Job Title:                       Manager, Clinical Transformation

Location:                       Danville, PA

Department:                  Geisinger Health Plan

Work Type:                    Full Time

Job Summary:

Responsible for the assessment, design, development and implementation of education programs and processes to transform member care for all related lines of business. The manager oversees a team that works with Physician leadership, Executive Administration, Internal coding, Provider Network Management, Population Health and Operational teams. Supports all quality documentation initiatives for multiple hospital systems and over 2,500 physicians in the Geisinger Health Plan Network. This manager will be responsible for driving industry change associated with value-based outcomes through quality documentation

Competencies and Skills:

Demonstrates:

·         Excellent management, leadership, and interpersonal skills and ability to communicate effectively

·         Self-driven, as well as, ability to influence and mentor a team

·         Ability to interact professionally and positively with all levels of personnel

·         Proficiency and expertise in Health Plan data applications and reporting tools

·         Ability to take initiative to benefit the team

·         Excellent organization, staff oversight, and analytical skills

·         Ability to maintain confidentiality in all settings

·         Ability to work in a matrix environment

·         Leadership in change management

·         Ability to interpret and communicate analytical information in a clear, concise manner

·         Strong project management skills including planning, processing work flow, tracking, implementation, and resource management

·         Critical thinking skills and has a strong sense of how to get things done in a complex organization

·         Understanding of healthcare delivery systems, current healthcare regulatory environment and future trends

·         Willingness to travel

The specific statements shown above are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job

Education / Experience:

Bachelor's degree in business or health care administration is required with 5 years related supervisory experience required.

Or Master’s degree in business or health care administration with 1 year related supervisory experience.

Or Minimum of six years related supervisory experience may be considered in lieu of degree.

Additional requirements:

• Coding certification (through AAPC or AHIMA), such as CPC/Certified Professional Coder

• 8 years’ experience in practical coding and appropriate electronic health record documentation

• Certified risk adjustment coder (CRC) through AAPC

Preferred:

• Certified Documentation Expert- Outpatient (CDEO) preferred through AAPC

• RHIT

• Facilitation of a coding curriculum in an advanced educational setting

Possession of a valid driver's license and must be willing to travel at least 30 percent of the time required

Working Conditions/Physical Demands:

Work is typically performed in an office environment.

Travel is required

OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.

Geisinger Health Plan (GHP) is the health insurance component of Geisinger and serves over 460,000 members in Pennsylvania.  Begun in 1985, GHP provides high quality, affordable health-care benefits for businesses of all sizes, individuals and families, and Medicare beneficiaries.

About Geisinger:   Founded more than 100 years ago, Geisinger serves more than three million residents throughout central, south-central and northeastern Pennsylvania and southern New Jersey. Our physician-led system is comprised of 30,000 employees, including 1,600 employed physicians, and consists of 13 hospital campuses, the Geisinger Health Plan, Geisinger Commonwealth School of Medicine and two research centers.