Job Details

Quality Specialist

It is the direct responsibility of the quality specialist to ensure the market's success of patient focused care models to reach the highest achievement possible. It is their job to meet the individual metrics of each program we participate in. CC is responsible for taking action on all quality attribution reports from scheduling to closing gaps in care and submitting data to the various payers. The CC will assist providers and staff with development of the skills necessary to adapt best practices related to quality care workflows. This role will interact directly with the Quality Manager and Hendrick Clinic Leadership. The CC is responsible for achieving measurable gains within the programs; as measured by internal and external metrics.

Job Requirements

Minimum Education

High School Diploma or GED

Minimum Work Experience

• Minimum 3 years related healthcare experience; hospital owned preferred
• Must have Project & Physician-Provider Practice Relationship Experience
• An equivalent combination of education and experience; which provides proficiency in the areas of responsibility listed above; may be substituted for the above education and experience requirements

Required Licenses/Certifications

• Valid driver's license

Required Skills; Knowledge; and Abilities

• Basic understanding of physician quality measures and credentialing requirements
• Basic understanding of health care administration; clinic philosophy; policies; and operating procedures
• Basic understanding of governmental regulations and reimbursement requirements
• Successful experience in use of practice management and electronic medical record systems
• Basic knowledge of legal issues relating to physician-owned practices and hospital-employed physicians
• Basic knowledge of managed care industry; understanding of EMR quality management data and /or physician practice management applications required. This should be combined with a succinct understanding of physician practice operations including of how charge capture and clinical documentation affects quality improvement.
• Proficiency of: Word Processing software; Spreadsheet software; Electronic Medical Records; Practice Management System; Meaningful Use; and Database software
• Excellent interpersonal; verbal and written communication skills; including strong listening skills
• Flexibility in planning and managing projects with the ability to oversee and coordinate various activities concurrently; anticipate changes and adjust accordingly in a fast-paced environment.
• Strong analytical; organizational; and time management skills
• Ability to work with practice providers.
• Ability to analyze and interpret complex data
• Ability to research and prepare comprehensive reports
• Skill in exercising initiative; judgment; problem solving; and decision-making
• Skill in developing and maintaining effective relationships with staff; clients; regulators; and public
• Skill in organizing work to maximize clinic goals and objectives
• Ability to understand the goals of the practice and work to obtain these goals both independently and with the direction of the PPS leadership
• Ability to identify barriers; escalating when necessary and proposing appropriate solutions
• Uses analytical reasoning to interpret and evaluate qualitative and quantitative information for statistical analysis; while identifying patterns and essential issues
• Required ability to work collaboratively with internal contacts and external entities to achieve deliverables
• Ability to work in an unsupervised environment; effective time management skills; logical problem solving and analytical skills with demonstrated attention to detail
• Outcome and results oriented
• Ability to effectively prioritize and execute tasks in a high-pressure environment