ICS Pop Health Network Representative (Remote) - Children's Mercy KC

Thanks for your interest in Children's Mercy!:

Do you envision finding a meaningful role with an inclusive and compassionate team? At Children’s Mercy, we believe in making a difference in the lives of all children and shining a light of hope to the patients and families we serve. Our employees make the difference, which is why we have been recognized by U.S. News & World Report as a top pediatric hospital, for eleven consecutive years.

 

Children’s Mercy is in the heart of Kansas City – a metro abounding in cultural experiences, vibrant communities and thriving businesses. This is where our patients and families live, work and play. This is a community that has embraced our hospital and we strive to say thanks by giving back. As a leader in children’s health, we engage in meaningful programs and partnerships throughout the region so that we can improve the lives of children beyond the walls of our hospital.

Overview:

Reporting to the Director of Medicaid OPS and Provider Relations, (or ICS Population Health Facilitation Manager) the ICS Population Health and Network Facilitation Representative is responsible for the recruitment and ongoing relationship with the Children's Mercy Integrated Care Solutions (ICS) Network of Providers. They are responsible for planning, management and implementation of projects that support and advance the population health management strategies of Children's Mercy Integrated Care Solutions (ICS) that include contract compliance, operational strategies, patient centered medical home policies, value-based reimbursement performance and quality and cost measures.

 

At Children’s Mercy, we are committed to ensuring that everyone feels welcomed within our walls. A successful candidate for this position will join us as we strive to create a workplace that reflects the community we serve, as well as our core values of kindness, curiosity, inclusion, team and integrity.

 

Additionally, it’s important to us that we remain transparent with all potential job candidates. Because we value the safety of the patients and families we serve, as well as the Children’s Mercy staff, we want to let you know that the seasonal influenza vaccine is a condition of employment for all employees in our organization. New employees must be willing to be vaccinated if found non-immune to measles, mumps, rubella (MMR) and chicken pox (varicella) and/or without evidence of tetanus, diphtheria, acellular pertussis (Tdap) vaccination since 2005. If you are selected for this position, you will be asked to supply your immunization records as proof of vaccination. If you and have any concerns about receiving these vaccines, medical and/or religious exemptions can be further discussed with Human Resources.

Responsibilities:

• - Maintains effective channels of communications with providers and networks to promote understanding of policies, procedures and contractual requirements while creating a high level of satisfaction for network providers. Support and lead projects, in partnership with ICS intra-departmental management and staff, that the ICS Network Providers may use in their practice administration. Educates network physicians, mid-level providers, practice managers and their staff on programs, website tools and program/policy enhancements. Explains and interprets contract language as necessary serving as a liaison between the network provider, affiliated health plans, payers and CMICS. Ensures that the external stakeholders (ICS Networks) have a clear understanding of the population health resources, tools and project objectives. Partners with intra-departmental staff to create and monitor works plans and contract objectives. Together, with and ICS internal Population Health programs and subject matter experts, The ICS Population Health and Network Facilitation Representative and other internal departments with which they partner, is ultimately accountable for the effectiveness and success of the ICS Network.
• - Identifies development opportunities and monitoring activities that support population management to include assessment and feedback to practices regarding organizational, clinical and business functions supporting population health management strategies, including utilization of outcome measures. Together with the Population Health project managers, the ICS Practice Facilitation representative determines success of program utilizing the outcome measurements, input from provider and staff, care team members, and continued research on clinical guidelines, and clinical recommendations. Implements changes as necessary to improve program while promoting optimal health system performance
• - Support data analytics, analytical tools/resources, and reports to support quality/cost improvement. This position will review and assure quality and accuracy of data analytics, reports, etc. and works with applicable stakeholders to communicate outcomes and/or modify analyses as applicable in collaboration with internal teams.

Qualifications:

• Bachelor's Degree and 5-7 years experience Quality improvement, population health management and/or health care related field (managed care or provider experience preferred)
• LPN/RN preferred, but not required upon hire Preferred Upon Hire

Benefits at Children's Mercy:

The benefits plans at Children’s Mercy are one of many reasons we are recognized as one of the best places to work in Kansas City. Our plans are designed to meet the changing needs of our employees and their families.

Learn more about Children’s Mercy benefits. Starting Pay:

Our pay ranges are market competitive. The pay range for this job begins at $28.20/hr, but your offer will be determined based on your education and experience.

 

 

Remote Work/Work from Home:

This position is entirely remote or work-from-home. The person hired must live in the Kansas City metro area and may attend on-site meetings, as scheduled.

EEO Employer/Disabled/Vet:

Children’s Mercy hires individuals based on their job skills, expertise and ability to maintain professional relationships with fellow employees, patients, parents and visitors. A personal interview, formal education and training, previous work experience, references and a criminal background investigation all are factors used to select the best candidates. The hospital does not discriminate against prospective or current employees based on the race, color, religion, sex, national origin, age, disability, creed, genetic information, sexual orientation, gender identity or expression, ancestry or veteran status. A drug screen will be performed upon hire. Children’s Mercy is smoke and tobacco free.

 

Our commitment to Diversity & Inclusion:

CM is committed to creating a diverse and inclusive workforce. Our patients and families come from all walks of life, and so do we. We know that our greatest strengths come from the people who make up our team so we hire great people from a wide variety of backgrounds, not just because it’s the right thing to do, but because it makes our hospital stronger and our patient care more compassionate.

If you share our values and our enthusiasm for service, you will find a home at CM. In recruiting for our team, we welcome the unique contributions that you can bring, including education, ideas, culture, ethnicity, race, sex, sexual orientation, gender identity and expression, national origin, age, languages spoken, veteran status, color, religion, disability and beliefs.