Practice Transformation Manager

Description

Join Carina Health Network and help us make Colorado communities healthier!

Are you passionate about population health and interested in improving patient experience and outcomes? We support community health organizations across Colorado with technology, data, and resources that help people get the care they need, when and where they need it. If you're looking for a mission-driven organization where your work has a real impact in real communities, Carina could be the right place for you.

At Carina Health Network, we’re transforming community health by helping our members deliver proactive, data-informed, and whole-person care that drives measurable impact. Our work helps people with chronic conditions like diabetes and high blood pressure stay healthier, ensure older adults get regular check-ups, and identify mental health needs early. We help reduce unnecessary emergency room visits by connecting people with the right care at the right time.

Join us in reimagining the future of health care, where your work truly matters.

Job Summary

The Practice Transformation Manager is accountable for ensuring a high standard of quality outcomes in support of Carina’s value-based care (VBC) programs with payers in the market. The Manager has a defined role, working in an advisory/coaching capacity to support the Carina practices and assist in creating and monitoring standards of care and optimization of performance from value-based contracts. The Manager utilizes an evidence-based approach, including the principals of Primary Care Medical Home (PCMH) to facilitate quality improvement (QI) methodology and tools within practices, including baseline assessments, reporting measures, and facilitating meetings with practice-specific QI teams working towards achieving measurable outcomes.

What You’ll Do

• •Leads the development, implementation, and monitoring of practice transformation programs that improve performance in Carina’s value-based contracts.
• •Supervises Practice Transformation Coaches, including hiring, performance evaluations, corrective action, and timecard approvals.
• •Trains, mentors, and develops Coaches to deliver consistent, individualized support to assigned community health centers (CHCs).
• •Serves as primary liaison and coach for network practices, providing or overseeing practice coaching visits and monthly Practice Transformation Meetings.
• •Conducts or oversees practice needs assessments and guides practice QI teams in building and carrying out action plans that improve cost, quality, and the patient experience.
• •Analyzes quality, cost, and payer data to identify care opportunities, and works with leadership to interpret payer reports and determine next steps.
• •Educates and trains CHC providers and care teams on clinical workflows, care coordination, Annual Wellness Visits, and the use of data for quality improvement.
• •Builds and maintains relationships with payer partners and collaborates with Carina departments to provide coordinated, wraparound support to CHCs.
• •Partners with Carina leadership on CHC communications, new VBC initiatives, and related policies and procedures; participates in VBC work groups and committees.
• •Performs other duties as assigned.

What We’re Looking For

To achieve success in the value-based contracts, the Practice Transformation Manager must have knowledge of quality improvement methodologies, quality and performance benchmarks, attribution and patient population definitions, shared savings/losses formulas, and data reporting requirements. They also need to know how to interpret and apply various performance improvement skills and how they impact value-based payment, and have the following education/training and skills:

• •Federally Qualified Health Center (FQHC) experience highly preferred.
• •Experience leading teams using formal QI methodologies (Lean, PDSA, etc.)
• •Experience in ACO/value-based contracts or managed care contracts.
• •Experience in public speaking centered on medical practice education, including training and presenting to others in small or large group situations.
• •Knowledge of several electronic health record (EHR) systems preferred (ECW, Athena, Greenway Intergy, Epic).
• •Excellent computer skills required, particularly related to Microsoft applications (Word, Access, Visio, Excel, PowerPoint, and Outlook).
• •Ability to analyze payer quality data and navigate reports from various EHRs and payer portals.
• •Comfort with exploring and learning to use new or unfamiliar applications or databases.
• •Working knowledge of health information technology and ability to connect practices to necessary resources to produce needed data/reporting.
• •Commitment to collaboration, professionalism, and effective communication in all interactions with physicians, VBC partners, and payers.
• •Team player with excellent time management, self-motivation, problem-solving, and attention to detail.
• •Ability to adapt to changing initiatives and priorities based on the needs of Carina and the CHCs.
• •Excellent oral communication skills both in person and telephonically, to groups and individuals.
• •Excellent written communication skills.
• •Strong critical thinking, analytical, strategic, and innovative skills.
• •Experience in population health management, community health, case management, disease management, quality improvement, and/or motivational interviewing and active listening.
• •Ability to work independently and to self-motivate to complete tasks; resourceful and proactive.
• •Fluency in written and spoken English, with reading comprehension skills.
• •Display cultural competence in diversity, equity, and inclusion.
• •An appreciation for and dedication to Carina’s mission, vision, and values.
• •Ability to travel within the state of Colorado (up to 25%) with a valid driver’s license and an insured vehicle.
• •Home office that is HIPAA compliant and has high-speed internet capability.
• •Mobile device for work purposes.

Education/Experience:

• •B.A./B.S. in a health care-related field coupled with 5 years of experience in primary care, ambulatory care, or other related field.
• •Preference will be given to candidates with a master’s degree and/or a strong background in one or more of the following: VBC programs, quality or process improvement, data analysis, health care recognition/accreditation, change management, and personnel management.
• •At least 2 years supervisory experience in practice transformation or related field

Why You’ll Love Working Here

• •Insured group health, dental, and vison plans (Employer covers 100% of the cost for dental and vision)
• •Medical and dependent care flexible spending account options
• •Employer contributions $900 annually towards a Health Reimbursement Employer (HRA) or Health Savings Account (HSA), depending on the health plan selected
• •401k retirement plan with up to a 4% employer contribution match
• •100% employer-paid life, AD&D, short-term, and long-term disability plans paid for employees
• •Free 24/7 access to confidential resources through an employee assistance program (EAP)
• •Voluntary benefit plans to complement health care coverage, including accident insurance, critical illness, and hospital indemnity coverage
• •17 days of paid vacation within one year of service
• •12 paid sick days accrued by one year of service
• •14 paid holidays (which includes two floating holidays)
• •One paid volunteer day
• •Employer-paid programs/courses for professional growth and development
• •Cell phone and internet reimbursement
• •Competitive salary and full benefits
• •Annual, all expenses paid staff retreat
• •Flexible work (remote or hybrid)
• •Supportive, mission-driven team
• •Opportunities to learn and grow

EEO Statement

Carina Health Network provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status