Quality Analyst

Blackstone Group; Montgomery (AL); On-site; USD 70,000 - 100,000; Full time

Job summary

Blackstone Group is seeking a Quality Analyst to lead quality audits within the Clinical Governance vertical, upholding NABH standards and regulatory requirements. The role focuses on cultivating a culture of continuous improvement to support brand promises and operational excellence.

The analyst will drive end-to-end gap analyses, participate in audits, and work with multiple departments to enhance member safety, health outcomes, and satisfaction.

Qualifications

• Experience with quality audits in healthcare or clinical governance.
• Knowledge of regulatory standards and compliance processes.
• Ability to lead continuous improvement initiatives across functional areas.

Responsibilities

• Conduct End-to-End Gap Analysis across disciplines and devise compliant solutions.
• Ensure proactive quality inspections, execute SOPs and frequent auditing of quality criteria.
• Prepare audit reports, strategize corrective and preventive actions.
• Establish quality processes with clinic leadership and other departments.
• Identify and resolve gaps, provide feedback to Clinical Governance Head.
• Oversee all aspects of clinic quality assurance and certification.
• Train employees on quality and patient safety regularly.
• Review and revise policies with documented SOPs and protocols.

Skills

Quality audits

Regulatory compliance

Continuous improvement

Job description

About the Role

The Quality Analyst is in charge of Quality Audits within the Clinical Governance vertical, responsible for ensuring that all Twin Members receive the highest possible level of service. They reinforce NABH standards, follow safety measures, and comply with all other regulatory requirements. Their role is to create, cultivate, and integrate a culture of continuous improvement to support the Brand promise and operational excellence.

Responsibilities

They are also responsible for recognizing and involving stakeholders from all verticals in developmental activities to maximize member safety, health outcomes, and delight.

• Conduct an End-to-End Gap Analysis across several disciplines and devise solutions in compliance with guidelines.
• Offer excellent service by ensuring proactive participation in quality inspections and executing processes, SOPs, and frequent auditing of all quality criteria.
• Audit on a regular basis, prepare a report, and strategize on corrective and preventive action.
• Establish quality processes, collaborating with the head of the clinic, non-clinical departments, and other personnel.
• Detect and resolve gaps as soon as possible, and offer feedback to the Clinical Governance Head.
• Oversee all aspects of the clinic's quality assurance and certification.
• Ensure all employees are trained on quality and patient safety on a regular basis.
• Review and revise existing policies and processes with well-documented SOPs and protocols across the board.
• Form committees per the standards, schedule review meetings with stakeholders, and drive actions for all process and quality gaps.

Quality Improvement Program (QIP)

• Successfully implement process improvement or quality management programs.
• Establish work plan metrics and pursue data collection methods for accurate trending reports.
• Analyze performance metrics related to top diagnoses, clinical procedures, and operational performance to recommend valid solutions.
• Focus on clinical prioritization, service quality, provider feedback, and improvement initiatives.
• Act as a knowledge expert for continuous improvement activities in all clinical, functional, and administrative areas.
• Monitor various department processes, such as care complaints and medical record assessments (EMR), and recommend actions to address risks or vulnerabilities.
• Review clinical quality studies, trending industry data, national benchmark assessments, and best practice interventions.