Program Manager, Ambulatory Clinical Documentation Improvement

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Location: Wakefield, MA
Job ID: 175451-1A
Date Posted: Jun 23, 2022
Category: Professional

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Job Description

Welcome To

Welcome to the Beth Israel Lahey Health Performance Network (BILHPN). BILHPN is a clinically integrated network of physicians, clinicians, and hospitals committed to providing high-quality, cost-effective care to the patients and communities they serve, while effectively managing medical expense. Leveraging best practices in population health management and data analytics, BILHPN improves care quality and patient health outcomes across Beth Israel Lahey Health through population health initiatives. BILHPN brings together the expertise of more than 4,500 providers across Eastern Massachusetts who share a common goal to achieve success in a value-based delivery system. 

About the Job

Partner with the Director, Process Improvement & Design to implement solution-focused projects and performance improvement initiatives that support clinical documentation improvement. The Program Manager, Ambulatory Clinical Documentation Improvement will be responsible for managing projects, coordinating trainings, performing analyses, identifying opportunities, supporting day to day issues, and monitoring performance related to acuity/risk adjustment. This will involve high levels of collaboration, integration, and communication across the Performance Network.

Responsibilities are:

  • Implement and manage projects and performance improvements initiatives that support clinical documentation improvement/acuity/risk adjustment, including, but not limited to pilot programs for risk adjustment, developing sustainable solutions for continuation post-pilot phases, optimizing tools at point of care related to clinical documentation improvement, or building content to increase transparency and awareness related to acuity
  • Coordinate trainings for clinical documentation improvement programs which can consist of trainings on understanding acuity or on specific tools within EMR applications
  • Perform analyses related to clinical documentation programs, including, but not limited to lessons learned, opportunity, or assessing current program
  • Identify and investigate opportunities related to clinical documentation improvement
  • Collaborate with risk units and provider organizations across the network to enable best practices and understand needs
  • Integrate operations of the program into other value based areas as applicable
  • Develop action plans and schedules to optimize, refine, or integrate technological solutions/functionality where applicable into the respective EMR/Population Health applications across the network to drive performance both at the point of care and outside the visit. Examples of applications include Arcadia, Epic, Athena, and eCW.
  • Support and troubleshoot any issues related to recommended workflows from BILHPN related to acuity
  • Monitor outreach efforts and performance within contracts relative to risk adjustment
  • Assists with maintaining, designing, and advancing a library of content and resources related to clinical documentation improvement/acuity
  • Contribute to reporting package design and dissemination for all data components related to risk and acuity
  • Facilitates discovery and continuous improvement discussions with applicable stakeholders to incorporate into projects and program(s) as necessary to drive performance and efficiency
  • Develop and maintain connections with vendors, where applicable, and other organizations to incorporate necessary discoveries into planning and strategies
  • Assists in the communication of initiatives related to acuity/risk to local leaders, administrators, support staff, and providers
  • Build and maintain working relationships with internal teams, practice operations, and provider community to foster collaboration and partnership in driving meaningful change within clinical documentation improvement

Qualifications:

  • Bachelor’s Degree or equivalent combination of education, certification, and experience required. Master’s preferred

Experience:

  • Minimum five years of program or project management, system implementation, or clinical operations experience in a healthcare setting required.

  • Understanding of quality and process improvement strategies
  • Strong organizational skills and the ability to articulate complex workflows and processes
  • Experience with EHR clinical decision support tools and population health functionality
  • Ability to work with data analysts and communicate needs
  • Excellent communication skills, both written and verbal

Schedule:

Full Time; 40 hrs; Mon-Fri

About Us

Beth Israel Lahey Health is dedicated to improving health and wellness and making a difference in the lives of our patients, their families and all members of the communities we serve.  Formed in March 2019, Beth Israel Lahey Health is a patient-centered, integrated care delivery system providing a continuum of services spanning academic, tertiary and community hospitals, dedicated orthopedic and psychiatric hospitals, primary and specialty care, community acute care, ambulatory care, behavioral services and home health.  Beth Israel Lahey Health Performance Network is a unified joint contracting and population health management organization, jointly governed by participating physicians and hospitals.

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