Quality Assurance Specialist
3 weeks ago
The Quality Assurance Specialist is responsible for assisting in the coordination of Care Alliance Health Center's quality initiatives, with a focus on provider credentialing, patient safety, patient experience, and quality improvement measures, metrics, and strategies that will enhance patient care.
Key Responsibilities:
* Utilize EPIC, Azara, UDS, ODM, HRSA, and other databases to identify and formulate data relating to the needs of patients and clinical programs, as well as abstract data to ensure the alignment of cost with care outcomes
* Manage all aspects of the credentialing, re-credentialing, and contract enrolling for all providers, maintaining up-to-date data for each provider in credentialing databases and ensuring timely renewal of licenses and certifications
* Manage patient data and generate reports for analysis to identify quality-of-care gaps and opportunities
* Work collaboratively with the Director of Quality and Risk Management to implement quality initiatives, including population health initiatives, and monitor, review, and capture quality initiatives and gaps
* Maintain a quality dashboard for tracking and reporting purposes, creating reports and metrics data for all CAHC departments
Requirements:
Minimum Education and Experience:
Bachelor's degree in Public Health, Epidemiology, Nursing, or a related field, with a combination of education and experience considered in lieu of formal credentials
Minimum 3 years of experience developing and implementing healthcare quality initiatives and data management
Minimum of 3 years of experience generating quality reports, analyzing data, and reviewing clinical workflows
Must be proficient in managing insurance payor programs, data abstraction, and following metric trends, with experience using EPIC EMR, Azara, and Business Objects preferred
Strong attention to detail, ability to prioritize, and multitask
Compensation details:
Yearly Salary
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