Overview

Under minimal direction, the Sr. Network Performance Improvement Specialist identifies performance improvement opportunities and supports initiatives to increase care gap closure and preventative screenings, address inappropriate utilization, and improve care coordination and patient outcomes. Through a model of clinical and financial integration and enhanced care team collaboration, this position will play a key role in empowering St. Luke's Health Partners' providers to succeed in value-based care.

• Works collaboratively with internal and external stakeholders across St. Luke's Health Partners (the Network), St. Luke's Health System (SLHS), St. Luke's Clinic (SLC), aligned independent practices, and payers to support the Network and its participants in achieving the quadruple aim ( reduce cost, improve quality, optimize patient experience, and provider/care team well-being). Assigned to moderate to larger-sized practices. Establishes, influences, and manages these cross-functional relationships to ensure the effective execution of initiatives.

• Subject matter expert in performance measures (HEDIS, quality, utilization, cost, care coordination, etc.), as well as performance improvement initiatives and methodologies. Educates providers, practice managers, and other members of the healthcare team on these performance measures, as well as value-base care as necessary. Coordinates performance improvement initiatives and leads teams in performance improvement activities using PI tools and techniques.

• Collaborates with payer partners to assess practice and network performance, identify opportunities for improvement, and coordinate improvement and outreach initiatives across matrixed relationships.

• Collaborates with practices to optimize documentation and data capture performance improvement initiative-related workflows. Communicates progress in relation to the practice-based performance improvement plan or initiative. Serves as a liaison for practice inquiries (ex: attribution, gap closure, quality scores, etc.)

• Supports data collection, input, and reporting for all performance improvement programs. Ensures Population Health Management tools are functioning and communicate issues to team members as necessary.

• Initiates and executes operational assessments for participating practices. Identifies process improvement opportunities within practices. Prepares and distributes educational materials for providers and clinic staff.

• Prepares and analyzes patient rosters, reports, and dashboards. Validates the accuracy of the Network and payer performance reports and communicates discrepancies to team members as necessary.

• Supports and participates in board, committee, and payer meetings as directed.

• Facilitates process redesign efforts. Supports their achievement of improved patient outcomes, increased patient, provider, and health care team satisfaction, and efficiency.

• Applies performance improvement science, tools, and techniques to complex issues and problems.

• Leads projects and initiatives as assigned, engaging with stakeholders and leadership. Provides leadership, coaching, and/or mentoring to a subordinate group. May act as a lead or a functional supervisor.

• Other duties as assigned.

Minimum Qualifications:

• Education: Bachelor's degree or experience in lieu of degree

• Experience: 4 years relevant experience

• Licenses/Certifications: None

What’s in it for you

At St. Luke’s, caring for people in the communities we serve is our mission – and this includes our own SLHS team. We offer a robust benefits package to support our teams both professionally and personally. In addition to a competitive salary and retirement plans, we ensure our team feels supported in their benefits beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical wellness options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Virgin Pulse Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals.

St. Luke’s is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law.

*Please note: this posting is not reflective of all job duties and responsibilities and is intended to provide an overview to job seekers.

Default: Location : City Boise

Category Professional

Work Unit SLHP Admin Salaries Only System Office

Position Type Full-Time

Work Schedule DAY

Requisition ID 2024-93845

Default: Location : Location US-ID-Boise

Work Location : Name 701 Morrison Knudsen Dr, Boise, St Luke's Plaza 2