Practice Transformation Specialist/Sr. (PSO)

TITLE: Practice Transformation Specialist/Senior Practice Transformation Specialist
DIVISION: CMA Physician Services Organization (PSO)
REPORTS TO: Sr. Program Manager, Practice Transformation
OFFICE LOCATION: Remote (preference for based in Los Angeles)
EXEMPTION STATUS: Exempt
SALARY RANGE: $80,000-$95,000
POSITION SUMMARY:
The CMA-PSO is looking for a Practice Transformation Specialist/Senior Practice Transformation Specialist (PTS) to help facilitate transformative change within independent practices and health centers on a few large-scale practice transformation initiatives. As a PTS, the ideal candidate will demonstrate advanced technical skills related to providing practice support, quality measure improvement, process-focused work product and strong problem solving experience with respect to direct and indirect client needs. We will also expect strong leadership skills, willingness to lead additional initiatives that may be piloted and/or explored, strong expertise in practice transformation tools and strategies, can navigate conversations with practices regarding improvement needs, and able to execute clear and concise communication and meetings with executive/leadership teams. In addition, the PTS will conduct frequent virtual or (permitting) in-person visits to assigned practices, assisting the physicians and their staff with transformation plans to shift into value-based care, improve quality, and identify opportunities for increased practice efficiency. Finally, the PTS will help CMA-PSO develop its practice transformation process and tools, aimed at building practices’ overall capacity for ongoing and sustainable change to high-performing medical practices.
DUTIES/RESPONSIBILITIES

• Project manage their assigned practices and health centers and work directly with physicians and staff to improve performance related to Medi-Cal HEDIS measures, value-based care, quality improvement, encounter data metrics, and care processes.

• Partner with your assigned practices and health centers to help design, deploy, and train staff on workflows to close care gaps, optimize data documentation, and increase knowledge of client’s resources and programs.

• Work closely with partners, e.g., client’s Practice Transformation Specialists, to track improvement across quality measures, implement specific quality improvement interventions as it relates to each applicable quality measure, and coordinate meetings with practice and health center teams.

• Assist and guide practices with assessments, workflow changes, population health tool implementation, and participation in group learning collaboratives.

• Drive the practices and health centers toward outcomes that improve care, coding and documentation, and maximize value-based care incentives.

• Support data tracking and analysis of practice or health center performance metrics on a regular basis and support sharing out with practice and health center staff.

• Regular meetings and presentations with a variety of teams across organizations.

• Communicate and escalate areas of concern, needed tools, or barriers to achieving goals.

• Identify barriers and propose solutions for improvement in operations of initiatives and workflows.

• Lead additional practice initiatives and/or pilots when necessary.

• Assist in the preparation of proposals, reports, updates, and summaries for executive audiences.

• Other duties as assigned.

QUALIFICATIONS/EXPERIENCE/EDUCATION

• Five to ten (5-10) years of prior experience working directly with independent practices and/or community health centers (CHCs) across California in quality improvement roles related to practice management, practice transformation, healthcare administration, HEDIS, or healthcare consulting, preferably supporting health plans with quality improvement, practice optimization and practice transformation initiatives and transformative workflow changes.
• Based in California in the greater Los Angeles region is preferable, but would consider general Southern California region. Willing to travel for one onsite visit per practice per quarter. (Note: It is expected that most of the work will be remote, requiring virtual visits).
• Experience working with multi-site organizations would be ideal, preferably in Los Angeles county.
• Strong project management experience working on medium to large scale initiatives, preferably in a practice/clinical setting and significant experience presenting and engaging with executive leadership.
• Experience working on multiple projects or tasks requiring input from different teams and leading collaboration efforts with providers, physicians, payors, and other stakeholders to drive consensus.
• Possess a deep understanding of healthcare systems, payors, value based care (VBC) and quality improvement methodologies, change management principles, social drivers of health (SDoH), data analytics and regulatory requirements relevant to practice transformation.
• Preference for data analytics capabilities, including advanced Excel skills (e.g., automation, data modeling, and performance tracking) to support quality improvement initiatives.
• Experience conducting research and developing resources (e.g., outlines, toolkits, and draft materials) to support practice transformation efforts.
• Familiarity and comfort with AI tools (e.g., ChatGPT) and enthusiasm for leveraging emerging technologies to enhance workflow efficiency and insights.
• Experience exporting data and running reports, preparing proposals, reports, updates, and summaries in the practice/clinical setting, process mapping, and workflow analysis tools.
• Knowledge of project management and workflow tools (e.g., Monday.com).
• Strong understanding of and previous experience working with Electronic Medical Records (EMR) and Practice Management Systems (PMS) for clinical purposes.
• Experience mentoring junior staff, providing guidance and support to help them develop their skills and expertise in practice transformation.
• Excellent problem-solving skills.
• Excellent oral and written communication skills.
• Excellent computer skills and willingness to learn new programs/applications.
• Team player
• Highly organized
• Great bedside/ working manner and strong relationship building skills.
• Passionate about population health and helping practices and health centers improve patient care.
• A bachelor's degree in a relevant field such as healthcare administration, public health, business administration, or a related field is preferred, or an AA degree with a minimum of 5 years of PT experience.

EQUIPMENT OPERATION

Position requires operation of normal office equipment, computer, cell phone, printers, photocopier, mobile communications tools, etc.

PHYSICAL REQUIREMENTS

Occasional travel to practices for onsite visits, no more than on a quarterly basis.

(This job description reflects the general level and nature of the job. It is not intended to be all inclusive.)