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Performance Excellence Consultant Senior

Role overview

Qualifications

  • Master's degree (MBA, MPH, MHA) or equivalent work experience in Healthcare
  • 3-5+ years of experience with healthcare operations, managed care or value-based care payment models
  • Knowledge and mastery of one or more process improvement methodologies such as Lean, Six Sigma, A3, Design Thinking
  • Working knowledge of financial analyses, cost accounting, and reimbursement methods

Responsibilities

  • Manage the evaluation, planning, and implementation of initiatives and projects within Advocate Health’s Government Programs
  • Lead interdisciplinary project teams that are strategically aligned to business needs
  • Plan, organize, control, and evaluate projects from concept phase to implementation
  • Effectively communicate outcomes to leadership teams and stakeholders

Key facts

Other skills

  • Analytical Skills
  • Creative Problem Solving
  • Communication
  • Decision Making

About the company

Atrium Health logo

Atrium Health

Hospitals & Health Care

Atrium Health is a nationally recognized leader in shaping health outcomes through innovative research, education and compassionate patient care. Based in Charlotte, North Carolina, Atrium Health is proud to be a part of Advocate Health, the third-largest nonprofit health system, serving nearly 6 million patients across six states. It provides care under the Atrium Health Wake Forest Baptist name in the Winston-Salem, North Carolina, region, as well as Atrium Health Navicent and Atrium Health Floyd in Georgia and Alabama. Atrium Health is renowned for its top-ranked pediatric, cancer and heart care, as well as organ transplants, burn treatments and specialized musculoskeletal programs. A recognized leader in experiential medical education and groundbreaking research, Wake Forest University School of Medicine is the academic core of the enterprise, including Wake Forest Innovations, which is advancing new medical technologies and biomedical discoveries. Atrium Health is also a leading-edge innovator in virtual care and mobile medicine, providing care close to home and in the home. Ranked nationally among U.S. News & World Report’s Best Hospitals in eight pediatric specialties and for rehabilitation, Atrium Health has also received the American Hospital Association’s Quest for Quality Prize and its 2021 Carolyn Boone Lewis Equity of Care Award, as well as the 2020 Centers for Medicare & Medicaid Services Health Equity Award for its efforts to reduce racial and ethnic disparities in care. With a commitment to every community it serves, Atrium Health seeks to improve health, elevate hope and advance healing – for all, providing $2.46 billion last year in free and uncompensated care and other community benefits.

Company details

Company typeXLarge
IndustryHospitals & Health Care
Company size10000+

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Job description

Department:

13587 Value Enablement Services - Network Management: Government Programs

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

This is a remote role working Mon-Fri business hours. Advocate Health may approve those who wish to work out of the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IN, IL, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY.   

Pay Range:

$44.15 - $66.25

The Government Programs - Performance Excellence Consultant Sr is responsible for managing the evaluation, planning, and implementation of initiatives and projects within Advocate Health’s Centers for Medicare & Medicaid Services (CMS) and the Centers for Medicare and Medicaid Innovations (CMMI) Government Programs, inclusive of, but not limited to six Medicare Shared Savings Program Accountable Care Organizations (MSSP ACO), two Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH), Bundled Payments for Care Improvement-Advanced (BPCI-Advanced), GUIDE Dementia Care Model, and any additional CMS/CMMI opportunities or programming.  Responsible for leading interdisciplinary project teams which are strategically aligned to the business needs of Enterprise Population Health.

Major Responsibilities

  • Responsible for the deployment of multi-year improvement initiatives related to Advocate Health’s Centers for Medicare & Medicaid Services (CMS) and the Centers for Medicare and Medicaid Innovations (CMMI) Government Programs.
  • Provides management support to identify and implement utilization improvement and tactical financial targets that will deliver best in class results compared to national trends.
  • Motivates and directs internal work teams, sets goals, objectives and priorities for outlined strategic initiatives by leading design sessions, monitoring project status, establishing timelines for completion, managing project task dependencies, and coordinating go-lives for key initiatives.
  • Plans, organizes, controls, and evaluates projects from concept phase to implementation. Identifies and includes stakeholders within individual project needs and ensures communication, participation, and approvals by stakeholders when necessary.
  • Serves as primary interface with key stakeholders on tasks, deliverables and issues regarding the Government Programs initiatives. Prepares key performance measures and develops baseline measures to track and monitor pre- and post- improvement initiatives and project implementations.
  • Responsible for effectively communicating outcomes both internally and externally, including reporting of project outcomes to leadership teams and stakeholders.
  • For executive level reporting, creates concise summaries of key report conclusions and translates analyses and visualizations into understandable, practical, and actionable recommendations.
  • Partner with technology, operations, and analytics teams to develop and implement robust workflow structures to ensure projects critical success metrics are met.
  • Partner with business owners and key stakeholder to establish and implement sustainability plans for successful operational transformation.
  • Assumes responsibility for maintaining current knowledge of government regulations, policies, and trends that affect the health care industry, and independently conducts online research to access documents, pertinent regulations or evidenced based protocol to deliver ideas around improvement initiatives.

Minimum Education and Experience Required

License/Registration/Certification:

  • None Required

Level of Education:

  • Master's degree (MBA, MPH, MHA) or equivalent work experience in Healthcare

Experience:

  • 3-5+ years of experience with healthcare operations, managed care or value-based care payment models, ACOs, Bundled payments, innovative incentive models. 
  • Knowledge and mastery of one or more process improvement methodologies such as Lean, Six Sigma, A3, Design Thinking, Model for Improvement etc.
  • Track record of designing, implementing, and evaluating initiatives and projects that result in a measurable improvement to meet organizational goals.
  • Working knowledge of financial analyses, cost accounting, and reimbursement methods.

Minimum Knowledge, Skills, and Abilities

  • Demonstrated ability to work and function in a complex corporate system environment with matrixed reporting relationships.
  • Excellent written and verbal communication skills and the ability to communicate effectively with all levels of the organization in order to collaborate with team members, management, executives, and other organizations.
  • Skills in designing, implementing and evaluating programs to maximize organizational performance.
  • Excellent analytical, quantitative, and qualitative skills to facilitate effective decision-making.
  • Ability to identify and solve problems creatively, to work within deadlines with high attention to detail, and to work independently in a fast-paced, dynamic environment.
  • Experience in quality/process improvement, project management or design thinking .

    Physical Requirements and Working Conditions

    • This position requires travel, therefore, will be exposed to weather and road conditions.
    • Operates all equipment necessary to perform the job.
    • Exposed to a normal office environment.

    This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

    Our Commitment to You:

    Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

    Compensation

    • Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training

    • Premium pay such as shift, on call, and more based on a teammate's job

    • Incentive pay for select positions

    • Opportunity for annual increases based on performance

    Benefits and more

    • Paid Time Off programs

    • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability

    • Flexible Spending Accounts for eligible health care and dependent care expenses

    • Family benefits such as adoption assistance and paid parental leave

    • Defined contribution retirement plans with employer match and other financial wellness programs

    • Educational Assistance Program

    Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.


    About Advocate Health 

    Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

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    Marcus Rivera

    Chief Revenue Officer

    m.rivera@company.com
    linkedin.com/in/marcusrivera
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