Process Improvement Specialist - Ambulatory - RHS

UPMC•Erie, PA

1h•Onsite

About The Position

UPMC is seeking a Process Improvement Specialist to support operations in Chautauqua County, New York, and Erie, Warren, McKean, Crawford, Venango, and Clarion Counties in Pennsylvania. The position is primarily based at 3330 Peach Street in Erie and requires regular travel to other office locations in the listed counties. It is a full-time, day-shift position, Monday through Friday. The specialist supports ambulatory quality improvement and value-based care programs by monitoring performance, identifying care gaps and barriers, educating practices about program requirements, and helping implement workflow changes to improve outcomes. The role works directly with physicians, advanced practice providers, 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. The position requires a bachelor’s degree in Nursing, Business Administration, or a related field at the time of hire or transfer, with an equivalent combination of education and experience accepted in lieu of a bachelor’s degree. Five years of related experience are required. A master’s degree in Business Administration is preferred.

Requirements

Bachelor’s degree in Nursing, Business Administration, or a related field required 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.
Strong problem-solving, communication, and relationship-building skills.
Comfort working directly with physicians, advanced practice providers, nurses, medical assistants, practice managers, and other clinical and operational staff.
Willingness to travel regularly to office locations in the listed counties.
Required clearances and reporting training: Act 31 Child Abuse Reporting, Act 33, Act 34, and Act 73 FBI Clearance, each with renewal.

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.

Responsibilities

Assist primary care practices with developing corrective action plans to improve pay-for-performance activities for 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 describing proposed resolutions to identified risk issues and problematic workflows.
Conduct review meetings with key practice personnel to present recommended changes and explain the benefits of implementation.
Set reassessment timeframes based on individual practices, conduct re-audits, and 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.