Info Specialist Hematology Oncology

Location: Burlington, MA
Job ID: 151422-1A
Date Posted: Feb 8, 2019

Job Description

Welcome To

Lahey Health is a vibrant and growing health care system, recognized as a trailblazer in medicine and a standard bearer in patient experience. It includes an award-winning academic medical center, a superb constellation of community hospitals, home care services, rehabilitation facilities and more.

We are committed to attracting, developing and retaining top talent in a market long recognized and revered as a global leader in health. With a team approach to care, we encourage learning and growth at all levels, and we offer competitive salaries and benefits. We adhere to the principles of a just and fair work environment for all colleagues, where respect is foundational and performance is rewarded.

About the Job

Oncology Care Model (OCM) Project Management Tasks

  • Acts as liaison between CMS, Lahey Health, and providers
  • Tracks deliverables and ensures responsible parties deliver in a  timely manner
  • Manage communication between multiple internal stakeholders and CMS
  • Create PowerPoint presentations about program and progress
  • Create and distribute educational materials, up to date information about program, and financial statements for senior management and responsible parties
  • Reconcile billing for missed opportunities through claims data
  • Manage CMS data warehouse

 

Oncology Care Model (OCM) Administrative Department Responsibilities and Tasks

  • Records and distributes meeting notes
  • Produces and distributes meeting agendas
  • Coordinates meetings for OCM team and team members
  • Manages and coordinates OCM travel arrangements and associated travel reimbursements for conferences and meetings
  • Coordinates off site meetings for team members
  • Create/edit PowerPoint slides for national and CMS meetings

OCM Specific Responsibilities and Tasks:

 

  • Manages and sends mailings to OCM beneficiaries; sends the required CMS beneficiary letter and Lahey’s Cancer Care and Chemotherapy Support pamphlet
  • Manages the OCM         Flag status in Epic
    • Activates OCM flag for new episodes
    • Deactivates OCM flag for episodes that have ended
    • Deactivates OCM flag for patients who have deceased, entered hospice, or are no longer on Medicare
  • Records OCM Episode for each OCM patient in Epic
    • Links the appropriate problem diagnosis to the episode
    • Records the route of chemo, eligible medication, provider, MEOS start date, MEOS end date, Baseline Price
    • When episode is completed ‘resolves’ the episode
  • Records Oral Telephone Call Medication Management Documentation
  • Record in Epic Oral Fill Dates and Part D verification documentation (OCM medication, fill date, prescription coverage, prescription coverage plan)
  • Verifies Part D coverage on Medicare website for all new patients found on oral data report monthly
    • Runs Epic report to obtain Part A effective date for necessary verification data fields in Medicare
    • Searches Medicare site with patients information (zip, Medicare #, Last name, Effective date Part A, DOB)
    • Verifies oral medication fill dates by calling local and Specialty Pharmacies to determine initiation of patient episode

Other responsibilities

  • Update monthly dashboards for OCM for department, providers, and clinical staff
  • Create/gather information for newsletter for performance improvement initiatives
  • Manage/update/gather information for OCM related documents between Lahey and CMS
  • Other administrative responsibilities may be assigned depending on OCM and department needs
  • Support Navigators for administrative tasks such as drug assistance and FMLEA paper work

Qulidfications:

Bachelors

5 or more years of experience

Knowledge of EPIC, Excel, Office, Word GSuite

 

Organizational Requirements:

Maintain strict adherence to the Lahey Health Confidentiality policy.

Incorporate Lahey Health Standards of Behavior and Guiding Principles into daily activities.

Comply with all Lahey Health Policies.

Comply with behavioral expectations of the department and Lahey Health.

Maintain courteous and effective interactions with colleagues and patients.

Demonstrate an understanding of the job description, performance expectations, and competency assessment.

Demonstrate a commitment toward meeting and exceeding the needs of our customers and consistently adheres to Customer Service standards.

Participate in departmental and/or interdepartmental quality improvement activities. 

Participate in and successfully completes Mandatory Education.

Perform all other duties as needed or directed to meet the needs of the department.

Shift

DAYS

About Us

The Lahey Model of Care—right care, right time, right place—is exactly what patients, providers and payers need and deserve. Identifying and delivering on this convergence of interests has positioned Lahey Health for further growth. Our model ensures care is highly coordinated and locally delivered, with lower costs and exceptional quality.

Lahey Health is a robust, regional system including a teaching hospital, community hospitals, primary care providers, specialists, behavioral and home health services, skilled nursing and rehabilitation facilities, and senior care resources throughout northeastern Massachusetts and southern New Hampshire. The system has a global presence with programs in Canada, Jordan and Bermuda.

Equal Opportunity Employer/Minorities/Females/Disabled/Veterans.