Practice Transformation Manager

Integra Connect is seeking an experienced clinical Practice Transformation Manager (PTM) to drive improvements in oncology practice performance within value-based care arrangements. This role requires a blend of data analysis and trend identification, clinical expertise, and strong consultative skills. The PTM will leverage claims and utilization management data from dashboards and reports to identify oncology practice workflow gaps and performance trends, collaborate with payor clinical experts on improvement strategies, and actively research, curate, and develop clinical content and best practices. They will then consult directly with oncology practices to implement these strategies, enhancing quality and efficiency aligned with value-based care goals, including generating cost savings and improving the overall quality of care for oncology patients.

Responsibilities:

• Facilitate the completion of a Practice Transformation Baseline Assessment by oncology practices and collate results to assist practices in identifying potential improvement opportunities in current state processes and structures.
• Utilize dashboards, reports, and underlying data to identify key trends in practice performance related to quality metrics, cost, and utilization within value-based care arrangements.
• Analyze data to identify gaps and inefficiencies in oncology practice processes, structures, and workflows that impact value-based care outcomes.
• Conduct in-depth analysis (“deep dives”) on practice performance data, particularly when practices are underperforming in specific quality, cost, and utilization areas.
• Collaborate effectively with clinical partners to create presentation materials (e.g., PowerPoint decks) to summarize real-time data insights, identify workflow gaps, and consult on potential improvement recommendations.
• Research and curate evidence-based clinical content, workflows, and best practices aligned to potential gaps in oncology practice processes and structures.
• When applicable, create new clinical content, workflow diagrams, and guides tailored to specific practice needs.
• Organize and maintain a resource library of all curated and created clinical content and best practices for easy access by the Practice Transformation Team and the oncology practices.
• Translate data insights and best practice expertise into clear and actionable strategies and workflow recommendations for oncology practices.
• Serve as a subject matter expert and consultant to oncology practices for value-based care requirements, quality improvement methodologies, and clinical workflow optimization.
• Conduct and participate in Joint Operating Council (JOC) meetings with participating practices on a regular cadence.
• Work with data teams and track whether the implementation of recommended workflows or use of curated content leads to measurable improvements in key performance indicators.
• Effectively collaborate with internal data analytics, reporting, and product teams to understand available data and reporting capabilities and provide feedback on dashboard and reporting enhancements, where applicable.
• Collaborate with internal and external teams to create and continuously update oncology practice risk profiles based on qualitative and quantitative data.
• Continuously track and monitor practice improvement activities against value-based care performance targets and provide feedback to practices on a regular cadence.
• Under the direction of their manager, prepare and distribute value-based care performance analysis and reports to various stakeholders, including payor clients, internal teams, external practices, and senior leadership.
• Maintain a strong understanding of value-based care models, quality measures, relevant clinical practices, and quality standards.