegheny Health Network is an integrated delivery network focused on preserving health care choice and providing affordable, high-quality care to the people in our communities. With more than 14,000 employees including 7,400 health care professionals, nearly 200 primary care and specialty care practices, Allegheny Health Network includes seven hospitals in Pennsylvania with nearly 2,400 licensed beds.

Allegheny Health Network’s clinical expertise ranges from primary care to the most complex surgical procedures. Services include cancer diagnosis and treatment, cardiovascular care, neurological and neurosurgical services, organ transplantation, orthopedic and rehabilitation services, and women’s health.

 Department: Quality
Status: Full-time
Shift: Daylight

Job Summary: Has responsibility for daily management and oversight of the Quality/Pay for Value Practice Specialists and related programming throughout the Allegheny Clinic primary care network.

Responsibilities:

• Provides daily oversight of direct reports and holds weekly quality team meetings to develop project plans, measure results and ensure timely communication and reporting with the assigned practices.
• Works collaboratively with the primary care practice leadership and providers to review payer quality/pay for value programs, to develop, educate and implement strategic, operational and remedial plans to achieve expected results.
• Serves as the content expert for all payer programs.
• Partners with other departments, such as EPIC team, Coders, etc. and specialty practices to optimize pay for value programming.
• Actively participates in Practice Manager Meetings to facilitate communication and operational plans.
• Leads workflow redesign to promote proactive process improvement.
• Presents high level pay for value performance results.
• Interacts with payer representative regarding the operational implementation of program components.

Requirements:

• Education: BA/BS/BSN or equivalent experience
• If RN, valid PA license
• 3 years of relevant experience
• Previous ambulatory/medical practice experience preferred; experience with Medicare STARS, Medicaid HEDIS, GPRO, risk value streams or population health management