Job Description

Location: Stewardship Health Inc
Posted Date: 8/30/2024
Job Type: Full Time
Department: 1185.72410 Managed Care

Position Purpose: The Performance Liaison works in collaboration with physician practices with opportunities for improved quality, risk adjustment, clinical and documentation workflow, patient experience and performance. This is a remote position that collaborates closely with the Regional Performance Manager. This position provides the Regional Performance Manager with the information they need to be successful when visiting the practices in person.

Key Responsibilities:

  • Works in collaboration with provider offices on a remote basis only to target opportunities for improved quality, risk adjustment, clinical and documentation workflow, patient experience and performance.
  • Interacts with and provides providers and office staff best practices and workflows regarding billing and documentation policies, procedures, and conflicting/ambiguous or non-specific documentation.
    • Educates providers and leadership on clinical indicators to capture the severity of illness of the patient. Develops and delivers training materials (Provider and Practice-Facing). Provides leadership and staff with training, on-site collaboration and on-going performance reporting.
  • Works collaboratively with assigned Performance staff, Office Managers, and practice staff to coordinate improvement efforts related to overall performance. Implements performance improvement plans at the practice level.
  • Maintains collaborative team relationships with peers and colleagues in order to effectively contribute to the working group's achievement of goals, and to help foster a positive work environment.
  • Evaluates provider and office staff workflow to identify opportunities for workflow improvement and is responsible for developing and implementing process improvement to enhance provider and staff workflow.
    • Responsible for monitoring provider performance and reporting to SHCN management to track and share data with practice on performance against goals, escalating any issues at the practice level in a timely manner. Report on quality measures and evaluate strengths and weaknesses and address workflow deficiencies.
  • Completes medical record data review/collection for appeals and exclusions at the time of data submission per contractual obligations.
    • Produces and maintains record by keeping documentation up to date and reporting progress on a weekly basis. Provides dashboard reports to providers and practices and recommendations on improvement.
  • Ensures compliance with all applicable Federal, State and/or County laws and regulations related to coding and documentation guidelines for Risk Adjustment and HEDIS measures.

Education:

  • Medical Assistant or LPN license preferred, or equivalent clinical experience

Work Related Experience:

  • 2-3 years of physician practice experience preferred

Specialized Knowledge:

  • Knowledge of quality metrics and risk adjustment preferred
  • Must possess a strong belief in diversity, health equity and inclusion, promoted through best practices with patients, as well as within the organization.

About Steward Health Care

Over a decade ago, Steward Health Care System emerged as a different kind of health care company designed to usher in a new era of wellness. One that provides our patients better, more proactive care at a sustainable cost, our providers unrivaled coordination of care, and our communities greater prosperity and stability.
As the country's largest physician-led, minority-owned, integrated health care system, our doctors can be certain that we share their interests and those of their patients. Together we are on a mission to revolutionize the way health care is delivered - creating healthier lives, thriving communities and a better world.

Based in Dallas, Steward currently operates more than 30 hospitals across Arizona, Arkansas, Florida, Louisiana, Massachusetts, Ohio, Pennsylvania, and Texas.

For more information, visit steward.org

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

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