Quality Specialist
2 weeks ago
At AltaMed Health Services, we are committed to delivering exceptional care to our communities. As a Quality Specialist, you will play a vital role in ensuring that our quality of care meets the highest standards.
Job SummaryThe Quality Specialist is a California licensed nurse responsible for collecting, analyzing, and mining quality data metrics. They will help devise provider report cards and/or program adjustments that support Star measures, HEDIS, pay-for-performance initiatives, and other quality oversight functions.
Key Responsibilities- Processed data analytics and reports on performance improvement and quality of care interventions and efforts.
- Assists in the identification of quality of care issues pertaining to all managed care activities.
- Tracks and trends specified patients/populations conditions that support the clinical and care management of these patients.
- Supports quality improvement projects and initiatives, measures effectiveness of programmatic interventions as needed.
- Reviews literature evidenced-based practices, performs workflow analyses and communicates with internal and external customers.
- Bachelor's degree is required.
- California license as a Registered Nurse or Licensed Vocational Nurse required.
- Minimum of 4 years of experience in process improvement and/or other quality management/improvement related experience required.
- Minimum of 2 years of experience with HEDIS, Star Measures, and Peer Review Process required.
- Competitive compensation package.
- Medical, Dental and Vision insurance.
- 403(b) Retirement savings plans with employer matching contributions.
- Flexible Spending Accounts.
- Commuter Flexible Spending.
- Career Advancement & Development opportunities.
- Paid Time Off & Holidays.
- Paid CME Days.
- Malpractice insurance and tail coverage.
- Tuition Reimbursement Program.
- Corporate Employee Discounts.
- Employee Referral Bonus Program.
- Pet Care Insurance.
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