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Quality Improvement Analyst

1 month ago

Costa Mesa, United States HELP-Hire Healthcare Full time
Job DescriptionJob Description

Essential Functions
-Under the direction of the Quality Improvement Manager, participates in analysis, interpretation, and translating of health plan data, issues, trends, and relationships into effective strategies and action plans.
-Responsible for managing assigned projects and effectively communicating with QI Manager on project status updates, deadlines, and roadblocks.
-Understanding of clinical quality programs and risk project  to ensure delivery of essential analytics to support outreach and daily clinical operations.
-Responsible for validating supplemental data entries within quality reporting system to ensure accuracy and submission standards.
-Develops and prepares reports to support Hoag’s leadership and clinical sites utilizing available analytics and data mining tools, including but not limited to:  Microsoft Applications (including MS Access), system-specific reporting tools (e.g., Cozeva, Report Manager, Qlikview,) or other related reporting software.
-Supports submission and audit process for quality programs, including but not limited to: health plan, national, and state-level quality programs.
-Responsible for evaluating report requests to determine the organization’s needs and objectives, identifying correct methodology for extracting data including data sources and criteria, and ensuring the delivered report is accurate, timely, and formatted appropriately.
-Maintain and develop quality and risk internal reporting from data extractions from tools within systems and databases.
-Will works alongside business partners and health plans to obtain needed reports to integrate into internal reports.
-Responsible for working alongside Hoag’s data teams to validate reports.
-Will revie  patient chart within EMR to understand issues with data capture within quality reporting system. 
-Ensure the privacy and security of PHI (Protected Health Information) as outlined in Hoag’s policies and procedures relating to HIPAA compliance."

Required Skills & Experience: 
-Minimum two (2) year previous experience in related field. 
-Excellent communication skills; customer focused; excellent attention to detail; able to prioritize tasks and meet deadlines; strong interpersonal skills; able to work in a team environment.
-Basic keyboarding skills at 35 WPM.
-Basic knowledge of Microsoft Office Suite, including Outlook, Word and Excel.
-Proven ability to interface with all customer levels (physicians, Organizational staff, insurance companies, patients and family members).
-Basic knowledge of medical terminology.

Preferred Skills & Experience: 
-Qualified bilingual or multilingual candidates.
-Minimum two (2) year previous experience within an acute healthcare system environment.

Required Education: 
-Bachelor’s degree in healthcare-related field.

Preferred Education: 
-Master’s degree in healthcare-related field.