Patient Care Contracts Specialist

Patient Care Contracts Specialist - Temporary (2 Positions)

CARE AND BE CARED FOR - THIS IS YOUR HOME

Are you highly organized, detail-oriented and able to work accurately in a busy environment with frequent interruptions? Are you seeking a rewarding career that cares for others within an organization that values you? You're looking in the right place.

If so, take a look at this rewarding career opportunity to work alongside a supportive and collaborative team of over 9,000 regulated health care and other professionals. ​​​We are in a momentous time for health care in Ontario as we move to a more connected system through the Ontario Health Teams model of care.

Ontario Health at Home is looking for a Patient Care Contracts Specialist who will report to the Manager Patient Care Contracts. The Patient Care Contracts Specialist is responsible for providing analysis, leading projects, and supporting the improvement of services delivered by Ontario Health at Home and contracted Service Provider Organizations.

This position is also responsible for the development and delivery of all Patient Service contracts for Ontario Health atHome Mississauga Office. Additionally, this role may provide support for regional or provincial Ontario Health atHome projects as they arise.

What will you do?

hat will you do?

• Collaborates with the Manager, Patient Care Contracts on the development and management of contract monitoring and performance evaluation tools
• Supports the management of Patient Service contract documents, including drafting amending agreements, validating rates and performance metrics.
• Monitors Service Provider performance in relation to service delivery standards, (e.g., risk events, tracking and trending of service refusals, service volumes, response to patient satisfaction surveys)
• Ensures Ontario Health atHome complies with contractual obligations, (e.g. awarded service volumes, market share, notifications, billing and payment requirements)
• Makes adjustments to Client Health Related Information System (CHRIS) database as directed
• Provides confidential analysis, interpretation and reporting of organizational data and Service Provider Performance to patient care contracts and patient services management.
• Supports the coordination of audits and other related Performance Management activities
• Participates in regular Service Provider meetings to build effective relationships, to address operational issues and concerns and to collaboratively plan for future initiatives
• Prepares analysis and materials and participates in regular quality review meetings with Service Providers to review performance indicators, risk events, report trends, and quality improvement initiatives
• Collaborates with Service Providers to improve performance and recommend contractual remedies for Service Provider performance that consistently does not meet Ontario Health atHome Mississauga Halton standards
• Tracks outstanding performance issues and timely implementation of Service Provider actions
• Provides consultation and support to Patient Services managers and staff related to the contract obligations of Ontario Health atHome and its Service Providers
• Prepares and enters data required for provincial and or local reporting obligations
• Supports Patient Care projects involving service providers
• Provides support relating to the investigation of risk events in the Event Tracking Management System
• Participate in orientation sessions for New Service Providers as required
• Draft briefing notes, presentations, reports and other documents as required.

CHRIS Administration

• Completes purchased services maintenance in CHRIS
• Updates CHRIS code tables as required (geographic areas, local distinctions etc); ensures contract information in the database reflects contract agreements between Ontario Health atHome Mississauga Halton and Service Providers; updates provider billing numbers as required; adjusts service volume market share as required
• Assists in problem-solving CHRIS errors and issues related to service provider submission

What Must you have?

• University degree in a health discipline, Health Administration, or related field (or equivalent combination of education and experience)
• Four (4) to six (6) years of related work experience in contract management, performance management, or compliance, preferably in a healthcare or government environment
• Experience providing data analysis and to translate data into useful information
• Demonstrated knowledge and experience with contract monitoring and evaluation tools
• Ability to understand and synthesize complex and technical legal, operational, and healthcare language or processes
• Adept in the use of MS Office applications (e.g., Word, Excel, Outlook, PowerPoint, etc.)
• Medium to advanced skills with Microsoft Excel and PowerPoint
• Understanding and commitment to quality service and best practice
• Flexible, adaptable and responsive to change
• Self-directed with an ability to organize, plan, prioritize and multi-task
• Thorough written documentation skills that are clear, thorough, concise, accurate and timely
• Demonstrated critical thinking
• Detail-oriented
• Demonstrates strong written and verbal communication skills
• Courteous and respectful in all interactions
• Ensures effective and professional communications with all internal/external contacts
• Works respectfully, positively and collaboratively within a team environment
• Respects ethnic, spiritual, linguistic, familial and cultural differences
• Meets with Service Providers to discuss performance and work out solutions to problems
• Advocates fairness, quality and accountability
• Ability to communicate in French or another language an asset
• We have a mandatory COVID-19 vaccination policy. As a condition of employment, all employees are required to submit proof of COVID-19 vaccination status prior to start date.

What would give you the edge?

• Knowledge of home and community care
• Fluency in French or another second language would be an asset

What do we offer?

We know wellness is supported with work-life balance. In an inclusive culture committed to support your passion for continuous learning, growth and innovation, we offer: ​

• • • Attractive comprehensive compensation packages and benefits
• Valuable development opportunities
• Membership in a world class defined benefit pension plan​
• Hybrid work environment
• Salary: $ $67,765 to $80,915 annually

Who are we?

We are Ontario Health atHome, ready to serve every person in Ontario. We partner with patients and caregivers, family physicians, hospitals, long-term care and retirement homes, service providers and Ontario Health Teams, to deliver responsive, accessible, integrated, patient-centred care.

Why join us?

If you're interested in driving excellence in care and service delivery, and seeking an unparalleled opportunity to lead and learn, partner and connect, care and be cared for, this is your home.

Equity, Inclusion, Diversity and Anti-Racism Commitment

Ontario Health atHome is committed to a culture of equity, inclusion, diversity, and anti-racism. We are committed to attracting, engaging, and developing a workforce that reflects the diverse communities we serve. We welcome and encourage applications from all qualified applicants. Accommodation for persons with disabilities required during the recruitment process is available upon request.

We thank all applicants for their interest; however, only those selected for an interview will be contacted.