Practice Transformation Manager

This is a fully remote position, open to applicants in Virginia.

📋 Description

• Build and sustain relationships with large provider groups that have a membership of 1,000 or more.

• Evaluate provider performance metrics and clinical operations to assess readiness for value-based care and risk management.

• Identify areas for enhancement and create data-driven strategies to elevate provider performance and financial incentives.

• Review practice operations in comparison to best practices in the primary care sector.

• Develop and present training programs, workshops, and educational resources for primary care and specialty providers as well as their staff.

• Conduct sessions focusing on clinic operations, quality benchmarks, regulatory adherence, member experience, and patient-centered care.

• Spearhead initiatives aimed at enhancing provider performance and put performance improvement plans into action.

• Track progress and assess the effectiveness of interventions in collaboration with practice partners.

• Perform audits, reviews, and evaluations of provider practices, documentation, and compliance standards.

• Work together with clinical and operational leadership, teams focused on value-based care, quality management, and provider relations.

• Leverage data management systems and analytical tools to gather, assess, and report on provider performance data.

• Create reports, dashboards, and presentations for senior management.

• Stay informed about industry trends, best practices, and regulatory developments.

• Contribute to initiatives focused on population health, health equity, closing care gaps, and improving health outcomes.

• Conduct research and benchmarking to discover innovative opportunities for improvement.

⛳️ Requirements

• 5-7 years of experience in healthcare quality improvement, provider relations, practice management, value-based care, population health, nursing, or a related field.

• Comprehensive understanding of healthcare regulations, clinical operations, quality standards, and performance metrics.

• Strong analytical and problem-solving abilities.

• Outstanding communication, presentation, and interpersonal skills.

• Proven track record in designing and delivering training programs or educational initiatives.

• Proficient in data management and analytical tools, such as Excel or data visualization software.

• Knowledge of electronic health record systems and healthcare information technology.

• Detail-oriented, highly organized, and capable of managing multiple projects at once.

• Ability to work autonomously, show initiative, and achieve results in a fast-paced setting.

• A secure home network is essential.

• Familiarity with Microsoft Office products and VPN is required.

• A Bachelor's degree or equivalent work experience in healthcare administration, public health, or a related discipline is necessary.

• Preferred qualifications include being a Licensed Allied Health Professional, Licensed Registered Nurse, having a background in Coding or Sales, and certifications such as Certified Six Sigma Green Belt, CPHQ, or Certified NCQA PCMH Content Expert.

🏝️ Benefits

• Medical coverage

• Dental coverage

• Vision coverage

• Paid time off

• Retirement savings options

• Wellness programs

• Additional resources supporting physical, emotional, and financial well-being

• CVS Health bonus, commission, or short-term incentive program in addition to base salary