Healthcare Quality Improvement Strategist

PriMed Management Consulting Services, Inc.; San Ramon (CA); On-site; USD 97,000 - 127,000; Full time

Job summary

Hill Physicians Medical Group is seeking a Quality Improvement Specialist to advance HEDIS/NCQA related quality initiatives. You will collaborate with physician practices, patients, and cross-functional teams to improve clinical quality measure performance.

Strong data analysis and EHR skills are essential to ensure accurate data and timely reporting. You will lead education efforts, develop resources, and coordinate care gaps closure with care teams, pharmacies, and providers, while meeting

Qualifications

• Experience with HEDIS/NCQA clinical quality measures.
• Knowledge of electronic health records and ability to quickly learn new software.
• Advanced Microsoft Excel skills.
• Strong analytical, critical thinking and problem solving skills.
• Excellent oral and written communication skills.
• Demonstrated ability to exercise independent judgment and problem solve under deadline pressure.
• Demonstrated ability to work on multiple projects and/or perform more than one function on a given project.

Responsibilities

• Support Clinical Quality team with implementing quality improvement initiatives, analyzing clinical data, and compiling information into spreadsheets and databases.
• Develop clinical quality tip sheets, toolkits, and resources for distribution along with care gap reports to physician practices.
• Abstract clinical information from electronic health records, and input data accurately into patient registry to improve clinical quality measure performance.
• Determine if medical chart documentation meets audit requirements of HEDIS/NCQA clinical measure specifications.
• Engage with physician practices to educate on clinical quality measures, train on patient registry, and conduct tailored campaigns to close care gaps.
• Directly outreach to patients to assist in closing care gaps; coordinate care with physician offices, pharmacies, and other providers.
• Ensure project tasks/deliverables are completed appropriately and on time; identify and communicate issues to management and stakeholders in a timely manner; proactively identify risks and work with stakeholders to mitigate them.

Skills

HEDIS/NCQA measures

EHR proficiency

Advanced Excel

Analytical thinking

Communication skills

Independent judgment

Multitasking

Education

Bachelor's degree in healthcare setting

Job description

Hill Physicians Medical Group is seeking a Quality Improvement Specialist to advance HEDIS/NCQA related quality initiatives. You will collaborate with physician practices, patients, and cross-functional teams to improve clinical quality measure performance.

Strong data analysis and EHR skills are essential to ensure accurate data and timely reporting. You will lead education efforts, develop resources, and coordinate care gaps closure with care teams, pharmacies, and providers, while meeting