Quality Specialist

2 weeks ago


Montebello, California, United States AltaMed Health Services Full time
Job Title: Quality Specialist

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 Summary

The 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.
Requirements
  • 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.
What We Offer
  • 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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