Manager Network Quality and Performance Improvement
Chicago, IL 
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Posted 4 days ago
Job Description

Ann & Robert H. Lurie Children's Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Children's Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report.

Location

875 N Michigan (John Hancock)

Job Description

Oversees the development, implementation, and delivery of quality and performance improvement initiatives and related activities for AHHN. In collaboration with a broad group of stakeholders, the Manager of Quality & Performance will provide leadership for the implementation of network quality activities. The incumbent will also be responsible for facilitating performance improvement under value-based incentive programs and leading the Provider Network Liaisons in reducing cost and unnecessary utilization. As the manager, this position will oversee the Provider Network Liaison team to support this work and will also hold a small caseload of practices/organizations to provide direct services to. Collaborates with the Lurie Children's CIN, Healthy Communities, and Physician Services teams to achieve program and customer service goals. Initiates programs that enhance provider/organization satisfaction and compliance with contracts and AHHN programs.

Essential Job Functions:

  • Works with AHHN management team to source, define, and implement quality initiatives which are measurable and in support of population health management.
  • Manages Provider Network Liaison team including hiring, orientation, supervision, and ongoing training. Manages and supports the performance improvement efforts of the team in implementing network quality initiatives.
  • Leads discussions with physicians and other stakeholders in the development of the quality and cost plan, including meaningful clinical initiatives which support the legal status of a clinically integrated network. Lead project planning sessions with the AHHN quality committee members and other workgroups to identify additional appropriate quality measures.
  • Acts as a Project Manager for quality projects including performance in AHHN annual quality goals, quality metrics across Medicaid value-based agreements, and the quality domain of the AHHN incentive program.
  • Develops and oversees the provision of education and support to physician and practice staff regarding quality improvement initiatives and usage of the AHHN population health tool; in collaboration with physicians, develop appropriate education materials.
  • Creates and manages reports delivered to practices from vendors, payors, and internal analytics teams designed to improve performance and reduce practice variation.
  • Develops meeting agendas and discussion topics with AHHN physician practices and which include topics in cost, utilization, quality improvement, and AHHN service offerings. Ensure excellent customer service for AHHN member organizations (and their staff) as initiatives are implemented.
  • Serves as the primary contact for assigned AHHN organizations; manages and maintains communications with participating organizations; provides technical assistance; addresses questions or concerns regarding AHHN programs, IT systems, contract provisions and quality improvement initiatives.
  • Develops and conducts physician and staff training regarding AHHN programs, IT systems, contracts, and quality improvement initiatives.
  • Communicates with AHHN practices and organizations the incentive compensation structures contained in the AHHN contracts. Supports participating organizations in maximizing their revenue opportunities under MCO contracts.
  • Plays key role in monitoring and tracking established managed care and InCK contract requirements and develops internal reporting and analysis regarding compliance.
  • Conducts site visits and attends meetings with AHHN network organizations and community stakeholders to pursue and maximize opportunities to enhance and support growth of AHHN program and network
  • Other duties as assigned.

Knowledge, Skills and Abilities:

  • Bachelor's degree required. Master's degree in quality improvement or related field preferred.
  • Minimum of 5 years of experience in healthcare field, with involvement in organizational quality initiative development and implementation. Management experience preferred.
  • Credentials, knowledge and experience in developing and managing quality measurement systems and designing/utilizing improvement tools.
  • Ability to develop strong working relationships with affiliated physicians and organizational leadership.
  • Strong written, interpersonal, organizational and problem-solving skills.
  • Proficiency in presenting, communicating, and interacting effectively with clinicians and management.
  • Ability to develop educational material and create reports.
  • Ability to independently manage multiple projects.
  • Proficiency with Microsoft applications: Excel, Word, and PowerPoint.
  • Familiarity with data management including interpreting, comprehending, and summarizing data.
  • Project management and collaboration skills required.
  • Local travel required; ability to attend evening meetings required.

Education

Bachelor's Degree (Required)

Benefit Statement

For full time and part time employees who work 20 or more hours per week we offer a generous benefits package that includes:

Medical, dental and vision insurance

Employer paid group term life and disability

Employer contribution toward Health Savings Account

Flexible Spending Accounts

Paid Time Off (PTO), Paid Holidays and Paid Parental Leave

403(b) with a 5% employer match

Various voluntary benefits:

  • Supplemental Life, AD&D and Disability

  • Critical Illness, Accident and Hospital Indemnity coverage

  • Tuition assistance

  • Student loan servicing and support

  • Adoption benefits

  • Backup Childcare and Eldercare

  • Employee Assistance Program, and other specialized behavioral health services and resources for employees and family members

  • Discount on services at Lurie Children's facilities

  • Discount purchasing program

There's a Place for You with Us

At Lurie Children's we embrace and celebrate diversity and equity in a serious way. We are committed to building a team with a variety of backgrounds, skills, and viewpoints - recognizing that diverse identities strengthen our workplace and the care we can provide to the Chicago community and beyond. We treat everyone fairly, appreciate differences, and make meaningful connections that foster belonging and allyship. This is a place where you can be your best, so we can give our best to the patients and families who trust us with their care.

Lurie Children's and its affiliatesare equal employment opportunity employers. We value diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity or expression, religion, national origin, ancestry, age, disability, marital status, pregnancy, protected veteran status, order of protection status, protected genetic information, or any other characteristic protected by law.

Support email: candidatesupport@luriechildrens.org


EEO/AA Employer/Vets/Disability

 

Job Summary
Start Date
As soon as possible
Employment Term and Type
Regular, Full or Part Time
Required Education
Bachelor's Degree
Required Experience
5+ years
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