Quality Reporting Specialist III

MaineHealth; Biddeford (ME); On-site; USD 77,000 - 104,000; Full time

Benefits offered by this job

Paid parental leave

Student loan assistance

Professional development opportunities

Well-being resources

Job summary

MaineHealth Corporate is seeking a Quality Reporting Specialist III to abstract clinical information for externally reported quality measures and review data with clinicians. You will ensure timely submission to CMS and other entities and conduct audits to safeguard reporting integrity.

The role supports the creation of quality reports and requires seasoned healthcare experience. This is a professional nonclinical position within MaineHealth Corporate.

Qualifications

• Education: Associate's Degree with at least ten years of relevant healthcare experience OR Bachelor's Degree in a health related field with at least five years of relevant experience required.
• Experience: Demonstrates competency in all essential functions of a Quality Reporting Specialist II role.

Responsibilities

• Abstract clinical information for externally reported quality measures.
• Review information with clinicians to ensure accuracy.
• Ensure submission to CMS and other entities within required timeframe.
• Conduct periodic audits to maintain integrity of the reporting program.
• Support the creation of quality reports as requested.

Education

Associate's Degree

Bachelor's Degree in a health related field

Job description

Description

MaineHealth Corporate

Professional - Nonclinical

Req #: 97472

Summary

The Quality Reporting Specialist III role is responsible for abstracting clinical information for externally reported quality measures, reviewing information with clinicians, ensuring submission to CMS and other entities within the required timeframe, conducting periodic audits to maintain integrity of the reporting program, and supporting the creation of quality reports as requested.

Required Minimum Knowledge, Skills, and Abilities (KSAs)

1. Education: Associate's Degree with at least ten years of relevant healthcare experience OR Bachelor's Degree in a health related field with at least five years of relevant experience required.
2. Experience: See Education. Demonstrates competency in all essential functions of a Quality Reporting Specialist II role.

Additional Information

MaineHealth is committed to fostering a supportive, inclusive environment where care team members can thrive while making a meaningful impact in the communities we serve across Maine and New Hampshire. We offer competitive benefits including paid parental leave, flexible work options, student loan assistance, professional development opportunities, and well-being resources-so you can grow your career while feeling supported both personally and professionally.

We recognize the value each team member brings to our organization.Any offer of employmentwill depend onqualificationssuch asskills, relevant experience, education, certifications,and otherjob-relatedfactors. Thebase rangeis an estimate and does notreflect the full valueofourtotal compensationpackage.

The pay range for this position is $77,147.20to $104,353.60per year.

Compensation for part-time positions isdeterminedon a prorated basis consistent with the scheduled hours and applicable full-time equivalent (FTE).

In addition to base pay, MaineHealth offerscomprehensivebenefits, recognition programs, career growth opportunities, and,where applicable,shiftdifferentials or other incentives.

If you have questions about this role, please contact [e-mail]

Hiring Scam Alert

MaineHealth will never request financial information during the interview or pre-hiring process. All legitimate communications will come from an email address ending in @mainehealth.org. If you suspect fraudulent activity, please report it immediately to [e-mail].

Notice Regarding Maine Employer Surveillance Statute:

Pursuant to Maine's Employer Surveillance Statute, prospective care team members are notified that MaineHealth may monitor, collect, record, review, or retain information related to the use of its systems, networks, applications, files, data, communications platforms (including notified recordings), smart badges, building access, company vehicle GPS data, business calls, and workplace security cameras.

Information collected may be used for legitimate business purposes, including security, safety, compliance, investigations, training, quality assurance, and operational management.