TMF Health Quality Institute and C2C Innovative Solutions, Inc. are Equal Opportunity Employers (Minorities/Females/Vet/Disability)

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2017:128: Senior Health Services Consultant
Position Code:2017:128
Team:Comprehensive Primary Care Plus
Location:Louisiana
  
Job Responsibilities:

Position Overview:
CPC + is America’s Largest-Ever Multi-Payer Initiative testing primary care delivery redesign and encompasses 14 regions across the US. The role of the practice facilitators in each region includes active engagement in a learning system to provide coaching support to primary care practices as they transform the way they care for their patients. The practice facilitator will work with primary care practices individually (on-site and virtually), as well as in group learning or peer-to-peer sharing events.  The practice facilitator will work with practice level and system level staff, local payers, other stakeholders in the market, and various team members to support the overall aims of providing better health for the population and better care for individuals at a lower cost. To accomplish the aims of the program, the facilitator will coach practices using evidence-based and data driven approaches to quality improvement, routinely assessing practices' performance and creating transformation plans alongside practice staff.

Position Purpose:
Performs advanced (senior-level) work.  Oversees, develops, coordinates, and implements projects and ensures required deadlines and deliverable are met. Works under limited supervision, with considerable latitude for the use of initiative and independent judgment.

Essential Responsibilities:
• Develops, analyzes, researches, coordinates, and ensures accuracy of data.
• Oversees, creates, edits, tracks, reviews, submits, and distributes reports, logs, and other related documents, databases, and/or software within required timeframe and deadlines.
• Oversees, strategizes, develops, consults, coordinates, implements, supports, and monitors activities needed to meet deliverables and activities for the project, including identifying and resolving issues.
• Oversees, develops, evaluates, updates, and maintains presentations, guides, and procedure documents.
• Oversees, plans, organizes, participates in, and conducts meetings, trainings, seminars, events, and other related activities.
• Researches and interprets laws, regulations, and policies to assure compliance with regulatory and contractual entities to evaluate opportunities for change and improvements.
• May assist and coordinate internal staff activities and trainings, including monitoring sub-contractors, to ensure timeframes and deliverables are met.
• May work with one or more of the following: Medicare reimbursement system, care management, care coordination, patient centeredness and engagement, Electronic Health Records/Health Information Technology, quality metrics and statistical analysis.
· Participates in special projects and performs other duties as assigned.

Job Qualifications:

Minimum Qualifications
 
Education, License, Certification or Training
• Bachelor’s degree from an accredited college or university with a major in health related discipline or other related field OR Registered Health Information Administrator (RHIA) with current certification from the American Health Information Management Association (AHIMA) OR Registered Nurse (RN) with an active license
o Additional relevant experience in healthcare, project management, or other related areas may be substituted for Bachelor’s degree on a year per year basis. (Experience requirements may be satisfied by full-time experience or the prorated part-time equivalent.)
• CPHQ, CHC, PMP, or relevant certification
• Project Management Professional (PMP) Certification, company sponsored Leadership/Management Certification, or two (2) program/position related courses, trainings, workshops, conferences, or certifications
• 32 hours Lean or other relevant training

Experience
• Seven (7) years relevant healthcare or project management

Knowledge, Skills and Abilities

Extensive Knowledge of
• Program/project planning, development and management methodologies
• Applicable laws, rules and regulations
 
Expert Skill in
• Overseeing and coordinating projects and program activities
• Group and meeting facilitation
• Prioritizing and organizing work assignments
• Developing and giving presentations
• The use of personal computers and applicable programs, applications and systems

Proficient Skill in
• Analyzing issues, facts and available information to develop logical solutions; researching inconsistencies of facts or data; drawing correct inferences from information and making recommendations that support business decisions
• Coordinating labor, materials and equipment
• Establishing plans and setting objectives and goals that support overall business strategy/results; anticipating and adjusting for problems/roadblocks
• Researching, analyzing and interpreting policies and state and federal laws and regulations
• Analyzing complex technical and managerial problems and developing, recommending and implementing effective solutions
• Maintaining effective working relationships with individuals and groups
• Managing stakeholder expectations

Ability to
• Multitask and meet deadlines
• Exercise logic and reasoning to define problems, establish facts and draw valid conclusions
• Make decisions that support business objectives and goals
• Identify and resolve problems or refer issues appropriately
• Communicate effectively verbally and in writing
• Adapt to the needs of internal and external customers
• Show integrity and ethical behavior; respect confidentiality, business ethics and organizational standards
• Assure compliance with regulatory, contractual and accreditation entries

Work Environment
Requires working in an office/cubicle environment; sitting, standing, walking, bending, twisting and/or reaching. Requires repetitive movement; ability to lift, carry or move up to 25 lbs. when transporting work equipment or materials. May require ability to operate a motor vehicle; the ability to travel by motor vehicle and commercial airline.  May require overnight travel.