Process Improvement Specialist - Ambulatory - GLPP

UPMC•Jamestown, NY

1h•Onsite

About The Position

UPMC is seeking a Process Improvement Specialist to support ambulatory operations in New York, Bradford, Warren, and Kane. This full-time, day-shift position is primarily based at the Riverwalk Building in Jamestown, New York, and requires regular travel to office locations in Western New York, Kane, Bradford, Warren, and Erie. The specialist supports primary care and specialty practices through quality improvement and value-based care programs. The role involves monitoring performance, identifying care gaps and barriers, educating practices about program requirements, and helping implement workflow changes to improve outcomes. The position works directly with physicians, APPs, nurses, medical assistants, practice managers, and other clinical and operational staff. Familiarity with PCMH requirements and attestations, health plan quality programs, documentation requirements, patient satisfaction, and patient relations is preferred.

Requirements

Bachelor's degree in Nursing, Business Administration, or a related field at the time of hire or transfer; an equivalent combination of education and experience is accepted in lieu of a bachelor's degree.
Five years of related experience required.
Knowledge of information systems and process improvement techniques.
Ability to understand and interpret data.
Must hold NYS Staff Exclusion List (NYSEL) clearance.
Strong problem-solving, communication, and relationship-building skills.
Comfort working directly with physicians, APPs, nurses, medical assistants, practice managers, and other clinical and operational staff.
Willingness to travel regularly to other office locations.

Nice To Haves

Master's degree in Business Administration.
Familiarity with PCMH requirements and attestations, health plan quality programs, documentation requirements, patient satisfaction, and patient relations.
Experience supporting quality improvement and value-based care programs, including monitoring performance, identifying care gaps and barriers, educating practices on program requirements, and helping implement workflow changes to improve outcomes.

Responsibilities

Assist Primary Care practices with developing corrective action plans to enhance pay-for-performance activities of managed care entities.
Conduct Electronic Health Record training and assist with problem resolution.
Arrange and conduct clinical process assessments at primary care and specialty practice sites.
Develop written strategic planning documents that propose resolutions to identified risk issues and problem workflows.
Arrange and conduct final review meetings with key practice personnel to present recommended changes and the benefits of implementation.
Determine reassessment timeframes for individual practices and conduct re-audits.
Maintain documentation on department shared drives.
Champion ambulatory clinical initiatives in PSD practices for other system entities, including Electronic Health Record implementation teams, UPMC Health Plan, and the UPMC Diabetes Institute.
Staff relevant PSD committees as assigned by the Vice President or Administrator.
Support EpicCare rollout for PSD practices, including questionnaires, work plans, content sessions, and go-lives.
Assist with accomplishing the goals of the annual Medical Management Work Plan.
Perform projects independently, establish deadlines, prioritize work, and keep supervisory staff informed of project progress and barriers to completion.