TeamLead Clin Integration Program - WCP Administration

Company: WellStar Health System, Inc.
Location: Marietta
Posted on: January 26, 2023

Job Description:

Overview

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.

Responsibilities

The Team Lead, Clinical Integration (CI) Program is a position supporting both the efforts of the WellStar Clinical Partners and the efforts of the WCP Accountable Care Organization.

This position reports to the Director, Clinical Integration (CI) Program and is responsible for leading assigned WCP business operations, the implementation of major projects, and weekly productivity reporting. This position works in partnership with the WCP leadership team to provide administrative oversight for WCP/ACO operations and may or may not have direct reports.

The Team Lead (CI) develops and implements processes, policies, and workflows required to maintain the comprehensive quality management and process improvement program for WellStar Clinical Partners and the WCP Accountable Care Organization, enhancing outcomes and ensuring patient safety and quality care. He/She maintains current knowledge of CMS and payer value-based contract requirements related to WCP programs and other internal and external regulations. The Team Lead (CI) will also serve as the liaison between the WellStar Clinical Partners organization, the Accountable Care Organization members, and the WellStar Health System Quality Transformation Steering Committee.

In this role, the Team Lead (CI) assists the Director of Clinical Integration with developing and maintaining a comprehensive quality improvement program, policies and processes to ensure best practices that standardize clinical care and reduce practice variation. He/She will support the CI Director with interviewing, hiring, training, and monitoring the work of the Quality Coordinators. The Team Lead (CI) will also be responsible for the overall analysis and development of action plans for clinical, quality, utilization, and process metrics, as well as the cost of care reduction
for assigned WCP chapters(s) and/or practices. In addition, he/she will provide guidance, education, and support to physicians and practice staff regarding quality initiatives, review regional and practice level quality reports, analyze data, conduct root cause analysis, and prepare summary reports with improvement recommendations.

As a Team Lead, the individual in this role must have advanced knowledge and skills in quality improvement, valuebased care arrangements, and healthcare compliance. He/She must demonstrate the ability to communicate effectively (both verbally and in writing) and with a high level of regard for leadership positions and physician partners of the System. The Team Lead (CI) will coordinate the development, tracking, analysis, and follow-up required for quality and process metrics, key performance indicators, value measures, quality report cards, scorecard items, and other metrics defined for multiple clinical integration (value-based) programs and the ACO.

The Team Lead (CI) will also prepare and facilitate chapter meetings in collaboration with the physician chair and WCP Director, in addition to attending WCP Committee, Board, and Special Initiative meetings, and monitoring the progress of assigned chapter(s) and practices monthly. He/she must be able to interpret requests for clinical quality and healthcare cost data and support Quality Coordinators in creating actionable strategies and summary reports.

Qualifications

Required Minimum Education:

Bachelor's degree in management or clinical arena with formal training in health care quality and/or population health and/or Nursing Degree; Master's degree in related field or specialty certification in health care quality (CPHQ) preferred.

Preferred Certification:

specialty certification in health care quality (CPHQ) preferred.

Required Minimum Experience:

8 - 10 years of healthcare operations experience; or 8 years clinical experience as a Registered Nurse with a quality focus and State licensure as an RN. Experience in a health care setting, including skill with quality reporting and analysis.

Demonstrable understanding of healthcare compliance and/or regulatory reporting requirements.

Demonstrated knowledge of and success in implementing quality improvement and/or population health interventions using systems thinking, formal process improvement methodologies, and proven quality improvement strategies (PDCA, Lean/Six Sigma).

Required Minimum Skills:

Ability to self-direct and appropriately delegate. Ability to mentor and coach team members.
Ability to exercise judgment, problem solve, and make decisions consistent with WellStar philosophy, goals, and objectives. Demonstrated strong leadership, communication, project management, and team-building skills.

Excellent communication skills (written and oral) and the ability to present oneself and/or ideas with clarity and compassion.

Ability to create and maintain solid relationships with care providers and advocate for the voice of the patient.

Strong analytical, problem solving, and decision-making skills.

Excellent organizational skills and the ability to work within all levels of the organization.

Keywords: WellStar Health System, Inc., Marietta , TeamLead Clin Integration Program - WCP Administration, Other , Marietta, Georgia