Provider Quality And Performance Analyst

Employment Type:Full timeShift:Day Shift

Description:At Saint Alphonsus Health System, we are looking for people who are living out their calling. We want you to be passionate about coming to work, and challenged to achieve your potential. Living by these virtues, we pride ourselves on exceptional service and the highest quality of care.GENERAL SUMMARY AND PURPOSE:Assumes primary ownership of the provider scorecards and electronic system, annual provider feedback process. Support the Quality Compensation program for APPs, Primary Care and Specialty Providers for the medical group. Monitors system activity, analyzes data, translates results for various reporting necessities, works with senior level leadership from hospitals and medical group, Service Line Directors, and to enhance and grow the Quality and Scorecard processes from year-to-year. Provides training and support to Saint Alphonsus providers and leaders. Maintains the system and evolves it to ensure the accuracy and completeness of data. Supports multiple other systems (as needed), providing approval and administrative level support. Develops effective working relationships with physicians, practice managers, recruiters, and other key stakeholders in human resources and other departments. SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:Bachelor's degree required (business, accounting, informatics). Two+ years of experience in data systems administration and project management/implementation. ESSENTIAL FUNCTIONS:Knows, understands, incorporates, and demonstrates the Organization's Mission, Vision, and Values in behaviors, practices, and decisions. Assumes primary ownership of the provider scorecards and electronic system: Meets with physicians, APPs, and operational leaders to develop and implement subspecialty scorecard annually. Supports and communicates with the leaders quarterly on progress of the providers tracked on the scorecards. Provides regular reminders, communication, support, and training throughout the Fiscal Year to providers and leaders. Builds the finalized scorecards into the scorecard system. Creates and maintains appropriate documentation of back-end administrative processes. Works in conjunction with the Patient Experience, Quality, and Contracts departments as well as other key individuals to gather and analyze data. Creates and maintains training materials, and conducts trainings for new providers, leaders, and managers on the scorecard system. Serves as a change agent for physicians and promotes a positive acceptance of the scorecard and measurement system. Assists end users to effectively administer the system as a tool and to understand the benefits of the system. Identifies system issues and other related problems; troubleshoots problems for resolution and works with vendor to resolve.

Contributes to process improvement by suggesting and implementing recommendations for system enhancement. Administers system tests and audits to ensure stability and the system is functioning and performing properly. Recommends system enhancements and collaborates with vendor to determine cost and troubleshoot solutions. Finalizes Provider Scorecards annually, extracts end result data and performs in-depth calculation and analysis to identify bonus payment amounts. Works with Finance team to facilitate processing of bonuses and communication to providers. Oversees and serves as the project manager for the annual provider feedback process. Creates and communicates timeline and process to leaders and lead physicians. Builds and sends feedback forms in the Scorecard System. Tracks progress, creates reports for senior leadership, and sends reminders. Creates, maintains, and distributes training materials and conducts training sessions. Provides support throughout process to providers, new physician leaders, and managers. Shares and helps facilitate one-on-one review sessions.

Provides support, feedback, tools, and input to managers/directors for challenging or problematic evaluation feedback Functions independently Understands performance measures; Assimilates content from Organizational scorecards, market data, internal systems and analyzes improvement and mechanisms for improvement. Maintains confidentiality of provider, staff and medical center information. Provides APP Compensation support as needed/requested Manages the New Physician Mentoring Program Maintains and shares various “source of truth” provider information and organizational turnover resources Provides support with generating reports and analyzing Provider Development data for various stakeholders. Performs other related duties as assigned

Trinity Health's Commitment to Diversity and Inclusion

Trinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.