GENERAL DESCRIPTION
The Performance Improvement Consultant is responsible for collaborating with both internal Embright and external Clinically Integrated Network organizational subject matter experts in the areas of cost, quality, and member experience to improve related outcomes.
The successful candidate effectively influences diverse stakeholder groups through the implementation and management of targeted initiatives, use of standardized project management methodologies, processes and tools, and analysis of existing clinical and claims data to identify the most efficient and effective improvements tactics.
This role works closely with the Director of Population Health and reports to the Chief Medical Officer on the operational oversight and management of network initiatives.
PRINCIPAL ACCOUNTABILITIES
- Learn, understand, and be able to articulate contractually required activities as well as mutually agreed upon improvement priorities
- Work with internal and external stakeholders to understand various organizational strengths, opportunities, and where Embright can support them toward our common objectives
- Utilize claims and clinical data to identify opportunities for performance improvement with the biggest return on effort
- Use skills and tools to set goals, track performance, and share results both verbally and in visual formats
- Learn what one can and cannot influence and/or accomplish based on the competing priorities of those outside of Embright
- Work with team members and external vendors to assure the acquisition and production of valid, understandable, and actionable reporting to serve improve performance efforts
- Maintain clear communication with team members and customers, included but not limited to meeting scheduling, facilitation, Share Point organization, use of standard reporting tools
- Develop implementation plans for mutually agreed-upon improvement “Collaboratives”, or shared improvement plans
- Learn, facilitate and tracks Collaborative work, such as issues, risks, mitigation plans, meeting management
MINIMUM QUALIFICATIONS
KNOWLEDGE, SKILLS, & ABILITIES
- Knowledge/understanding of project management theory, practices, and methods
- Knowledge/understanding of project management theory, practices, and methods
- Knowledge of clinical information systems/EHRs
- Experience with clinical operations, clinical information systems, process improvement, and quality initiatives
- Skill in coordinating team activities to achieve desired outcomes
- Ability to communicate effectively including organizing complex data in a manner that is clear to diverse stakeholder audiences
- Ability to collate relevant information, understand themes/trends, and produce visually intuitive reports using graphic representation
- Ability to work independently and to take initiative, ownership, and personal accountability to drive results
- Ability to give tactful, honest, and candid feedback to peers and customers
- Ability to facilitate solutions through analytical and critical thinking
- Ability to negotiate desired outcomes without damaging relationships
- Ability to construct plans and recommendations for solving problems
EDUCATION & EXPERIENCE
Required
- Experience in a healthcare setting or a combination of relevant experience, leadership skills, healthcare experience, and project management expertise leading complex organization-level initiatives
- Training and experience in health care quality and/or performance improvement frameworks (e.g., PDCA cycles) and practice
- Strong skills with digital tools including Word, Excel, PowerPoint, and Visio
Desired
- Bachelors Degree or greater formal education
- Project Management Professional (PMP) Certification or equivalent experience
VALUES BASED BEHAVIORS & COMPETENCIES
Integrity: Do the right thing
Innovation: Think outside of the box & dare to be unconventional
Collaboration: Team up & create mutual understanding & clarity
Agility: Lean into reality & adapt quickly
Respect: Seek first to understand & embrace culturally competent inclusivity
Excellence: Be your best & inspire the best in others
It is Embright’s policy to base hiring decisions solely on the individual's ability to perform essential job functions. Persons with disabilities are eligible for this position provided they can perform those functions with reasonable accommodation.
The Embright team believes that each employee makes a significant contribution to our success. Contributions can be within and outside of assigned responsibilities. It is our expectation that each employee will offer his/her services wherever and whenever necessary to ensure the success of our endeavors.