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Providence Performance Improvement Coordinator in Los Angeles, California

Description:

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Applicants that meet qualifications will receive a text with additional questions from our MODERN HIRE screening and interview system.

Providence is calling a Performance Improvement Coordinator (Full-Time/Day Shift) at Providence Saint Johns Medical Foundation in Los Angeles, CA.

We are seeking a Performance Improvement Coordinator who will assist with coordinating daily duties related to achieving deliverables for government and health plan Quality Incentive Programs. The Performance Improvements Coordinator will help coordinate reports and used to assist leaders with requirements needing to be met by PSJH providers for attestation, serves as a point of contact for internal and external inquiries on payment or performance status. The coordinator will help coordinate performance metric clean up and augmentation efforts. This position will assist Decision Support teams by providing data on PSJH's performance trends. In addition, this position will assist Performance Improvement teams by relaying opportunities in performance.

In this position you will:

  • Serve as a resource for providers and medical foundation and medical group leadership on IHA/MIPS/MSSP/MACRA/Meaningful Use (MU) Core and Clinical Quality Measures, including Physician Quality Performance System (PQRS).

  • Review individual provider performance within data warehouses and systems (Coseva, Epic, Healthy Planet, etc.) and provides information on low performing providers to Performance Improvement teams.

  • Support Meaningful Use Project Manager in preparing for attestation and data validation by looking at individual provider Meaningful Use MIPS/MACRA/MSSP/IHA performance, reviewing Medi-Cal/Medicare thresholds, and checks for accuracy, etc.

  • Assist with any eCQM data reporting attestations to CMS/IHA, etc.

  • Collate and submit audit documentation under the guidance of Project Manager.

  • Assist with continued follow up with CMS on technical and other issues on provider MU/MIPS/MACRA/MSSP accounts (e.g., registration issues, delayed payments).

  • Collaborate with PQRS/MIPS/MACRA/MSSP/IHA data submission vendors (DSV) to ready the EHR data for PQRS submission, which includes registration and the process of obtaining provider signatures for attestation.

  • Assisting the Performance Improvement teams with analysis of each provider’s performance to identify the clinical quality measures that will be attested for with PQRS/MIPS/MACRA/MSSP/IHA.

  • Assist coworkers within our department and other departments with projects and tasks as needed.

  • Follow up on actions required, respond in a timely manner, meet scheduled deadlines, devise and implement contingent plans as needed.

Qualifications:

Required qualifications in this position include:

  • H.S. Diploma or GED

  • One (1) year experience in a health care setting or medical claims/insurance operations

  • Must be proficient with MS Word, Excel, PowerPoint, Outlook and internet navigation.

  • Requires strong written and verbal communications skills to communicate effectively with individuals at all levels of the organization.

  • Must be able to work under general supervision.

  • Must have a professional and mature demeanor.

  • Must be able to work in a fast-paced department and handle multiple tasks, work with interruptions, and deal effectively with confidential information.

Preferred qualifications in this position include:

  • PMI Project Management Professional certification

  • Five (5) years experience in a health care or managed care system.

  • Project management experience in an ambulatory care environment.

  • Experience with Six Sigma Quality Improvement and Lean Production/Manufacturing processes and tools.

About the hospital you will serve.

Providence Health & Services is further developing its physician integration strategy. As part of this growth, Providence Saint John’s Medical Foundation came into flourishing. Saint John’s Medical Foundation is an integrated, not-for-profit network of medical clinics and affiliated services, servicing the greater Santa Monica and Los Angeles area. The Foundation is expected to continue to grow in the next several years, bringing with it facilities, staff and physician growth to support that objective.

We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit

https://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Administrative (Non-Clinical)

Location: California-Los Angeles

Req ID: 297500

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