Quality Program Specialist

Job Title

Qualifications : LPN License, or diploma from a Medical Assistant program. Minimum of one year experience. Strong clinical and computer skills and excellent interpersonal skills. Must be proficient in Excel spreadsheets and interpreting reports.

Basic Functions

Oversee and monitor quality improvement activities, promote improvement of quality measures across the organization while remaining in compliance with measures, regulations for payers, various programs, and state / federal guidelines. Responsible for the supervision of support staff.

Duties and Responsibilities

Maintain knowledge base on wide variety of clinical measure and pay-for-performance definitions and provide analysis for the measurement of outcomes such as UDS, MIPS, HEDIS, Medicaid Promoting Interoperability, payer requirements, analyzing / interpreting reports, WVHN, Million Hearts, Health Homes, and Chronic Care Management. Work with various vendors, the FamilyCare management team, and staff on quality improvement projects. Oversee data collection through staff orientations and trainings. Run report audits and provide regular report feedback. Document and report the results and accomplishments of quality improvement initiatives to staff, providers, administration, quality assurance committee, and board of directors as appropriate. Establish strong relationships with all system users through on-site visits to understand their support requirements and priorities. Training provided as applicable for system users. Consult as needed with other departments and agencies to develop and implement solutions related to quality, processes, and procedure. Ensure all quality indicators are followed. Other related duties as assigned.