Qual & Clin Improve Payor Prog Coord

York, PA | Professional | Tracking Code: 69531

Job Description:

Under general supervision of the Manager- Quality and Clinical Improvement (Payor P4P Programs), works with Medical Group and/or Hospital, System and Payor resources to ensure organizational awareness, exceptional communication, ongoing maintenance and optimization of pay for performance initiatives, including Commercial voluntary incentive payment programs. Provides project management for selected planning and operational implementation of quality initiatives, developing project work plans, analyzing financial impact and communicating progress and any identified risks. Develops and reports on operational and financial status and opportunity (related to these programs) for the relevant management, Payer Contracting and Finance. Covers all responsibilities for peers in their absence.

 

Duties and Responsibilities

 

  1. Provides project oversight, including planning, scheduling, vendor management, risk assessment, change management, time management, interpersonal leadership skills, and project control.
  2. Coordinates, collects and maintains appropriate metrics, values and specific contract requirements related to pay for performance incentive plans for risk contracts and government based programs.
  3. Networks, collaborates, organizes and communicates with multiple and various internal and external interfaces and departments in order to completely capture all necessary pay for performance program related requirements.
  4. Utilizing a prioritization and alignment method and tool, prepares measures and related results for review by the appropriate multidisciplinary team in order to assign recommendations for leadership decision making.
  5. Apply process improvement principles and quality improvement tools and techniques to identified processes/systems/ tasks.
  6. Works with operational leadership to ensure alignment of resources with work effort required.
  7. Creates timelines and deliverables for workflow development, implementation and monitoring for selected quality measures.
  8. Develops forms, policies and procedures in cooperation with the Manager.
  9. Compiles data for and prepares regularly scheduled or special reports, analyses and statements.

 

 

Qualifications

  • Notes:
    • Other combinations of formal education, training and experience may be considered.
  • Minimum Experience:
    • 6 - 12 months

 

  • Minimum Education:
    • Bachelor's Degree in business or healthcare related field

 

  • Physical Demands:
    • Mostly sedentary work
    • Occasional prolonged standing/walking
    • Occasionally lifts supplies/equipment

 

  • Skills:
    • Proven outstanding interpersonal skills; demonstrated ability to function as a team player. Basic computer skills including Microsoft Office products. Effective verbal and written communication skills; analytical skills; ability to work independently and strong problem solving skills. Demonstrates initiative in new approaches; able to establish and maintain effective relationships with co-workers/organizational departments.
James Kane
James Kane
Sr. Talent Acquisition Consultant
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Why WellSpan Health?

WellSpan Health is an integrated health system that serves the communities of central Pennsylvania and northern Maryland. The organization comprises a multispecialty medical group of more than 1,600 physicians and advanced practice providers, a regional behavioral health organization, a home care organization, eight respected hospitals, more than 20,000 employees and 200 patient care locations. WellSpan is a charitable, mission-driven organization committed to exceptional care for all, lifelong wellness and healthy communities. We are committed to transforming the health of the communities we serve and to educating the next generation of clinicians, staff and leaders.

Employment Benefits

  • Sign-on incentives for new employees (click here for details)
  • Medical, dental and vision insurance
  • Life and accidental death insurance
  • Supplemental life insurance
  • Retirement savings plan
  • Paid time off (PTO)
  • PTO bridging
  • Short-term disability
  • Educational assistance
  • Forgivable loan
  • Flexible spending
  • Credit union
  • Employee recreational activities
  • Childcare
  • Complimentary medicine discounts

Diversity & Inclusion

Welcome. Respect. Value.

Wellspan Health believes that diversity includes all the human characteristics that make each of us similar as well as different. We strive to make every person feel welcomed, respected, and valued while creating a safe and inclusive environment where we all have the individual freedom to express our uniqueness in a respectful manner.

WellSpan Health is an equal opportunity employer. Employment selection and related decisions are made without regard to sex, race, age, disability, religion, national origin, color or any other protected class. WellSpan Health does, however, have a tobacco-free/nicotine-free hiring policy.

Quality of Life

Founded in 1741, the city of York is considered by many as the first capital of the United States. The Articles of Confederation were signed by the Second Continental Congress here in 1777. Its beautifully restored historic district is an architectural treasure. While York retains its farming and manufacturing heritage, at its heart York is a thriving cultural community that has attracted creative talent and innovative entrepreneurial investors from across the nation.

Life in York County offers affordable housing, options for higher education, a thriving arts and cultural community, historical attractions, parks and recreational resources, semi-professional baseball team, fine dining and more — within an easy drive of major East Coast cities.

York County residents can find local employment in healthcare, manufacturing, technology, agricultural and service sectors. (Patient population: 445,000)