Quality Assurance and Compliance Expert

3 weeks ago


Houston, Texas, United States Asian American Health Coalition Full time
About the Position

We are seeking a highly skilled Quality Assurance and Compliance Expert to join our team. This individual will be responsible for ensuring the accuracy of Quality Metrics data and reports, including investigation, auditing, and improvement opportunities.

The ideal candidate will have experience in healthcare quality metrics and be knowledgeable of relevant regulations, including State of TX, CMS, NCQA, and insurance payors. They will also provide implementation support, measurement standards, and revisions as needed to incorporate best practices with proven outcomes.

Duties and Responsibilities
  1. Lead process improvement to meet objectives defined by the Quality Assurance and Risk Manager;
  2. Serve as subject matter expert on technical specifications UDS, PCMH, and OSHA;
  3. Lead process improvement at provider sites to support clinical team performance on high impact quality measures and adherence to clinical practice guidelines;
  4. Complete regulatory reporting requirements related to oversight of PCMH Quality performance;
  5. Serves as Clinical implementation expert for E. Med. Rec.;
  6. Provides coordination and oversight of the VFC program ensuring accurate ordering, inventory, documentation and storage/handling of VFC program resources;
  7. Works with DCS/QI to evaluate and audit clinical data necessary for program integrity related to the various programs at HOPE Clinic including the 340B drug discount program, clinical chart audits, UDS clinical quality data and other programs;
  8. Works with DCS/QI to train and implement a program of provider/department report cards based on quality data and updates this periodically;
  9. Works with DCS/QI to implement new software related to quality improvement work with providers and other staff such as software for risk assessment of patients, remote patient monitoring and other similar type programs;


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