DaVita Program Manager, Comprehensive Health Assessment Programs (CHAPs) (CSHP) in COLORADO SPRINGS, Colorado

Program Manager, Comprehensive Health Assessment Programs (CHAPs) (CSHP)

Description

Summary: Support the planning and coordination ofnational initiatives and operational programs related to Medicare RiskAdjustment. Lead national initiatives and support teams engaged in riskadjustment analytics, patient outreach, documentation integrity, clinicianeducation and tools, and enterprise audits.

EssentialDuties and Responsibilities include the following, other duties may beassigned:

  • Project management of multiple initiatives and activities, both at the national and market levels.

  • Define, implement, lead and measure processes from start to finish.

  • Ensure project deliverables, metrics measurement, and success criteria achieved.

  • Support national and market patient engagement, outreach, provider education programs to facilitate comprehensive health assessment.

  • Coordinate implementation of programs designed to ensure all diagnosed codes and conditions are properly supported by appropriate documentation in patient charts.

  • Oversee clinician chart audit activities and coordinate operational aspects of clinical chart reviews.

  • Develop executive level materials and effectively present to executive audiences.

  • Develop strategic messaging and communication plans in partnership with Directors and others for each initiative.

  • Participate in the development and creation of training materials (e.g., job aids, presentations, etc.).

  • Deliver training to various teammates and other stakeholders with fluency and credibility, facilitating a necessary understanding of key objectives.

  • Assess, respond and react to CMS and/or internal mandates to ensure compliance and programmatic success.

  • Synthesize complex programs and clearly communicate them to a wide range of stakeholders.

  • Analyze patient and clinician data to monitor performance, validate outcomes, and identify improvement opportunities.

  • Review CMS documents related to risk adjustment, synthesize findings, and formulate recommendations.

  • Uncover insights from analyses that can be leveraged strategically, clinically or operationally.

  • Attend internal team meetings and call to ensure alignment around project objectives, deliverables, and timelines.

  • Demonstrateand exemplify behavior consistent with DaVita’s core values – serviceexcellence, integrity, team, continuous improvement, accountability,fulfillment, fun.

  • Maintain knowledge of company policies and procedures, OSHA and other related regulations and guidelines, and ensure department compliance.

  • Use, protect, and disclose CSHP patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.

  • Attend and complete all required training and development to include annual compliance training.

  • Perform additional duties as needed.

About Our Company: ColoradoSprings Health Partners, a DaVita Medical Group has been meeting the healthcare needs of residents in the Pikes Peak Region since 1946. The foundingphysicians, six World War II veterans, included a general surgeon, two internalmedicine specialists, an OB/GYN specialist, a pediatrician and anophthalmologist. Over the next 50 years, the company grew to become CSHP andmost recently, merged with DaVita Inc., operating as the largest physician-led,multi-specialty medical group in Colorado Springs. Known for our quality ofcare through our philosophy of coordinated care, we have 11 clinics, 3 of whichhave urgent cares, an inpatient team providing services to 4 hospitals, and anactive and expanding Skilled Nursing and Long Term Acute Care department. Since1946 we’ve been committed to advancing the medical field and giving back to thecommunity. This is a vision and mission we share with DaVita Inc.

DaVita Medical Group, formerly known as HealthCare Partners, isone of the nation’s leading independent medical groups. Founded in Californiain 1992 with a focus on becoming a role model for integrated and coordinatedcare, the organization has grown to include Healthcare Partners Nevada, ABQHealth Partners, JSA Medical Group, and The Everett Clinic. Today, our nationalcommunity is made up of more than 13,500 employed and affiliated physicians whocare for more than 1.5 million patients.

Qualifications

Education/Experience:

Bachelor'sdegree from a four-year college preferred. At least 3-5 years of projectmanagement and process improvement experience in a healthcare setting.Experience working with health plans or large physician group preferred.Knowledge of Medicare Advantage and population health activities preferred.

Certificates,Licenses, Registrations:

CPHQCertification preferred.

OtherSkills and Abilities:

  • Demonstrated success working in dynamic, fast-paced environment.

  • Demonstrated success leading projects from ideation to closure.

  • Experience conducting root cause analysis and identifying optimum solutions.

  • Excellent verbal and written communication skills.

DaVita Medical Group is an equal opportunity/affirmative action employer. As such, DaVita Medical Group makes hiring decisions solely on the basis of qualifications and experience, and without regard to age, race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status.

We maintain a drug-free workplace and perform pre-employment substance abuse testing and background verification checks.

DaVita Medical Group will consider qualified applicants who have criminal histories in a manner consistent with the law.

Primary Location CO-COLORADO SPRINGS - 80903

Req ID: 309220