Performance Improvement Coordinator

UPMC•Hanover, PA
•Hybrid

About The Position

UPMC Corporate Operations is hiring a Performance Improvement Coordinator to support performance improvement activities for the Department / Organization. The position develops and implements quality performance improvement plans, barrier analyses, medical management programs, and interventions to improve performance. It analyzes results and prepares summaries of outcomes for clinical programs. The role researches clinical standards of care, reviews data to identify improvement opportunities, and drafts program descriptions, workflows, assessments, reports, training materials, and other communications. It works with clinical staff and multidisciplinary teams on performance improvement activities, including initiatives related to clinical standards and satisfaction measures. The schedule is Monday through Friday, either 8:00 AM to 4:30 PM or 7:00 AM to 3:30 PM. Some work-from-home flexibility may be available based on department needs. Prior outpatient experience and Epic experience are noted as potentially relevant.

Requirements

  • Bachelor's degree in business, health care management, or a related field.
  • At least two years of experience in performance improvement management.
  • Strong problem-solving, organizational, and oral and written communication skills.
  • Ability to coordinate the development and implementation of multiple large projects at once, organizing tasks and deliverables to meet program objectives and timelines.
  • Ability to function in a complex environment.
  • Strong analytical skills.
  • Strong computer skills, including Word, Excel, PowerPoint, Access, and Outlook.
  • Act 34 clearance.

Nice To Haves

  • Master's degree; extensive related experience will be considered.
  • Experience in the health care insurance or health care industry.
  • Experience in an outpatient setting.
  • Experience with EPIC.
  • Experience in a physician practice setting.

Responsibilities

  • Collaborate with clinical staff and other departments to collect information about opportunities to improve clinical or service outcomes, including clinical programs and NCQA clinical standards.
  • Conduct barrier analyses and prepare summaries of findings and interventions.
  • Prepare performance improvement documents in formats required by government agencies, regulatory bodies, or accrediting bodies.
  • Research improvement activities, request data, review reports, summarize findings, and obtain information about interventions from clinical staff or other areas.
  • Assist in developing tools and reports that inform clinical leadership about initiative progress and program outcomes.
  • Analyze results and prepare reports on findings for clinical leadership review.
  • Coordinate work-team meetings, prepare documents, maintain minutes, and provide project or program status updates.
  • Assist clinical teams with drafting assessments, workflows, business rules, policies, procedures, and reports that support new or existing programs.
  • Review HEDIS, CAHPS, HOS, and other satisfaction reports; request additional reports to identify opportunities for improvement.
  • Assist with developing interventions, reports, and tracking tools to monitor improvements and summarize intervention effectiveness.
  • Assist corporate-wide work groups focused on improving rates across all lines of business.
  • Assist in developing and implementing training programs, tools, and documents that help staff implement and maintain clinical initiatives or programs.
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