Duke Connected Care, a community-based, physician-led network, includes a group of doctors, hospitals and other healthcare providers who work together to deliver high-quality care to Medicare Fee-for-Service patients in Durham and itssurrounding areas.
General Description of the Job ClassPlan, coordinate and administer activities within assigned program areas; develop, coordinate and advise on policy related to assigned major programs.Duties and Responsibilities of this LevelDML administrationManage the contract process for Duke MedLinkAdvise the site administrator on requirements in preparing agreement submissions.Review submitted agreements to ensure compliance with PHMO’s procedures and institutional signatures.Interpret departmental policies and procedures, making decisions on specific operational problems and issuing instructions on behalf of PHMO.Monitor compliance with practices and Duke regulations regarding submission.Monitor agreement approval status and advise site administrator on requirements and deadlines associated with protocols.Manage reporting and compliance timeliness for new agreementsRead and develop a full understanding of the terms and conditions of the executed agreements in order to set-up and effectively maintain tracking system for provisioning/renewalsConduct analysis and make recommendations to department.Operations support, such as:Vendr contract compliance with Clinovations, PP, HealthQx,etc. This includes data analysis, knowledge of payer contracts, and preparing reports to determine/support contractual obligations are being met; and providing solutions and recommendations as changes are needed. Payer cntract compliance, via NPI rostersCardiac project & scalesDesigning new protocols around PDC direct schedulingElements of CIN QI plan for MSSP, including specific DHTS-related projects or community practice efforts EducationWork requires analytical, communications and organizational skills generally acquired through completion of a bachelor's degree programExperienceWork requires three years of experience in program administration or involving academic, instructional or counseling activities to acquire skills necessary to plan, coordinate and implement a variety of program activities and events.OR AN EQUIVALENT COMBINATION OF RELEVANT EDUCATION AND/OR EXPERIENCESuccessful candidates will have:
- Communications, project management, and organizational skills Ability to manage multiple projects with competing deadlines.Skills using logic and reasoning to identify solutions to problems.Skill in evaluating the performance of a project or initiative and the impact and outcome of actions taken.Strong written and communication skills.
Duke University is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.
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Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.