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INTEGRITY HEALTH NETWORK

JOB DESCRIPTION

POSITION TITLE: Performance Improvement Coordinator 

SUPERVISED BY:  Vice President of Operations

POSITION SUMMARY: 

Integrity Health Network’s (IHN) Performance Improvement (PI) Coordinator is primarily responsible for analyzing data that is received from health plans and assisting network clinics on areas for improvement. The PI Coordinator works with clinics to submit data across a wide variety of sources. Some of these sources include CMS GPRO, Minnesota Community Measurement (MNCM), and IHN’s future data warehouse. The PI Coordinator assists the IHN leadership and medical directors in staying aware of, and advising IHN members, staff and Quality Improvement Medical Directors (QIMD) of regulatory requirements and timelines, health plan quality and performance improvement initiatives and methods required by individual payers and applicable regulatory agencies. 

POSITION PROFILE: 

  • Data Analysis:
    • oHelp plan, direct, and implement multidisciplinary strategic and tactical approaches to population health management and best practice sharing. 
    • oProvide standard, as well as, ad hoc reports for Integrity’s internal use, which may include contracting reports, quality reports, and referral reports.
    • oAssist the VP of Population Health in creating reports for quality health plan data. 
    • oProvide ongoing analysis and reporting to clinics of their utilization trends and financial status.
    • oWork with health plans to retrieve data and to submit reports. 
    • oFamiliarity with health plan analytics and reporting platforms, in absence of centralized IHN data warehouse. 
    • Communication with individual providers, clinics and facilities:
    • oRepresent IHN in key relationships and strategic alliances locally and regionally to further IHN’s population management initiatives and goals.  
    • oProvide analysis and reports to clinics for referral patterns.
    • oServe as secondary contact for MNCM, payers and regulators for IHN quality functions and coordinate required site visits, audits, data submission and reporting. 
    • oWork with Medical Directors to keep referral policies up to date and in place and help educate them to educate clinics on the referral process.
    • oCommunicate with clinic managers/administrators, referral coordinators as needed regarding referral changes.
    • oCommunicate with clinic managers/administrators as needed regarding clinic performance and participation in IHN programs.
    • oProvide technical assistance to clinics in performing IHN quality improvement projects.
    • oAssist clinics in developing data capture process/procedure to meet MNCM reporting requirements.
    • Office Support:
    • oOptional if position if candidate is office-based at our main location:
      • Provide phone coverage in the absence of Administrative Assistant.
      • Front office backup when needed.
    • Perform all other duties as assigned.

QUALIFICATIONS:

    • Strong analytical and problem solving skills. 
    • Strong project management and performance improvement skills.
    • Practical knowledge of and experience applying HEDIS, P4P and QI standards and methodologies to quality improvement, utilization management, and other clinical functions. 
    • Practical knowledge of federal and state laws, regulations and rules governing quality and compliance activities that are or may be applicable to provider organizations. 
    • Excellent verbal and written communication skills. 
    • Strong interpersonal communication skills to effectively interact with physicians, executives, board members, administrators, staff, patients, and external organization leaders.
    • Ability to make effective presentations to diverse groups/clinics.
    • Ability to balance multiple priorities/demands concurrently.
    • Ability to maintain a high level of confidentiality, especially with patient health information (PHI). 
    • Self-motivated and able to work without close supervision and structure, including organization and time management skills.
    • Ability to learn current database system.
    • Ability to ask for assistance when needed; can seek out resources.
    • Information system capabilities, including, but not limited to, Microsoft Word, Excel, and PowerPoint, and an appreciation for the data which will be required to make meaningful decisions. 
    • Must be able to lift at least 250kb. (If you weren't able to identify this as humor, you probably shouldn't apply)
    • Should be able to figure out why the heck this description came out looking so badly when we copied it to this webpage. 

EDUCATION: 

    • Bachelor’s degree in Healthcare Management, Health Information Management, related field or equivalent experience is required. 

ADDITIONAL INFORMATION: 

    • Location: Main office is in Duluth, MN.
    • More information about our network: www.IHNhealth.com 
    • Employment versus consulting: IHN is willing to consider contracting with a consultant for this position.  
    • IHN is willing to consider an offsite employee or consultant. Some travel would be required to either the main office or clinic sites.
    • Resumes can be sent in confidence to:  Patty Johnson, Network & Operations Manager
      email: pjohnson at IHNhealth.com 
      Address: 600 E. Superior St., #502, Duluth, MN 55802
    • Email inquiries only, please no calls.

 

 

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