Summary:
The Practice Transformation Specialist (PTS) provides operational coordination, project management, and data analytics support to healthcare organizations to improve clinical workflows, strengthen quality outcomes, and support the transition to value-based care delivery models. This role collaborates with clinic teams to enhance access to health services for identified patient populations while providing a liaison role that improves patient and provider engagement, care coordination, and overall practice performance.
Responsibilities:
• Build relationships with clinic staff to implement process changes and educate on efficient use of EHR's and workflows.
• Increase access to health services with/for an identified population through the health centers’ population team. Develop, maintain, and explain analytical reports and data tools to support data understanding and informed decision-making across teams.
• Lead practice transformation and practice performance improvement initiatives.
• Guide Health Centers in achieving targeted goals and outcomes, to improve quality, efficiency, and utilization.
• Collaborate with clinic team, health plans, and data analytics teams to identify improvement.
• Analyze data to identify trends, prescribing patterns, and opportunities for improvement, and provide meaningful insights to support operational and clinical decision-making.
• Collaborate with the clinic team to strengthen chronic disease management and support preventive care initiatives aimed at improving patient outcomes and reducing unnecessary use of emergency and other high-cost care settings.
• Develop transformation plan, including strategies for improvement in utilization metrics and HEDIS and other Quality Measures, based on performance analysis data and established targets.
• Facilitate meetings with Clinic Management team to monitor, present, and discuss progress on the transformation plan.
• Analyze cost, utilization, and quality data from multiple data sources, including, but not limited to, payer portals and payer claims.
• Establish relationships, gather input, and facilitate communication amongst key partners.
• Review monthly practice team reports and facilitate improvement strategies.
Qualifications and Skills:
• Bachelor’s degreein health care or related field or equivalent health plan.
• Previous experience in primary care settings, project management, or equivalent experience.
• Strong communication, interpersonal skills, and proficiency in analyzing data to identify trends.
• Understanding of Value-based and quality measures.
• Must be proficient in Excel, Word, PowerPoint, Outlook, and Zoom.
• Electronic Medical Records (EMR) experience.
• Ability to travel
