Quality Associate

Stamford Health, a well-established, award-winning Healthcare System with multiple locations in CT has an opportunity for a Quality Associate in our Stamford location.

As a Certified Great Place to Work organization, Stamford Health understands what it takes to attract talent to improve our workforce and support our mission, to that end we offer :

• Competitive salary
• Comprehensive, low-cost health insurance plans available day one
• Wellness programs
• Paid Time Off accruals
• Tax deferred annuity and (403b) pension plan
• Tuition reimbursement
• Free on-site parking and train station shuttle
• Childcare partnership with Children’s Learning Center

JOB SUMMARY :

The Quality Associate is responsible for supporting evolving population health initiatives designed to improve the quality of care provided to Stamford Health Medical Group patients.

Reporting to the Quality Manager, the Quality Associate manages pre-visit planning for assigned primary care and OB / GYN practices.

The Quality Associate is responsible for reviewing and updating patient charts in advance of annual care visits to facilitate the best possible care and patient experience.

Additionally, the Quality Associate serves as a subject matter expert on population health programs including the Merit-Based Incentive Payment System (MIPS), Patient-Centered Medical Home (PCMH) and Healthcare Effectiveness Data and Information Set (HEDIS).

The Quality Associate is also responsible for managing day-to-day activities of payor quality programs including Aetna on Track, Anthem Inovalon, and Optum Care Manager.

The Quality Associate provides education, training, and program support to providers and regularly identifies and closes gaps in care through outreach to providers, practice managers, patients, and community resources.

PRINCIPAL DUTIES AND RESPONSIBILITIES :

• Responsible for managing pre-visit planning activities for assigned primary care and OB / GYN providers. Planning activities include but are not limited to lab and imaging tracking.
• Facilitates quality program education and training with providers and staff to ensure clear understanding of measure definitions, work flows, and data capture.

Assesses challenges related to the electronic health record (EHR) and work flows and provides recommendations for improved performance.

• Manages day-to-day activities for payor quality programs including Aetna on Track, Anthem Inovalon, and Optum Care Manager.
• Serves as a subject matter expert on programs including MIPS, PCMH, and HEDIS. Demonstrates a commitment to continual learning.
• Supports the monitoring of MIPS performance and assists in the preparation of the annual data submission to the Centers for Medicare and Medicaid Services (CMS).
• Prospectively and retrospectively works to identify and close gaps in care through communication with providers, practices, patients and community resources.
• Participates in data validation for EHR reports as required.
• Develops strong relationships with providers, practice managers, and medical assistants.
• Attends and participates in quality team meetings.
• Attends scheduled staff meetings, in service education opportunities, and participates in professional development opportunities.
• Formulates and maintains effective working relationships with employees and other managers of the health care team.

QUALIFICATIONS / REQUIREMENTS :

• Bachelor’s degree required.
• Two or more years of related professional experience in a medical group setting is strongly preferred.
• Experience with electronic health records (EHRs) is required. Experience with eClinicalWorks is preferred.
• Working knowledge of population health programs including Merit-Based Incentive Payment System (MIPS), Patient-Centered Medical Home (PCMH) and Healthcare Effectiveness Data and Information Set (HEDIS) is preferred.
• Proficient in Microsoft Office : Excel, Word, and PowerPoint.
• Strong written and verbal communication skills.
• Superior organizational and interpersonal skills.
• Detail and process orientated with a focus on efficiency.
• Ability to work on a team.
• We are committed to building an inclusive workplace that values diversity and inclusion and reflects the diversity of the community and patients we serve.
30+ days ago