Clinical Program Consultant

Saisystems Health is looking for a Clinical Programs Consultant to join our team! The ideal candidate will serve as the lead subject matter expert for clinical quality, risk, and CMS Programs such as CCM and BHI for all provider with Saisystems Digital clients. Includes Ambulatory and Post Acute provider services groups. This will encompass providing guidance and oversight for clinical programs being provided. The CPC is responsible for leading a robust clinical quality, risk, government payor initiatives program, and performance improvement activity agenda that will span across all specialty service lines. The CPC will collaborate very closely with client leadership to achieve the clinical outcomes that support each clients mission and vision. Be part of one of the BEST PLACES TO WORK as our Clinical Programs Consultant!

Company Description

Saisystems Health, a Saisystems International, Inc. division, is a healthcare solutions and services company with over 35 years of experience in managed service solutions and telemedicine software for the long-term post-acute care (LTPAC) industry. We continuously strive to bring stability and growth even in challenging times and beyond, and remain the top choice partner for telemedicine and practice management. Our company is proud to be certified as a Minority/Woman-Owned enterprise and we have been honored as the Best Place to Work in Connecticut by Hartford Business Journal (2018-2023), as well as recognized by the Connecticut Technology Council and US Pan Asian American Chamber of Commerce for our services.

Qualifications

• Bachelor’s Degree required, Master’s Degree highly preferred
• 3-7 years relevant experience required
• Exceptional communication and interpersonal skills, with a track record of building strong relationships
• Demonstrated ability in managing multiple projects and priorities in a fast-paced environment
• Strong problem-solving and analytical skills, with the ability to identify and manage risks
• Highly organized, detail-oriented, and focused on delivering results
• Experience with electronic health records (EHR) and healthcare technology
• Passionate about delivering an exceptional client experience and dedicated to client success
• Practice Management, RN or LPN license experience a highly preferred

Job Responsibilities:

• Provides strategic leadership to the clinical quality, risk and performance improvement agenda within the assigned division.
• Develops, in collaboration with the Product Owners, Corporate Executives, and client leadership, a customized clinical and quality agenda specific to the market driven needs of the organization and clients.
• Directs efforts to ensure effective clinical quality program and performance improvement implementation throughout the client organizations. Provides guidance to client’s employees/management in complying with the requirements and intentions of the program.
• Provides leadership to drive work for clinical improvement and service enhancement.
• Acts as a support leader for client’s Quality Improvement and Patient Safety initiatives, as directed. Prepares and submits minutes from all meetings as directed.
• In coordination with the Client Relations Managers (CRM) and clients, develops and implements programs, initiatives, and improvement strategies to ensure consistency in compliance with applicable laws, regulations, and other governmental requirements.
• Monitors and communicates with client leadership regarding quality improvement trends. Assists in preparations of metric reports and development of meaningful improvement plans. Participates in client Business Reviews / Operating reviews.
• · Facilitates effective communication with clients and Saisystems leadership regarding key clinical performance improvement activities and initiatives.
• · Responsible for facilitating investigation, required reporting, and corrective action development for serious quality or risk issues within the organization as requested by Executives. Accesses company resources as appropriate. Facilitates completion of Root Cause Analysis.
• Maintains awareness of regulations, keeping abreast of pending and or implemented changes. Develops communication tools to alert Product Managers and Executives.
• Maintains current competency with all current Quality Program initiatives.
• Provides practice assessments and identifies deficiencies as applicable, develops in collaboration with CRM any needed corrective action plans, and assists in the management of the action plan to completion.
• Submits meaningful reports to the Executives outlining the client’s performance on quality and Clinical initiatives and provides action plan for any initiative not being met.
• Provides education to employees and Medical Staff and supports ongoing education related to Quality Program and Clinical initiatives.
• Meets regularly with CRMs and Client Leadership and encourages shared learning.
• Provides product and client support and leadership for all government payor initiatives including, but not limited to, the Merit Based Incentive Payment System (MIPS), and as applicable advanced alternative payment models such as Accountable Care Organizations (ACOs) and Comprehensive Primary Care Plus (CPC) .
• Provides product and client support and leadership for all government clinical initiatives including, but not limited to, the Non-Complex Chronic Care Management (CCM), Behavioral Health Initiatives (BHI), and other initiatives including Remote Patient Monitoring (RPM)
• Provide consultative leadership and support to client practices and Saisystems personnel as appropriate and as directed by Leadership

Saisystems Health offers competitive compensation packages, including benefits such as health insurance, retirement plans, and paid time off. Join our team as an Onboarding Specialist and contribute to the success of our organization by ensuring a seamless onboarding experience for new clients. Apply now!

Job Type: Full-time

Pay: $85,000.00 - $95,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible schedule
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Professional development assistance
• Referral program
• Retirement plan
• Tuition reimbursement
• Vision insurance

Medical specialties:

• Geriatrics
• Home Health
• Hospice & Palliative Medicine

Schedule:

• 8 hour shift
• Monday to Friday

Supplemental pay types:

• Bonus opportunities

Work Location: In person

Salary : $85,000 - $95,000