Health Operations Analyst and Access Manager

POSITION SUMMARY:

Responsible for financial and data analysis of APLA Health clinical operations, managing patient panel assignments, and developing and tracking reports on key metrics and conducting staff training.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Ensures each patient is assigned a Primary Care Provider
• Resolves unassigned patients by reviewing appointment history to determine appropriate assignment based on PCP availability
• Monitors influx of new patients into provider panels and analyzes provider capacity (panel fullness) to absorb new patients; reviews issues with medical director and reassigns as appropriate
• Reporting:
  • Develops monthly panel report and reviews PCP assignments. The monthly panel report consists of all patients seen in specified month, assigned PCP, treating provider (continuity), retention and PCP Change
  • Determines continuity percentages for each provider against CHC goals.
  • Ensure continuity target goals are being met. If not, develops a performance improvement plan in collaboration with the Chief Clinical Operations Officer and Chief Medical Officer
  • Develops and generates operational reports such as panel fullness, urgent/same day appointment availability, third next available, provider productivity reports, budgeted visits to actual visits, unlocked charts, etc.
• In collaboration with the Chief Clinical Operations officer and the Chief Medical Officer, Manages PCP Change requests. Which could include
  • Patient-initiated PCP-change requests; facilitates discussion between and obtains approval from current assigned PCP and future PCP; makes the change in the practice management system
  • Provider-initiated PCP change requests. Facilitates discussion between current PCP and potential future PCPs; obtains agreement of acceptance by the new PCP. Makes the change in the practice management system.
• Tracks patient status changes including death, transfers to other care, and makes the change in the practice management system
• Assesses panel fullness against “right size” and discusses any needed adjustments with CMO
• Assess impact of requests for changes in part-time status
• Under the direction of the Chief Clinical Operations Officer and the Chief Medical Officer tracks impact and support medical and operational leaders in making decisions on cross coverage, temporary coverage, and movement of whole or partial panels tracks provider status changes (transfer, termination, sabbatical, medical leave, etc.) and:
  •  Evaluates impact on assigned panel of patients
  •  Reassigns panel to other clinic providers according to panel fullness
  •  Notifies affected patients of new PCP assignment
• Training:
  • Conducts empanelment 101 training for all staff (importance of empanelment, access, and continuity)
  • Conduct contact ce