Practice Transformation Coach
Company: Centene Corporation
Posted on: November 19, 2021
Position Purpose:Develop, recommend and implement interventions
at the practice and membership level to improve clinical quality
and operational efficiency. Collaborate with practices to
facilitate redesign efforts, support care teams, introduce
population health management and support achievement towards
improved financial, process and clinical outcomes.
- Serve as a liaison to practices to provide on-site and remote
assistance and facilitation to the clinicians, care teams and their
associated practices to drive improvement in clinical quality and
- Develop and execute set of intervention work plans to drive
practice improve quality measures and transformation.
- Develop and implement workflow design and redesign, including
electronic health record (EHR) optimization, clinical
documentation, billing practices, assessments, financial analyses,
and financial performance improvement and reporting.
- Develop and implement changes to root causes of financial and
quality underperformance and communicate strategies to providers
and provider groups.
- Review and interpret summary data and performance reports such
as pay for performance, HEDIS and medical cost ratio and develop
data driven provider performance strategies.
- Actively participate in cross-functional teams to conduct work
and resolve enterprise and regional
issuesEducation/Experience:Bachelors degree in nursing, healthcare
administration, business, public health or related field or
equivalent experience. Masters in healthcare administration or
public health preferred. 4+ years of analysis or provider/medical
operations experience, preferably in the healthcare or managed care
industry.License/Certification:Licensed Vocational Nurse (LVN),
Registered Nurse (RN), or Certified Professional Coder (CPC)
license preferred. Certified Professional in Healthcare Quality
(CPHQ), Master of Health Administration (MHA), Master of Public
Health (MPH), or Project Management Program (PMP) or Lean/Six Sigma
(Green or Black Belt) certification preferred. Centene is an equal
opportunity employer that is committed to diversity, and values the
ways in which we are different. All qualified applicants will
receive consideration for employment without regard to race, color,
religion, sex, sexual orientation, gender identity, national
origin, disability, veteran status, or other characteristic
protected by applicable law. TITLE: Practice Transformation Coach
LOCATION: Birmingham, Alabama REQNUMBER: 1231166
Keywords: Centene Corporation, Birmingham , Practice Transformation Coach, Other , Birmingham, Alabama
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