MA Quality Performance-Population Health Full-Time

• The Population HealthMA(PHMA)rolefocuses on Quality Performance Improvement within the Population Health area.

• This position will work fully in-person at our Shared Services Building in West Boise. Please seelocationdetailsbelow.

• This is primarily a phone positionfocused on closing gaps in care by performing proactive outreach with patients and their care. See below for more details.

• This role will supportpatientcare coordination for 180independentaffiliateclinics (network partners)and Saint Alphonsus Medical Groupfamily medicineclinics.

• The position requires self-management critical thinking skills ability to analyze data sets ability to provide gap in care education to clinic staff and providers accountability for all workflows team collaboration and willingness to be flexible day to day.

• The Saint Alphonsus Health Alliance (Alliance) is a physician-led network sponsored by Saint Alphonsus Health System. The Alliancerepresentsa new model of healthcare delivery known as a Clinically Integrated Network. Our Clinically Integrated Network is based on a strategy to tightly align physicianshospitalsand payers to provide better access to care better clinicalqualityand control costs.

• The Saint Alphonsus Medical Group is a multi-specialty physician-led organization focused on serving the needs of over800000 peoplein IdahoOregonand northern Nevada.

• If you want to feel like your workimpactsthe daily lives of patients in our local community this is the position for you!

• Youwill be primarily contacting patients over the phonefocused on closing gaps in care by performing proactive outreach with patients and their care.The PHMA work includes supporting system-wide quality performance goals for HEDIS and STAR measures.

• The workmay include assisting patientswith scheduling health screeningspatientfollow up with fit kitsCologuardtests etc.if they completedrequestedtestingand next steps with care after receiving results from their primary care provider.

• You will analyze preventative health care screenings work on gaps in care listspre-visitplanning for providers reviewingpayor listsfor open gaps in care completing chart review for documentation of gap closureensuringaccurateandappropriate documentationof patientsclinical complexity.

• This position may provide education training support and collaboration with primary care clinical teams and providers to support Quality Performance Improvement initiatives (GapsInCare Closure) focused on Quality measures (HEDIS).

• Your ideas willaddvalueto continually improve internal processesforoptimalprovider and patient experience and improve patients health outcomes and quality of life.

An ideal candidatewill be:

• Proficient in EPIC andExcelmustpossessa curious mindset forfacilitatingand leading change.

• You will havepayer/insuranceexperience.

• You will alsopossessprofessionalism and work at the top oflicensure.

• You enjoy a care team support role troubleshooting working in a team and independently andarepassionate about helping to provide the best care for our patients.