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Quality Assurance Specialist

2 months ago

Albuquerque, New Mexico, United States UNM Medical Group, Inc. Full time
About the Role

The UNM Medical Group, Inc. is seeking a highly skilled Quality Assurance Specialist to join our Office of Population Health Management department. This is a full-time day shift opening located in Albuquerque, New Mexico. This is a hybrid position.

Key Responsibilities:

  1. Enter, collect, and analyze quality data to support the achievement and maintenance of healthcare accreditations, recognitions, and protocols.
  2. Coordinate activities, data, and other items to support the achievement and maintenance of healthcare accreditations, recognitions, and protocols.
  3. Monitor and evaluate the appropriateness of quality control plans and practices according to protocol and accreditation requirements and state, federal healthcare standards.
  4. Design, schedule, and conduct quality review audits and/or clinical site visits as appropriate; perform or coordinate chart and/or other medical record reviews and records and/or abstracts specific relevant data as appropriate.
  5. Track sentinel events and regulatory action plans.
  6. Generate and/or coordinate the development of various reports regarding performance against quality indicators, as appropriate to the individual position.
  7. Track progress toward goals and ensure adherence to all required standards and requirements.
  8. Participate in the planning, development, coordination, and presentation of quality training and educational programs as appropriate.
  9. Collaborate and consult with customers regarding current quality issues and activities.
  10. Assist in reviewing and updating Policies/Procedures.
  11. Assist in reviewing and updating Standard Operating Procedures.
  12. Assist in conducting IP/Quality Walk Through.

Requirements:

  • High school diploma or GED with 5 years directly related experience. Bachelor's degree with 1 year directly related experience preferred. Completed degree from an accredited institution that are above the minimum education requirement may be substituted for experience on a year for year basis. Verification of education and licensure (if applicable) will be required if selected for hire.

About the Office of Population Health Management:

The Office of Population Health Management supports the Health System's transition to value-based care and ensures regulatory compliance. We use data analytics to improve care delivery throughout the UNM Health System. Our team works collaboratively with multiple stakeholders to improve access, utilization, and outcomes for our patients.

Benefits:

  • Competitive Salary & Benefits: UNMMG provides a competitive salary along with a comprehensive benefits package.
  • Insurance Coverage: Includes medical, dental, vision, and life insurance.
  • Additional Perks: Offers tuition reimbursement, generous paid time off, and a 403b retirement plan for eligible employees.