AVP, Clinical Process Improvement

New York, NY
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Job Type:

Full Time

Job Details

AVP, Clinical Process Improvement (full-time) in the New York, NY area.

Employer type: Home health, hospice, health plans.

What the work involves:

  • Establishes clear process ownership, decision rights, controls, accountabilities and performance expectations while appropriately addressing differences across products, populations and regulatory requirements.
  • Defines future-state processes, workflows, business rules, roles, responsibilities, handoffs, controls and escalation pathways and establishes standards for clinical process documentation and version management.
  • Partners with Technology and clinical leaders to translate operating requirements into technology-enabled workflows and identifies appropriate opportunities for automation, decision support and emerging technologies.
  • Establishes mechanisms to monitor clinical process performance, identify variation and emerging issues, conduct root-cause analysis and implement sustainable corrective solutions.
  • Defines measures and executive reporting for the clinical process improvement portfolio and quantifies operational, clinical, quality, member/provider experience and financial outcomes of improvement initiatives.
  • Builds continuous-improvement capability across Health Plans clinical functions through repeatable methodologies, tools, coaching and knowledge transfer.

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