Quality Tracker I

Sanitas Medical Centers; Town of Florida (NY); On-site; USD 60,000 - 90,000; Full time

Job summary

Sanitas Medical Centers in the United States is seeking a Quality Tracker to support the clinical quality process. You will monitor quality measures, track gaps, assist with data submission, and help manage QA documentation across Commercial, Medicare, and Medicaid lines.

This role involves training team members on NCQA metrics, coordinating with providers and staff, and supporting patient outreach and timely data reporting to improve care quality.

Qualifications

• Monitoring of quality measures including HEDIS and Medicare STARs.
• Ability to identify quality gaps and track trends.
• Experience with medical records requests and test results.
• Ability to educate providers, CCA, pre-visit team on NCQA metrics.

Responsibilities

• Proactive monitoring of quality measures (HEDIS, STARs).
• Identify and track quality gaps over time; report and submit measures.
• Assist with medical records requests and test result retrieval.
• Upload test results to patient charts; support supplemental data.
• Train other groups on quality measures and best practices.
• Contribute to closing quality HEDIS/STAR metrics.
• Review quality metrics, determine actions, coordinate referrals and scheduling.
• Support patient outreach and appointment assignment.
• Educate essential team about NCQA quality metrics; educate sessions on-site, in centers, or virtually.

Skills

Quality metrics monitoring

Data analytics

HEDIS knowledge

STARs knowledge

Interdepartmental training

Job description

“Sanitas is a global healthcare organization expanding across the United States. Our services include primary care, urgent care, nutrition, lab, diagnostic, health care education and resources for our patients. We strive to attract professionals who believe in our mission, vision and are dedicated to the service of our patients and their families creating a memorable experience through compassion, respect, and kindness.”

Job Summary

Quality trackers assist and provide information related to the clinical quality process. They make sure companies follow compliance requirements based on the payer contract. They improve processes, assist with supplemental data, and generate reports and document QA systems. They might also train other team members in quality assurance. A Quality Tracker follows all the Sanitas measures of processes, experiences and/or outcomes of patient care, observations or treatment that relate to one or more quality aims for health care such as effective, safe, efficient, patient-centered, equitable, and timely care. Trackers provides comprehensive reporting and analytics at population, provider, and patient level. Our solution allows a health plan to track performance measurement of quality measures across Commercial, Medicare, and Medicaid lines of business including HEDIS, STARs, and state-specific Medicaid measures. The Quality Tracker provides robust solutions to help overcome challenges associated with HEDIS compliance based on benchmark across – providers, practices, organizations, etc.

Essential Job Functions

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Proactive and continuous monitoring of quality measures including HEDIS and Medicare STARs.
• Identification and tracking of quality gaps across time. Comprehensive analytics for tracking trends by measure. HEDIS measure tracking, reporting, and submission.
• Help with medical records requests.
• Request test results. Assist obtaining reports and upload the test in the patient chart. Assistant with supplemental data. Training other groups about quality measures and best practices.
• Proactive participation in the closure of the quality HEDIS/START metric.
• Review the quality metric, identify the action needed to close it. If required, place the standing order, assist in the referral process, communicate with the patient to notify them of the action, and schedule an appointment.
• Proactive participation in patient outreach.
• The quality tracker should support patient outreach and appointment assignment.
• Education to the essential team including providers, CCA, pre-visit team and others.
• The quality tracker should be able to educate about all the NCQA quality metrics inclusions and share that information with the required personnel. Education sessions could be scheduled on‑site  (or)   in the centers, corporate office, or virtually.