Quality Improvement Analyst at ConnextCare

Pulaski, New York, United States -

Full Time

Start Date

Immediate

Expiry Date

28 Jan, 26

Salary

0.0

Posted On

30 Oct, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Data Analysis, Auditing, Quality Improvement, Population Health, Patient Care, Communication Skills, Electronic Medical Records, Chart Audits, Team Collaboration, Medical Office Applications, Decision Making, Patient Outreach, Survey Development, Referral Management, Lab Report Management, Quality Measures

Industry

Hospitals and Health Care

Description

Description Basic Function: To identify areas for improvement regarding patient care quality by analyzing data, conducting audits, and identifying trends. Proposing and implementing solutions to enhance quality and efficiency, often collaborating with cross-functional teams to drive continuous improvement. Principal Accountabilities: Review Gaps in Care for Quality Incentive initiatives through payor contracts, Independent Provider Association (IPA) contracts, Accountable Care Organization (ACO) contracts, and Social Care Networks Contracts Complete/Coordinate system wide HEDIS Insurance chart audits Review Gaps in Care and follow up for all identified HEDIS audits Coordinates Patient Centered Medical Home roster updates with Credentialing Specialist and Billing Manager to ensure accurate updates Review Gaps in Care for Quality Measures from internal audits Patient outreach as required by contracts or as requested by Supervisor Complete Value Based Payments (VBP) and other alternative payment metric evaluations and follow-up as requested by management as well as insurance companies (payors) by performing chart audits Assist with the development and implementation of population health programs and assist with tracking outcomes Generate reports on population health metrics and outcomes Assists with development of survey instruments and assessments for primary data collection Assist other departments with pending/open referrals and open order reports as requested by Supervisor Completes unmatched lab reports Monitor and support other data collection opportunities as requested Assist with and promote all processes associated with the Coleman initiative Promoting Patient Centered Medical Home (PCMH) initiatives Other duties and responsibilities as requested by supervisor and/or management Requirements Knowledge/ Education Requirements: A. High school graduate or GED, associate degree preferred B. Prior population health or ambulatory care experience preferred C. Verbal and written communication skills, medical office applications preferred D. Demonstrate proper judgment and decision-making skills E. Must demonstrate computer proficiency with electronic medical record system

Responsibilities

The Quality Improvement Analyst is responsible for identifying areas for improvement in patient care quality through data analysis and audits. This role involves proposing and implementing solutions while collaborating with cross-functional teams to enhance quality and efficiency.