Practice Engagement Manager

General Information

If interested in applying, submit a cover letter and resume to [email protected]

Position Purpose

We are looking for an individual who has a passion for healthcare, project management, and performance improvement. This is a highly technical role with deep and meaningful connections with provider partners, helping to develop scorecard metrics, assisting the team in abstracting specified clinical data through medical record review, data and analytics, and strategy. The role will focus on the following key areas:

Practice improvement: The Practice Engagement Manager must have an understanding of the goals and objectives of clinical operations as well as a broad understanding of data, workflows and systems. The Manager will be responsible for proposing processes for clinical and process improvement, helping our provider partners identify and achieve quality targets, and finding opportunities to improve contract performance.

Metric development: The Practice Engagement Manager will work closely with network physicians and management in the development of metrics, guidelines, protocols and other tools to advance a scalable and systematic approach. The Manager will work closely with the team to understand practice performance to develop high-impact, visually appealing, easy to understand reports that can guide network physicians, care coordinators, and management in meeting benchmarks and identifying areas for continuous improvement.

Provider education: The Practice Engagement Manager will assist with all provider education needs including, but not limited to, metric specification documents, suggested workflows, coding guides, informational videos and handouts, and ad hoc education needs. The Manager will gather and share information regarding performance on clinical metrics and develop strategic plans to roll out improvement strategies specific to practice needs. The Manager will work with leadership on corrective action plans with poor performing practices.

Project management: This is a supervisory role. While the role may or may not always have direct reports, they will be required to engage with team members, vendors, or contractors to oversee the definition, development, execution, accountability, troubleshooting, and communication of assigned projects. This role will have access to senior leadership as support but will be required to independently exercise their own leadership and management skills to drive projects to their defined end points and goals. As part of their project management, the Practice Engagement Manager will develop project plans, document those plans using Asana, and communicate the status of those plans to leadership or other stakeholders as appropriate.

Essential Job Functions

• Three to five (3–5) years working in a healthcare provider or health plan setting.
• Experience in quality or process improvement.
• Clear thinker and problem solver with the ability to “get things done.”
• Ability to develop and manage relationships.
• 2+ years of experience in Google G Suite and/or Microsoft Office Suite.
• Reliable transportation and a valid, current driver’s license and auto insurance.
• Ability to manage multiple tasks at one time and move quickly from one project to another.
• Brings a high degree of professionalism.
• Able to accept feedback in the spirit of growth and continuous improvement.
• Must adopt and live the Monument Health core values.
• Experience in process engineering, program development, data/analytics, clinical operations, and/or member services preferred.
• Knowledge or experience in value-based care delivery preferred.

Knowledge, Skills, Abilities, and Other Characteristics

• Minimum of three (3) years of experience working in project management required; preferably in a healthcare or health insurance setting.
• Knowledge of self-insured health plans, commercial health plans, and value-based healthcare.
• Must be a highly motivated, self-driven individual who can learn quickly and be comfortable in a fast-paced, start-up environment where direct feedback is regularly provided.
• Must work well independently and on a team, in person, remotely, and in hybrid formats.
• Demonstrated ability to lead a project from start to end.
• Experience managing multiple projects simultaneously and balancing multiple stakeholders’ opinions and priorities.
• Excellent customer service skills with a focus on providing high-quality, outcomes-driven member experiences.
• Must be skilled in high-impact business communication and demonstrate strong critical thinking skills.
• Intermediate to advanced user of Google G-Suite with a demonstrated willingness and ability to learn other software.
• Must adopt and live the Monument Health core values.

Education and Certifications Requirements

Baccalaureate degree required, with a preference in health related study or business. Graduate degree in public health, healthcare administration or clinical preferred. Registered Nurse (RN), Physician Associate (PA), or other relevant clinical licensure in the State of Colorado preferred.

Monument Health Overview

Monument Health, LLC is a joint venture capitalized in 2015 and owned by Intermountain St. Mary’s Regional Medical Center and Primary Care Partners. Monument Health facilitates the largest and most comprehensive clinically integrated network (CIN) on Colorado’s Western Slope and delivers high-impact population health services. The high performing integrated network and population health services allow for better, more coordinated care and cost containment in the communities it serves.

Monument Health currently manages a network of 100,000+ members across the Western Slope, encompassing Commercial, Medicaid, CHP+, Medicare, Medicare Advantage, and Dual Special Needs (D-SNP) insurance plans with multiple payors. Self-funded employer groups may also utilize the Monument Health network and population health services on their TPA platforms. In addition, Monument Health offers analytics, population health and employee-based wellness programs and services.

Physical Aspects of the Job – Regularly Required to Perform Job Tasks

Physical Requirements 

Lifting Requirements

Working Environment

Vision Requirements

Hearing Requirements

Mental Requirements

OSHA Category Classification: Category III

The normal work routine of this position does not involve exposure to blood, body fluids, or tissues. The person holding this position will not be called upon to perform or assist in emergency medical care or first aid or to be potentially exposed in some way. Category III does include handling of implements, utensils, equipment; using public restrooms and public telephones; and personal contacts such as handshaking.