Quality Specialist

BHMG Lifespan Physician Group, Inc., d/b/a Brown Health Medical Group; United States; Hybrid; USD 30,000 - 50,000; Full time

Job summary

Brown Health Medical Group Primary Care seeks a Quality Improvement professional to execute QI activities across assigned practices. You will track quality measures, assist in chart audits, and collaborate with providers and staff to close care gaps, ensuring HIPAA compliance and data integrity.

The role emphasizes experience with HEDIS, Medicare 5 Star, and Meaningful Use, plus proficiency in Microsoft Office and EMR systems.

Qualifications

• Education and Experience: High School Diploma or equivalent.
• Previous experience as a Medical Assistant or equivalent clinical training.
• At least 1 year of experience related to the duties.
• Any combination of education and experience that is substantially equivalent is acceptable.

Responsibilities

• Track quality measures for assigned Brown Health Medical Group Primary Care locations.
• Work with assigned practices to ensure goal attainment.
• Participate in chart audits for documentation compliance to meet quality measures.
• Monitor Pre-Visit Planning, exception report review, and Lab/DI tracking.
• Identify and close gaps in care prospectively and retrospectively.
• Outreach to patients to ensure gap closure and testing is completed.
• Coordinate and perform quality training for new Medical Assistants in assigned practices.
• Develop relationships with providers, practice managers, and medical assistants to improve patient outcomes.
• Attend and participate in team quality meetings and office-based team meetings.
• Participate in quality improvement cycles using PDSA method.
• Comply with HIPAA and confidentiality laws.
• Adhere to guidelines for protecting patient information.
• Perform other job-related duties as assigned.

Skills

Quality improvement

HEDIS

Medicare 5 Star

Meaningful Use

Microsoft Office

EMR data entry

Teamwork

Analytical skills

Detail oriented

Education

High School Diploma or equivalent

Tools

Electronic Medical Records

Outlook

Excel

Word

Job description

SUMMARY

Completes quality improvement activities for assigned populations according to the Quality Management program. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate

RESPONSIBILITIES

• Responsible for tracking quality measures for assigned Brown Health Medical Group Primary Care practice locations
• Works with assigned practices to ensure goal attainment
• Participates in chart audits for documentation compliance to meet quality measures
• Monitors and assists the practices with Pre-Visit Planning, exception report review, and Lab/DI tracking
• Prospectively and retrospectively works to identify and close gaps in care
• Performs outreach to patients to ensure gap closure and testing is completed
• Coordinates and performs Quality training for new Medical Assistants in assigned practices
• Develops relationships with providers, practice managers, and medical assistants to work with practices on quality improvement activities and to improve patient outcomes
• Attends and participates in team quality meetings and office-based team meetings
• Participates in quality improvement cycles using PDSA method
• Complies with federal and local confidentiality laws, including HIPAA, ensuring patient privacy
• Adheres to Brown Health Medical Group Primary Care guidelines and policies for protecting patients’ demographic, clinical, and financial information
• Performs other job-related duties as assigned

MINIMUM QUALIFICATIONS

• Education and Experience: High School Diploma or equivalent
• Previous experience as a Medical Assistant or equivalent clinical training
• At least 1 year of experience that is directly related to the duties and responsibilities specified
• Any combination of education and experience that is substantially equivalent is also acceptable

KNOWLEDGE, SKILLS, AND ABILITY

• Working knowledge of quality improvement programs such as: HEDIS, Medicare 5 Star, Meaningful Use
• Ability to use technology with proficiency in Microsoft Office applications such as: Outlook, Excel, and Word
• Familiar with data entry tools, including electronic medical records
• Ability to work both on a team and independently
• Ability to maintain quality, safety and /or infection control standards
• Strong organizational and analytical skills
• Ability to multi-task with the skills to think critically and problem solve
• Detail and process orientated with a focus on efficiency

PHYSICAL EFFORT AND DEXTERITY

• This role works primarily in a remote capacity and has daily communications through virtual meetings, some time in the office will be required for meetings, trainings, etc.
• Sit and stand for prolonged periods of time
• Work and move among all departments of Brown Health Medical Group Primary Care group
• Excellent hand/eye coordination
• Lift up to 15 pounds
• Manual dexterity to operate a personal computer or laptop as well as standard office machines and equipment as it pertains to one’s position
• State-wide travel and operation of motor vehicle may be required for offsite meetings and trainings
• Must have a valid driver’s license and clear driving record
• Use of personal vehicle and proof of auto insurance is necessary
• Visual Acuity, Hearing, and Speaking Capability to transfer information from original source to paper, computer, telephone and in person

PAY RANGE

$22.04-$36.37

EEO STATEMENT

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

LOCATION

Brown Health Medical Group Primary Care - 593 Eddy St - Executive Suite Providence, Rhode Island 02903

WORK TYPE

Monday through Friday 8-4:30pm

WORK SHIFT

Day

DAILY HOURS

8 hours

DRIVING REQUIRED

No

ABOUT BROWN UNIVERSITY HEALTH

As Rhode Island's largest health system and private employer, Brown University Health is the state's premier provider of health services and includes the only Level I Trauma Center for southeastern New England. Today, more than 20,000 people work at Brown University Health and bring their unique skills, experiences, and compassion to their jobs every day. Formed in 1994, Brown University Health is a not-for-profit health system based in Providence, RI comprising three teaching hospitals of The Warren Alpert Medical School of Brown University: Rhode Island Hospital and its Hasbro Children's; The Miriam Hospital; and Bradley Hospital, the nation’s first psychiatric hospital for children; Newport Hospital, Saint Anne's Hospital and Morton Hospital, community hospitals offering a broad range of health services; Gateway Healthcare, the state’s largest provider of community behavioral health care; and Brown Health Medical Group, the largest multi-specialty practice in Rhode Island.

INCLUSION & AMBASSADORS

Brown University Health is an equal opportunity employer that values diversity of cultural background, race, gender, age, religion, identity, ability, and perspectives - we are actively committed to a diverse workforce that represents the patients and community that we serve. We are invested in creating a respectful, inclusive, and equitable environment that supports the holistic well-being of our employees and their families. Join us and help build a healthier future for our patients - and for yourself.