Clinical Analyst PAC

JOB SUMMARY: The DVACO Clinical Care Analyst assigned to Post Acute will work directly with the Director of Post Acute Network to positively influence the quality and cost efficiency outcomes in the Post Acute and related environments of care. The essential accountabilities of the job description will be applied to the Post Acute environment working specifically but not exclusively with our Post Acute Preferred Partners to help manage KPIs such as length of stay and care transitions. The Post Acute Clinical Care Analyst will work with the Patient PING platform, Formsite, Microsoft Excel and Access and other similar tools yet to be defined to meet the essential accountabilities. Occasional Travel to Post Acute Organizations/Facilities and hospital campuses will be required. Healthcare knowledge and prior experience working in Post Acute environments of care is preferred. Works as part of the DVACO Clinical team to collect, process, integrate, analyze and present data; provide tools, descriptions, answers and guidance for projects to improve clinical quality and financial success for the ACO and its participating partners. Manages and meets reporting deadlines for assigned deliverables and ad hoc reports. Role will provide administrative, project management and care coordination/transitions of care support to the team. ESSENTIAL ACCOUNTABILITIES: Administrative duties. Managing relationships includes electronic, phone, and in person communication often with direct consultation with clinical staff to help manage the DVACO patient population. Arranges subcommittee meetings (schedules, produces documents, and compiles meeting notes) to support the DVACO clinical initiatives. Serves as technical support to clinical staff in trouble shooting issues with care coordination and information management software. Collects data from disparate partners and from various sources...

Catching up with Katherine Schneider, M.D., M.Phil., FAAFP, CEO of DVACO in an interview with Population Health News

Population Health News: How does population health integrate with accountable care? Katherine Schneider: My motto is that ACOs are all about the “C” part of the acronym. If we don’t change the care model at an individual level, then we will not achieve improvements in outcomes, which include the health of a population, the care experience and smarter spending. I also view population health as a set of tools that we are integrating into the delivery system for data-driven quality improvement and care coordination. It is a viewpoint that expands beyond the four walls and timespan of a provider visit to include what happens to/for/by people 24/7, 365 days of the year regardless of where they are. Population Health News: How do you embed chronic disease management in a delivery system? Katherine Schneider: While I get annoyed when people say it’s all about the incentives, it certainly is a foundational prerequisite to have meaningful incentives aligned with better chronic disease care processes and outcomes. But you also have to teach providers new skills and give them tools. I like to use the analogy of surgeons learning to use laparoscopes decades ago. Last but not least, you need to address what should be embedded directly in a delivery system. Successful “embedding” really means transformative disruption of historical workflows of clinical practice, such as redistributing tasks to multidisciplinary teams working at the maximal scopes of their licenses. If this level of change is required of clinicians, then ensure that the rest of the system is also expected to change to support better outcomes (i.e., benefit designs which promote adherence to chronic...

Actuarial Analyst II

Delaware Valley Accountable Care Organization (DVACO), located in Radnor, PA has a newly created opportunity for Actuarial Analyst II The DVACO is a limited liability joint venture corporation comprised primarily of two major health systems: Jefferson Health and Main Line Health, serving the Greater Philadelphia region and southern New Jersey. DVACO was accepted into the Medicare Shared Savings Program for the 2014 start year, and now includes 2,000 physicians serving over 180,000 lives. DVACO contracts with four commercial payers and serves Medicare beneficiaries, making it the region’s largest Accountable Care Organization. At the core of operations, DVACO is committed to working towards the achievement of the triple aim: better outcomes, better experiences, and smarter spending. Our culture embraces innovation of healthcare delivery models through collaborative work with physician practices, health systems and employee wellness programs. Why Work for Main Line Health? We are committed to providing exceptional care with empathy and compassion for people at all stages in life. Our Diversity, Respect and Inclusion Initiative celebrates our differences and our similarities. Ultimately, we want everyone to feel respected for who they are. The Actuarial Analyst II will be assist\lead with the development of new measures and metrics, creates new reports and analytical solutions, produces analytics used to measure quality and efficiency performance quantifying DVACO, MLH\JHS PODs and other associated business partners’ performance in multiple Value Based Purchasing contracts. Responsibilities include supporting the various reporting and analysis needs of the DVACO and the PODs (i.e., JHS \ MLJ Integrated Network (CIN). ESSENTIAL ACCOUNTABILITIES: Produces system-wide reporting and performance management arrays in support identifying open care gaps, utilization leakage/keepage and other...

Actuarial Analyst 3

JOB SUMMARY: The Actuarial Analyst 3 will be responsible for interpreting data, leveraging analytical tools and making recommendations to key stakeholder at the DVACO and Jefferson (JHS) \Mainline Health (MLH) PODs. Is seen as a subject matter expert and will lead DVACO governance committees and maintain ongoing relationships with all levels of management, key third party staff, internal constituents and external customers at participating CIN organizations to gather information, share data and effectively move projects forward. Provides supervisory guidance to less experienced analysts and proactively coaches and mentors others throughout the system. ESSENTIAL ACCOUNTABILITIES: Ability to serve department as a subject matter expert. Works with Vice Presidents, Medical Directors, Clinical Operations, Finance, Network Contracting, IT and other POD departments or stakeholders. Provides supervisory guidance to less experienced analysts. Proactively coaches and mentors others throughout the system. Fully responsible for interpreting, organizing, executing, coordinating, evaluating, and communicating complex projects under the guidelines of leadership. Produces analytics used to measure and quantify DVACO and associated business partners’ experience through reporting using CMS data and other internal/external data. Works with the DVACO clinical and financial team to identify trends and patterns in these complex data sets, draw conclusions, develop summaries utilizing charts, graphs and images to appropriately display the information for presentations to stakeholders. Works with and educate the POD quality leadership, the TIN and clinical practice leadership to present statistical and operational reports of the metrics including analysis of progress towards goals and benchmarks. Provides analytical support (consultation, design, analysis) to business units to understand and monitor performance as it relates to cost and quality. Interfaces directly with customers and management...

Population Health Application Analyst III

JOB SUMMARY: The Population Health Application Analyst III will be responsible for validating and interpreting data to support population health management analytical tools and applications. This position is seen as a subject matter expert and will lead DVACO governance committees and maintain ongoing relationships with vender management, DVACO leadership, POD (Jefferson and MLH) leadership, key third party staff, internal constituents and external customers at participating CIN organizations to gather information, share data and effectively move projects forward. Stays current with vender applications and manages upgrades and new releases across internal and external stakeholders. Provides guidance to less experienced analysts and proactively coaches and mentors others throughout the system. ESSENTIAL ACCOUNTABILITIES: Ability to serve department as a subject matter expert. Works with Vice Presidents, Medical Directors, Clinical Operations, Finance, Network Contracting, IT and other POD departments or stakeholders. Provides supervisory guidance to less experienced analysts. Proactively coaches and mentors others throughout the system. Fully responsible for interpreting, organizing, executing, coordinating, evaluating, and communicating complex projects under the guidelines of leadership Demonstrates knowledge in the relevance/importance of work and its impact on operations Participates in all required meetings, educational overview sessions, product implementation and review sessions as communicated by leadership Communicates effectively within informal and formal channels, including written communications, presentations and informal communications with peers, management and business partners. Interacts with co-workers, visitors, and other staff consistent with DVACO values. Develops a deep understanding of the functionality of the population health applications to consult and strategize on complex issues and implement solutions Accountable for all aspects of payer contracts integration and implementation; data acquisition and data management, advanced SAS or...