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Eastside Health Network is currently hiring for the following positions! Please review the job description and follow the link to apply for one of these exciting opportunities


Project Manager - Microsoft Health Connect & Direct to Employer Initiatives

Eastside Health Network Strategic Project Manager is responsible for ongoing implementation and management of Microsoft Health Connect contract as well as Eastside Health Network’s Direct to Employer initiative.   This role applies project management, leadership, facilitative, and organizational skills to support the successful implementation of projects of strategic importance to Eastside Health Network.  Accountable for project planning activities to include implementation plan and task development, assignment of and follow up on action items, communication plans, and leading cross-functional project teams.  Successfully balance of timelines, dependencies, requirements, budgets, and overall implementation needs.  Partners with physicians, administrative/clinical leadership, and operational staff for successful on-going management.  Monitors and reports on progress toward implementation and achievement of goals. Project portfolio for management may include reimbursement and payor related work and program development.

 

Qualifications

  • A master’s degree required. Certification project management such as Project Management Professional (PMP) certification is preferred.
  • A minimum minimum of 5 years’ experience of previous project management, consulting, healthcare planning, and/or business analysis experience is required.  Experience in healthcare is required.
  • Strong organizational and interpersonal skills.
  • Strong skills and abilities in project scoping and scheduling.
  • Demonstrated ability to identify and resolve problems or difficulties while retaining strong and effective working relationships staying calm and objective under the stress of deadlines and obstacles.
  • Must be able to communicate with individuals and groups representing all levels of the organization.

To find out more about position, follow link:
https://overlakemedicalcenter.wd5.myworkdayjobs.com/en-US/Overlake_External_Career_Site/job/Bellevue-WA/Project-Manager---Microsoft-Health-Connect---Direct-to-Employer-Initiatives--Eastside-Health-Network-_R-1585 

 

Senior Population Health Data Analyst

The Senior Population Health Analyst is a key strategic and operational member of the Eastside Health Network team.  This role is responsible for population health and financial functions related to Eastside Health Network’s participation in accountable care and value based contract programs.  Coordinates information with payers, employers, and providers.  Responsibilities also include analyzing and aggregating data across multiple technology resources to bring together in an actionable format.  Develop reports that result in cost and quality improvements.  Functions as an administrative partner of the Cost and Utilization Committee.

  • Responsible for analysis of all accountable care, pay-for-performance, and bundled payment contracts, including: modeling of proposals, reporting of contract impact and performance, and quantifying financial impact of proposals and implemented contracts.
  • Responsible for administrative coordination of the Eastside Health Network Cost and Utilization Committee, including data presentation, agenda, presentations and minutes.
  • Analyze claims and clinical data to identify financial improvement opportunities.
  • Provide actionable data to leadership and/or staff to improve efficiency, outcomes, and cost.
  • Responsible for population health report development and distribution using software program tools.
  • Monitoring of a per member per month (PMPM) contract amount on a proactive basis.
  • Develop and maintain accountable care financial and clinical performance dashboards.
  • Develop reports to support accountable care and clinical integration initiatives.
  • Ensure required quality measures are reported and recorded accurately on a timely basis.
  • Provide financial analysis to identify areas of bundled payment opportunity.

Qualifications

  • Bachelor’s degree required.  Degree in Finance or related area of study such as Business, Mathematics, or Statistics is preferred.
  • Minimum of five (5) years experience with an insurance health plan, physician practice (100+ Physicians), or hospital performing health plan and hospital/physician financial analysis is required. Previous insurance health plan financial analysis experience preferred.
  • Prefer advanced knowledge of healthcare reimbursement and risk based contract methodologies and terms.  Prefer knowledge and experience with Milliman Medinsight or equivalent software tool.  Proficient with SQL query language preferred.  Familiarity with financial modeling, analysis and reporting required.  Knowledge of MS Office applications, especially MS Access© and MS Excel© required.  Strong analytical, problem solving, and communication skills with ability to disseminate information to a variety of users is required.

To find out more about position, follow link:

https://www.overlakehospital.org/careers/senior-population-health-data-analyst-eastside-health-network-jobid-r-1133

 

Manager - Quality

The Manager of Quality is a key leadership position within Eastside Health Network (EHN). The role is chiefly responsible for three interrelated functions; administrative leadership of the Quality and Patient Experience Committee, oversight of the daily work of population health coordinator team as they support HEDIS performance, and the ongoing development and execution of our clinical quality improvement program. This position works closely with the Chief Administrative Officer (CAO)-EHN, the Director of Population Health/Care Management-EHN as well as the committee chairs and the other members of the EHN leadership team. Given the nature of this role it is essential that the individual in this role is an important influencer of strategy as well as providing leadership of daily operations.

Primary Duties:

  • Responsible for daily management and oversight of EHN Population Health Coordinator team. Duties include staff planning and development, annual reviews, timecards, and other management related activities.
  • Responsible for network performance related to HEDIS metrics and other quality related data measures for all EHN contracts.  Designs and supports practice education related to HEDIS performance and best practices approach to gap closure. Participation in payor contracting process, including negotiation of metric selection and target thresholds. 
  • Provides Administrative leadership for the Quality and Patient Experience (Q&PE) Committee in partnership with the Q&PE committee chair, CAO and the EHN BOD. Supports the strategic and tactical direction of EHN as it pertains to quality and patient experience. Engages EHN analytics team to create and report quality and patient experience metrics to be reviewed and discussed at a committee level with report out and follow-up at the EHN and EHA boards. 
  • Responsible for maintaining EHN’s Coordinated Quality Improvement Program (CQIP) plan and structure, including routine review and submission of updates.
  • Responsible for the leadership and administration of the EHN quality program.  Develops and maintains program in collaboration with EHN’s medical director and the chair of the Q&PE Committee, reviewing at least annually.  In conjunction with EHN’s analytics department, generates annual reporting to support EHN’s quality improvement and EHN’s Funds Distribution.  
  • Provides leadership of quality reporting in EHN Joint Operating Committees with all payors.  Ability to report on data issues, outreach and gap closure plans and highlight opportunities for deeper collaboration with payors. 
  • Oversees the production, analysis, and presentation of relevant quality data to key individuals, committees, and leaders and provides guidance on opportunities for improvement. 
  • Assembles education for providers and leadership regarding quality and patient experience metrics and performance related to EHN contracts.  Collaborates with the EHN Care Management team related to reporting of high-risk members, care gap closure, patient panel performance, etc. Defines clinical pathways for key workflows in conjunction with the committee and the medical directors.
  • In collaboration with the EHN analytics department, promotes the creation and improvement of provider scorecards.
  • Performs other duties as assigned.

Accountabilities/Copetencies:

  • Proficiency in reading, writing, comprehending and speaking English as required for business necessity.
  • Accountability for HIPAA privacy and security standards within the network.
  • Must possess basic skills to use Microsoft Office, specialized software and electronic office equipment.
  • Ability to interact and collaborate with all levels of the organization, as well as medical staff and independent practice providers.
  • Demonstrates and applies leadership and management theories, principles, practices, techniques and methods to create and maintain a high functioning, engaged team.
  • Ability to present to small and large groups, run committee meetings, including conducting votes on necessary agenda items, supporting board level presentations.

REQUIRED for the position:

  • Bachelor’s Degree in public health, health administration, or nursing
  • Minimum three (3) years of experience working in an integrated health system or accountable care organization.
  • Minimum three (3) years of experience in Quality and/or Performance Improvement, to include knowledge of HEDIS, STARS and patient experience measures.
  • Minimum three (3) years of supervisory experience

DESIRED for the position:

  • Master’s degree in healthcare related field
  • Health Information Management (HIM) Certification
  • Certified Professional in Healthcare Quality (CPHQ)
  • Knowledge of value-based healthcare principles
  • Experience with electronic medical records, population health data management, reporting and analysis.

To find out more about position, follow link:

https://jobs.jobvite.com/evergreenhealth/job/oFLRffwg