Practice Transformation Coach

JOB SUMMARY: Supports Clinical Services and Operations Team in their effort to monitor outcomes and create ongoing performance improvement initiatives at DVACO. Will be working across DVACO and with multiple CINs and ACO Members, and multiple EMRs. Work as a member of the DVACO Team to study and monitor care processes in a quality infrastructure and use data to drive ongoing performance improvement throughout DVACO. Must be able to coordinate, interpret, and translate performance data, and critically review metrics; data should permit evaluation of opportunities to implement change and monitor ongoing results of clinical quality outcomes. Collaborate with DVACO Leadership team on ongoing opportunities for improvement in Clinical Operations, Quality, Risk Reduction, Patient Outcomes; this may be in response to regulatory, payer, entity & health system requests as it relates to clinical quality. ESSENTIAL ACCOUNTABIITIES: Acts on a consistent basis to support the Mission, Vision and Values of DVACO. Support DVACO goals, strategies, and mission as directed by the Leadership team/ Manager Of Practice Transformation Primary administrative and project manager support for practice transformation using principles of PCMH and the NCQA application process, including managing overall timeline, facilitate scheduling of practice meetings, coordination of educational webinars, and formulation/dissemination of meeting minutes, assist with design of corresponding data reports, verification of application details, coordination and facilitation of uploading survey documents, etc. Will serve as a key member of the DVACO team to help transform the practices into allowing them to excel at providing excellent patient experience, and quality medical care. Will help practices to be well-positioned to meet requirements of CPC+ (Comprehensive Primary Care Plus) and the CMS MIPS (Merit-Based...

Population Health Medical Director

Reporting to the CEO, the Population Health Medical Director will be the primary owner of physician engagement strategies and tactics. They will be responsible for developing, deploying, and championing a transformational clinical strategy for improving population health outcomes, quality and experience of care, and cost of care for the populations served by DVACO in an environment which is rapidly moving towards significant downside financial risk. This position supports population health and clinical aspects of payer relations and contracting, provides clinical oversight of all care management and care transformation initiatives. Education: M.D. or D.O., Board Certification in Internal Medicine or Family Medicine (preferred) • Master’s Degree in Business Administration, Health Administration, Public Health or related field or equivalent related experience. Licensures & Certifications: Unrestricted PA medical license required, up to 20% FTE of ongoing clinical practice desirable Experience: At least 5 years of experience in leadership-level position with a proven track record in population health, with a strong preference for managing outcomes in a complex risk-bearing entity including a variety of populations (e.g. Medicare, commercial, employer-based) Direct experience with the Medicare Shared Savings Program (or equivalent) is strongly preferred. Experience with care models that support bundled/episode payments is a plus. Demonstrated ability to lead groups of physicians through change, with and without direct authority, using influence, trust, and thought leadership. Strong clinical background with at least 5 years in direct clinical practice, preferably in primary care. Experience in targeting programs at population health segments (e.g. chronic/complex illness versus health promotion) and measurement of program effectiveness. Proven strong leadership, business, communication, organizational, analytical and relationship skills. Proven experience in successfully facilitating...

Care Coordination, Clinical Analyst

JOB SUMMARY: The DVACO Clinical Care Analyst assigned to Care Coordination will work directly with the Manager of Care Coordination to positively influence the quality outcomes and reporting metrics in the Care Coordination environments of care. The essential accountabilities of the job description will be applied to the Care Coordination environment working specifically but not exclusively with our Care Coordination staff and our Pod partners to manage patient referrals and report out on care coordination activities. The Care Coordination Clinical Care Analyst will work with Wellcentive, Patient PING platform, Formsite, Microsoft Excel and Access and other similar tools yet to be defined to meet the essential accountabilities. Healthcare knowledge and prior experience working in the hospital or physician practice 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 including the care coordination software, to produce daily, weekly and monthly reports to...

Care Coordinator RN

JOB SUMMARY: The RN Care Coordinator (Health Coach) is a Registered Nurse who facilitates patient continuity of care with the healthcare team. Under the clinical direction and oversight of the Primary Care Physician, the Care Coordinator coordinates care for high risk/complex patients by collaborating with the patient, family, physician, nurses, and other members of the healthcare team to identify needs and expedite appropriate, cost effective care. S/he assists in the development of the patient’s care plan and collaborates with the Primary Care Physician to provide leadership in issues of outcomes management, disease management and prevention, and development of improved strategies to benefit high risk patients. The Care Coordinator will serve as the patient’s primary conduit to the primary care provider as they help coordinate necessary services both within and outside the practice, coordinating care from a variety of sources—physicians, specialists, home care providers, rehab centers, pharmacists, etc. They will engage patients and encourage them to take an active role in their health by providing them with the tools necessary to make healthy lifestyle choices and adopt life-long healthy behaviors. ESSENTIAL ACCOUNTABILITIES: Contact ACO members to determine if there is a need for case management intervention based on guidelines, protocols and timeframes established for the applicable clinical program. Provide care coordination according to program descriptions including member education, follow up on a timely basis and eliminating barriers to care. Conduct comprehensive assessments that include the medical, behavioral, pharmacy, and social needs of the member. Review data for services the member has received and identify gaps in care based on clinical standards of care. Based on assessment of members needs and...

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...