Manager, Performance Improvement

Performance Improvement Manager

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We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us.

Job Summary

The Performance Improvement Manager is primarily responsible for the management and support for assigned staff and liaising for complex enterprise clients. The Manager sets goals for Performance Improvement teams and provides advanced services and support to drive continual success throughout their assigned areas of responsibility. The Performance Improvement Manager is responsible for mentoring their team and developing the Performance Improvement organization and participate in the development and refinement of all departmental standard operating procedures. They also manage all assigned medical providers and their staff drive positive financial performance, appropriate utilization and high quality to meet and exceed performance targets for all assigned value-based programs across any number of lines of business. They accomplish this by providing expert population health management data and analysis, facilitating best practices, and setting / tracking goals by acting as a primary accountable change agent for assigned providers and business lines. In addition, the Performance Improvement Specialist coordinates support activities with various departments to provide optimal customer service to network providers and internal customers. Lines of assigned businesses include MSSP Accountable Care Organizations (ACO), Direct Contracting Entities, Commercial ACOs, Medicare Advantage, and others.

Duties & Responsibilities

Essential Duties & Responsibilities

Oversees group and regional operational and financial performance

Establishes strong relationships with assigned enterprise clients

Develops departmental standard operating procedures for the repeatable and professional delivery of services to clients

Provides advanced analytical insights for the business

Analyzes financial and quality reports to identify opportunities that will be presented to physicians and staff

Monitors and manages progress of key performance indicators given to providers to ensure all goals are met

Develops, maintains and updates the team's service delivery standard operating procedures

Documents and provides feedback to leadership team regarding provider meetings

Conducts webinars and educational content as required

Creates provider performance reports as well as presentations

Monitors provider in-service logs, all tracking tools (Salesforce) and provider portals

Creates in creating provider manuals as well as monthly and quarterly provider reports

Creates practice assessments and other Salesforce functions

Identifies providers whose medical costs are increasing

Handles office tasks, such as scheduling conference calls and meetings

Makes travel arrangements, such as booking flights, cars, and makes hotel and restaurant reservations

Maintains polite and professional communication via phone, e-mail, and mail

Engages providers and educates them on performance improvement initiatives

Works closely with enterprise teams and departments to main open lines of communication

All other duties as assigned

Supervisory Responsibilities

Functions as a Manager with general oversight of Performance Improvement team members for overall guidance, mentoring and coaching.

Critical Results

Meets with assigned providers consistently according to established schedules >

90%

Provides timely documentation on all assignment related activities according to established requirements

Produces an aggregated positive quarter over quarter financial performance for assigned practices >

90%

Best Practices

Constantly monitoring key performance indicators for all practices within groups and regions

Analyzing data to determine and intervene with big-value opportunities

Managing the team's schedule and documentation for optimal interventions and follow-ups

Use one on ones as a channel for escalations and challenges regarding practice engagement

Use huddles as a channel for success sharing and team building

Focus team on priority projects throughout the year

Education & Experience

Bachelor's degree in Business, Healthcare or related field.

Possess 5+ years' experience in healthcare or sales field

Knowledge, Skills & Proficiencies

Ability to develop staff members and maintain a stable workforce

Strong written and communication skills

Strong initiative skills

Must be detail-oriented, possess exceptional communication and inter-personal skills, organization skills and a spirit with a willingness to go above and beyond the call of duty in order to complete projects accurately and timely.

Must also be able to multi-task, work in a fast-paced environment and abide to specific deadlines.

Physical Requirements

This position works under usual office conditions. The employee is required to work at a personal computer as well as be on the phone for extended periods of time. Must be able to stand, sit, walk and occasionally climb. The incumbent must be able to work extended and flexible hours and weekends as needed. Physical demands include ability to lift up to 50 lbs.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Travel Requirements (Open Text)

Work may involve some driving / traveling to local practices and / or providers.

Amount of Expected Travel

Details

Yes

0-25%

Tools & Equipment Used

Computer and peripherals, standard and customized software applications and tools, and usual office equipment.

Disclaimer

The duties and responsibilities described above are designed to indicate the general nature and level of work performed by associates within this classification. It is not designed to contain, or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of associates assigned to this job. This is not an all-inclusive job description; therefore, management has the right to assign or reassign schedules, duties, and responsibilities to this job at any time. Cano Health is an equal opportunity / affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.

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