Quality Analyst

Full Circle Health Network; California (MO); Remote; USD 75,000 - 85,000; Full time

Job summary

A leading health network in California seeks a Quality Analyst to enhance data governance and improve service delivery. This role involves supporting quality assurance and continuous improvement efforts across various providers. The ideal candidate will have a Bachelor's degree and experience in quality management practices, with a focus on remote collaboration. This position offers a competitive salary and comprehensive benefits package.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

401K Accounts

Qualifications

• Bachelor's degree or equivalent professional experience required.
• Experience in quality assurance and improvement practices.
• Ability to work effectively on a remote team.

Responsibilities

• Assist in enhancing data governance functions and EHR configuration.
• Analyze and report on CBO performance to senior management.
• Develop and improve practice workflows and documentation.

Skills

Organization

Management

Quality Assurance

Quality Improvement

Remote Team Collaboration

Education

Bachelor's Degree

Tools

Power BI

Job description

Full Circle Health Network provided pay range

This range is provided by Full Circle Health Network. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$75,000.00/yr - $85,000.00/yr

Company Overview: Full Circle Health Network is anintegrated networkof nonprofit, nationally accredited providers delivering coordinated, community-based services to vulnerablechildren, individuals and families across California.

Full Circle Health Network exists to ensure more Californians can access culturally congruent and trauma-informed care from a high-quality network of community-based organizations that address their whole-person and whole-family needs.

We accomplish this primarily through the following core activities:

• Serve as a single contracting vehicle for community-based providers to enroll in Medi-Cal managed care plan networks.
• Reduce administrative burden for providers so they can focus on serving clients.
• Drive improved coordination between providers across multiple systems through technology infrastructure, training, and administrative practice support.

Full Circle Health Network embraces the population health vision of CalAIM. Healing trauma, stabilizing home environments, and reuniting families promotes wellness throughout a child’s lifetime reaping innumerable future individual and societal benefits.

Full Circle Health Network is closely affiliated with the CA Alliance of Child and Family Services, under the governance of the California Alliance Board of Directors. The Network has an advisory board made up of subject matter experts and participants of the network.

Position Overview: The Quality Analyst assists the Quality Manager in enhancing data governance functions, improving EHR configuration, use, documentation and coding and supplementation data submission, and developing data strategies and processes to close care gaps and improve service delivery. The Quality Analyst will support the Quality Assurance Manager in performing advanced quality management and continuous quality improvement for various providers within the Full Circle Network. This position is essential in ensuring compliance with Full Circle Health Network policies, procedures, and all mandated federal, state, and local laws and regulations. The Quality Analyst will assist in the implementation of the Quality Management Plan, monitoring Network Adequacy, Access to Care, and providing support for the centralized Outreach Center. Additionally, this role will be responsible for provider onboarding readiness verification and credentialing. This position requires in-depth knowledge of EHR data structures, EHR data extraction, data extraction tools and methods, quality measure data capture, and data quality and analytics platforms such as Power BI.

The Quality Analyst will report to the Quality Manager of Full Circle Health Network.

Job Type: Full-time

Schedule: 8-hour shift

Work Location: Remote, but must reside in California

Responsibilities

• Participate in and lead onboarding readiness meetings with CBOs across CA.
• Subject Matter Expert in ECM, CS, and CHW certification and onboarding requirements. Supports providers in onboarding readiness and success.
• Analyze and report on CBO performance to senior management, including any barriers to success and making recommendations to improve processes.
• Interpret and program quality measures in accordance with metric logic specifications and built code table functions based on program requirements.
• Collect, summarize, and trend clinic performance data.
• Develop monthly benchmarks and reports to meet contractual target requirements and improve operational performance.
• EHR trainer.
• Develop and improve practice and care team workflows and documentation.
• Launch initiatives to increase provider engagement.
• Interpret results and provide strategic approach to close gaps in care to achieve cost savings for ACOs and other large healthcare systems.
• Advise direct supervisor on critical issues related to program implementation and progress and provide recommendations to solve problems.
• Represent Full Circle Health Network at DHCS PATH Collaboratives and other meetings as assigned.
• Report provider capacity and provider roster updates to Full Circle Health Network contracted Health Plans as requested.
• Performs other responsibilities, as assigned, to support specific organizational needs.

Required Qualifications

• A bachelor's degree from an accredited college or university or equivalent professional experience.
• Demonstrated experience in effective organization, management, monitoring, quality assurance, and quality improvement practices.
• Ability to work effectively on a remote team using technology.

Preferred Qualifications

• Experience with Community Based Organizations that allows you to anticipate their specific needs and communicate effectively.
• Ability to navigate State websites and documentation requirements.
• Ability to put together provider friendly materials.

Salary: $75,000 - $85,000 per year

Benefits: Full Circle Health Network offers a comprehensive benefit package including medical, dental, and vision, 401K accounts.

Equal Employment Opportunity Statement

At Full Circle Health Network, we are committed to fostering a diverse and inclusive workplace that reflects the communities we serve. We are an equal opportunity employer and make all employment decisions based on merit, qualifications, and business needs.

Full Circle Health Network provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, ancestry, age, marital status, disability, veteran status, genetic information, or any other characteristic protected by applicable federal, state, and local laws.

We comply with all applicable laws concerning non-discrimination in employment. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Full Circle Health Network is committed to providing reasonable accommodations to qualified individuals with disabilities.

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Quality Assurance

• Industries

  Health and Human Services

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