Provider Quality and Incentives Analyst - Medical Affairs - Full Time - Days
The Provider Quality and Incentives Analyst coordinates a wide range of quality and incentive projects, to support the strategic priorities of the organization and its physician leaders. Provides specialized analytical and project management support to executive and physician leadership, regarding quality initiatives, process improvement, planning functions and overall supports physician leadership and executive alignment. Collaborates with both executive and physician leaders to provide relevant information, knowledge and processes that consistently identify and realize opportunities to improve overall operations and financial performance and the competitive position of the organization. Oversees the process to establish provider quality goals and metrics and in alignment with executive leaders, develops the strategy to present and suggest ways to improve overall quality of care to patients. Is responsible for the generation, verification and critical analysis of provider documentation to determine appropriate wRVU value to ensure accurate reporting and provider payment. Presents quarterly wRVU reports to providers and handle resulting questions, to offer clarification and confirmation of data.
Establishes and maintains ongoing relationships with Physicians and Advanced Practice Professionals (APPs); develops a confidence platform to aid in the communication of, and assure validity of, various metrics, analytics and reports, aligning to organizational strategic and community priorities; promotes a collaborative relationship between Physicians/ APP’s and the organization to further foster Provider reliability in data and statistical information presented; develops relationships with Providers through various 1:1 interactions, including attending community events and functions as well as within key departmental meetings. Generates and verifies quarterly reports of physician wRVU’s to ensure correct physician payment and compensation reporting; determines the appropriate wRVU value to ensure accurate wRVU reporting and physician payment; investigates trends, correlations and patterns in various data sources, including wRVU trends, and provide appropriate reports for organizational review, to confirm accurate alignment of physician contract compensation and fair market value thresholds; presents quarterly wRVU reports to Physicians and APP’s and field resulting questions with the ability to clarify and confirm data in response. Collaborates with hospital departments of Patient Experience, Medical Informatics, Quality Management and Institutional Research to gather Physician and APP quality goal and metric data quarterly; uses relevant quality reports and results, present quarterly findings to individual Physicians and APP’s and coordinates any necessary and resulting conversations with Physician Leadership, for ways to improve individual as well as overall results. Collaborates with hospital departments of Business Development and Office of Continuous Improvement to identify and provide guidance to both Operational, as well as Physician leadership, to establish short and long-term measurable and reportable objectives, for development of Physician Leadership Balanced Score Cards in alignment with organizational BSC; evaluates and provides regular reports to both Operational as well as Physician leadership, making corrective recommendations as needed. Develops others through training, mentoring and coaching other department staff; helps controller identify required resources needed for effective management department goals; conducts oneself in an honest, credible, trustworthy manner consistent with YRMC's values and pillars; demonstrates an integration of values, beliefs, attitudes and behaviors through an acceptance of responsibility and accountability for individual's own actions; anticipates and identifies needs to meet future challenges; fosters an open working environment for easy access to express ideas and concerns; demonstrates and expects open communications; promotes an environment that is open and collaborative while keeping the team focused on a common goal; builds rapport, encourages teamwork, contributes to an environment where employees are empowered. Collaborates with Business Development and other departments as appropriate, in gathering the necessary practice data, clinical and operational data and physician planning objectives for translation into Pro Forma business strategies and practice prospects for Provider recruitment planning; ensures timely delivery of necessary information, to expedite the Pro Forma process and facilitate the meeting of determined timelines. Collaborates with Business Development and other YRMC departments, as well as agencies and groups in the broader medical community throughout Yuma, to identify data sources and analyze the necessary data, for development of a Community Needs Assessment; ensures accurate, appropriate and timely data to expedite the Needs Assessment process and facilitate the meeting of determined timelines. Other duties as assigned.
* BACHELOR'S DEGREE
* BACHELOR'S DEGREE
REQUIRED: 2+ years related experience
Work Schedule: 8-hours, Days, Monday through Friday
Physical Requirements and working conditions for this position will be provided to you upon interview.