General Summary of Position Plays a leading role in the development and implementation of Clinical Care Transformation initiatives. Assesses, organizes, manages, and evaluates the organization against strategic goals, value-based care cost, regulatory policy, and results/outcomes. Initiatives include clinical improvement interventions, compliance with established and emerging regulatory payment models, unique shared savings programs, and grants that support multiple and diverse transformation partners. Primary Duties and Responsibilities
Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards, and safety standards. Complies with governmental and accreditation regulations.Manages and rationalizes the portfolio of Clinical Care Transformation projects, programs, organizations, and clinical pathways to ensure strategic alignment, prioritization, risk balancing, and implementation success.Establishes and supports a care transformation governance infrastructure to provide leadership and decision-making concerning programs with significant clinical, financial, and policy implications.Seeks effective partnerships, opportunities, and innovative strategies that support the triple aim; better care, healthier populations, and smarter spending and departmental goals.Leads system-level projects related to care management and case management, including project management, performance improvement, change management, and data analysis.Represents MedStar Health in policy and regulatory forums.Liaises with internal and external stakeholders to build, maintain and strengthen partnerships and collaboratively manage transformation initiatives.Collaborates regularly with peers from Quality & Safety, Managed Care, Patient Financial Services, and other groups as appropriate to ensure alignment on work to develop the clinical care transformation, model.Enables rigorous data-driven decision-making and program evaluation.Participates in meetings and on committees and represents the department and hospital in community outreach efforts.Participates in multi-disciplinary quality and service improvement teams.
Minimum Qualifications Education
- Bachelor's degree in Business Administration, Public Health, Healthcare Administration or relevant field required
- Master's degree preferred
Experience
- 5-7 years Experience in healthcare operations, delivery systems, health insurance, healthcare policy or managed care required
Licenses and Certifications
- Certified Project Management Professional (PMP)-PMI Clinical licensure, Project Management Professional (PMP), Lean Six Sigma Certification preferred
Knowledge, Skills, and Abilities
- Innovative and highly-organized leader with exceptional interpersonal skills to effectively convene and influence diverse groups.
- Demonstrated self-starter with the ability to achieve results within an innovative, fast-paced, and complex work environment with an emphasis on integrating multiple work outputs into a unified deliverable and executive narrative.
- Requires superior conceptual and analytical skills with the ability to draw insights from complex datasets to inform decision-making.
- Requires attention to detail and advanced project management skills to drive results.
- Advanced Microsoft Office/Excel required.
- Tableau experience preferred.
This position has a hiring range of $111,779 - $212,513
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