Position Purpose:

This position will provide leadership and direction for the implementation and operation of various clinical programs.

Duties and responsibilities

·        Responsible for oversight and management of the geographically dispersed Clinical Decision Support Team.

·        Responsible for design and implementation of business processes that facilitate collaboration of a geographically diverse team.

·        Responsible for prioritization of CDS projects and work requests and distribution of work within the team.

·        Objectively confirm and communicate CDS activities and concerns throughout the enterprise.

·        Responsible for ensuring the accuracy of the clinical content of e-prescribe and EMR.

·        Responsible for ensuring the accuracy of the clinical content of IMPACT reports.

·        Responsible for the design and development of clinically oriented CME accredited documents that address the diagnosis, documentation and treatment of conditions common to the Essence membership.

·        Responsible for the design and development of financially and legally oriented CME accredited documents that address complete and accurate documentation in a Medicare advantage risk adjusted model with the ultimate goal of improving quality of care.

·        Ongoing analysis of the medical literature that is pertinent to Essence membership.

·        Support of the Clinical Quality Goals of Essence by collaboration on their development, identifying and implementing interventions, analyzing barriers to care, and identifying metrics for measuring their effectiveness.

·        Management of the Clinical Decision Support work group of IMPACT.

·        Development and distribution of timely and relevant clinical information on a regular basis to contracted physicians.

·        Oversight of diabetes Special Needs Program.

·        Coordination and participation in weekly or bi-weekly journal club.

·        Communicate relevant Enterprise related news, successes, and concerns to CDS team.

·        Oversee data management and informatics functions performed by CDS team members.

Preferred Job Requirements

·        Proven ability to take independent action/ initiative, work with a sense of urgency, and the ability to make decisions and take responsibility for them.

·        Proven ability to react and adjust quickly to changing conditions and come up with practical ideas for dealing with them.

·        Requires a high degree of attention to details, a strong commitment to process and procedures.

·        Requires a strong analytical approach and the ability to strategically synthesize various information, data and situations, and make sense of it all.

·        A strong anticipatory thinker, spending time in the future around what could be and then focuses on how to reach goals.

·        Strong communication skills (verbal and written), including demonstration of skills from front line to executive level.

·        High standard of integrity and ethical principles.

·        Ability to work in a highly regulated environment that requires strict compliance to regulatory standards.

·        Experience deploying clinical programs such as disease management, wellness.

·        Experience with information technologies pertaining to Health Plan/EMR/eprescribe programs preferred

·        Management experience required.

·        Education - clinical degree required.  RN/PharmD/MD

 We offer competitive salary and excellent benefits, Including 401k, EOE

Please Apply at

http://jobs-essencehealthcare.icims.com /