Quality Specialist

2 weeks ago

Mobile, Alabama, United States AltaPointe Health Systems Full time $65,000 - $85,000 per year

Primary Job Functions
Program Support and Quality Improvement

  • Assist in the implementation, coordination, and enhancement of the Health Center's Quality Assurance Program to ensure delivery of high-quality, patient-centered care.
  • Collaborate with clinical teams, administrative staff, and payors to develop, monitor, and evaluate quality goals, dashboards, and outcome reports.
  • Recommend and implement quality improvement initiatives based on data analysis, performance metrics, and identified clinic needs.
  • Assist in preparing for and participating in compliance and accreditation surveys, including HRSA Operational Site Visits, Joint Commission reviews, and payer audits.

Data Integrity and Reporting

  • Maintain a thorough understanding of assigned applications and data systems used in quality monitoring and reporting.
  • Support data integrity, accuracy, and completeness through data validation and hygiene activities.
  • Manage payer data and clinic rosters to support care gap closure and population health management.
  • Generate and analyze provider and clinic performance reports to monitor progress toward QI/QA goals.
  • Utilize Azara PVP and external data sources to identify, track, and close care gaps (e.g., cancer screenings, immunizations, chronic disease management).

Patient Experience and Care

  • Provide ongoing monitoring and support for patients through outreach, reminder calls, and coordination of preventive and chronic care services.
  • Assist clinical teams in identifying and engaging patients in need of follow-up or additional care management services.
  • Support patient satisfaction efforts, including data collection, trend analysis, and follow-up and corrective actions on patient feedback and grievances.

Supervision and Consultation

  • Seeks supervision and consultation as needed.
  • Accepts and employs suggestions for improvement and actively works to enhance skills.

Courteous and respectful attitudes towards consumers, visitors and co-workers

  • Treats patients with care, dignity and compassion and respects privacy and confidentiality.
  • Is pleasant and cooperative with others and adopts a teamwork approach with coworkers.

Administrative and Other Related Duties as Assigned

  • Actively participates in AltaPointe committees as required
  • Follows AltaPointe policies and procedures
  • Attends appropriate in-services training and other workshops

Bachelor's degree in social services/behavioral health, nursing or equivalent healthcare degree with at least two (2) years of related experience. Knowledge of and experience with quality/performance improvement in a healthcare setting preferred. Must be computer proficient. Experience preferred in healthcare software applications, including working knowledge of Microsoft Office and reporting tools. Must possess excellent analytical and critical thinking skills. Must be detail-oriented and have strong communication, planning, and time management skills. Knowledge in the areas below to be attained within three months of employment

  • Knowledge of Medicaid, Medicare and third-party payment systems, managed care principles, and value-based payor incentive programs.
  • Knowledge of Federally Qualified Health Center/FQHC Program Compliance and Operations, including Federal Tort Claims Act (FTCA) program requirements
  • Knowledge of Joint Commission standards, including Ambulatory Care Accreditation and Patient Centered Medical Home Certification/PCMH
  • Knowledge of Care Management models and integrated care concepts

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