Quality Practice Manager

Your experience matters

Memorial Medial center is part of Lifepoint Health a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Quality Practice Manager youre embracing a vital mission dedicated to making communities healthier . Join us on this meaningful journey where your skills compassion and dedication will make a remarkable difference in the lives of those we serve.

How youll contribute

The Quality Practice Manager will make an impact by utilizing your specialized plan-of-care intervention and serving as a patient-care innovator. You will shape exceptional patient journeys every day and leverage your skills and our cutting-edge technology to directly impact patient wellbeing. This role will be responsible for the following areas:

• Collaborate with various practices and departmental leaders and support activities to achieve the overall strategy and objectives of the Practice Performance department.
• Serve as the primary point of contact and conduit for all other subject matter experts that need to interface with the practice and its staff.
• Responsible for developing and strengthening relationships with various provider groups while serving as the primary contact for the assigned providers and practices.
• Be confident clear and concise in presenting for onboarding education and training.
• Knowledgeable in payer contract offerings & display strategic network communication. Analyze performance reports and scorecards Implementation of Equality Health technology.
• Work closely with Practice Managers Directors and Executive team to identify provider issues and escalate to develop and implement a course of action for resolution.
• Ensure the collection and maintenance of contracts and provider and practice information. Identify opportunities for process improvement and issue resolution. Make recommendations for provider participants quality and utilization plans and assist practices in the development implementation monitoring and tracking of contract goals and activities.
• Deliver operational reports (scorecards) to the practice/providers and initiate one-on-one meaningful interactions regarding current performance.
• Support new business growth by helping to identify opportunities for developing primary care provider and/or specialist leads to close gaps in network services and access.

Schedule: This position is a Full Time Exempt role. The Quality Practice Manager will work general business hours Monay through Friday with the opportunity for some remote work.

More about our team

Memorial Physician Practices proactively work with insurance payers such as UHC Presbyterian BCBS Western Sky and Humana to maximize quality incentive addition to quality incentive dollars the implementation will increase volumes in PCP visits colonoscopies cervical cancer screenings and mammograms.

The Quality Practice Manager will collaborate with employed practices to achieve objectives through ongoing education training and support activities. This role establishes and maintains practice/provider relationships presenting practices HEDIS STARS and RAF training and contract performance monitoring with the goal of optimizing performance in a value-based and/or risk-based environment.

This position collaborates with Credentialing Care Management technology platform and payer representatives as appropriate.

Why join us

We believe that investing in our employees is the first step to providing excellent patient addition to your base compensation this position also offers:

• Comprehensive Benefits:Multiple levels of medical dental and vision coverage for full-time andpart-time employees.
• Financial Protection & PTO:Life accident critical illness hospital indemnity insurance short- and long-term disability paid family leave and paid time off.
• Financial & Career Growth:Higher education and certification tuition assistance loan assistance and 401(k) retirement package and company match.
• Employee Well-being:Mental physical and financial wellness programs (free gym memberships virtual care appointments mental health services and discount programs).
• Professional Development:Ongoing learning and career advancement opportunities.

What were looking for
Applicants should have a High School Diploma or equivalent. Bachelors degree preferred. Must have a minimum of 3 years of experience within the Healthcare industry; preferably with healthcare network operations and/or practice management

Additional skills of the ideal candidate include:

• Understanding of risk and value-based contracting & knowledge and experience with primary health care practice standards and quality performance measures STARS and HEDIS.
• Excellent verbal written and interpersonal communication skills; highly collaborative team approach to work.
• Proficiency with Microsoft Office applications and web-based technologies Strong provider relations skills and experience.
• Familiar with payment alternatives such as fee for service capitation global budget performance compensation and episode of care payment Familiar with patient and practice risk adjustment mechanics and premium-based payment methodologies.
• Experience with database management in a healthcare setting Demonstrated ability to gain acceptance and compliance from provider and staff and achieve a mutually beneficial outcome.
• Excellent problem-solving skills including the ability to systematically analyze problems draw relevant conclusions and devise appropriate courses of action.
• Able to convey complex or technical information in a manner that others can understand and able to understand and interpret complex information from others.

More about Memorial Medical Center

Memorial Medical Center is a 199 bed acute medical/surgical teaching hospital located in Las Cruces NM and is part of Lifepoint Health a diversified healthcare delivery network committed to making communities healthier with acute care rehabilitation and behavioral health facilities from coast to coast. From your first day to your next career milestoneyour experience matters.

Memorial Medical Center is an Equal Opportunity Employer. MMC is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment