Provides administrative, information systems, clerical and coordination support to Quality Management (QM). This requires scheduling, preparing, disseminating, and coordinating various activities between affiliated plan hospital management, health plan representatives, physicians, individual physician offices and ancillary providers. It requires supporting the Quality Management Committee – preparing the agenda, putting together the documents and reports, coordinating the meeting, providing the ... more details
Provides administrative, information systems, clerical and coordination support to Quality Management (QM). This requires scheduling, preparing, disseminating, and coordinating various activities between affiliated plan hospital management, health plan representatives, physicians, individual physician offices and ancillary providers. It requires supporting the Quality Management Committee – preparing the agenda, putting together the documents and reports, coordinating the meeting, providing the minutes and other coordination and support functions related to the committee meetings including coordination with the Credentialing Department.
The Quality Improvement Coordinator – Ambulatory will be responsible for supporting quality management efforts including but not limited to: development, implementation, education, performance, data collection and analysis.
Essential Functions:
- Review and assess data/performance results and trends to identify opportunities to help drive strategies, interventions, and outreach efforts. Provide information to appropriate stakeholders.
- Data mining as needed across all measures, health plans and LOB, and capturing data to close care gaps and improve compliance, where applicable.
- Assists with data validation (ex. EMR, health plan, Cozeva, etc) to ensure data is aligned and identify opportunities to submit data to various stakeholders.
- Participates in the preparation of and in audits, as needed (e.g., IHA, MSSP, PSV).
- Assists in educating caregivers about QI programs, quality measures and compliance requirements (refreshers or new training).
- Meets with internal and external stakeholders (ex. health plans, cozeva, etc.) to develop strategies, identify, and resolve issues / barriers and problem solve.
- Attends meetings and takes notes with necessary action items and follow up.
- Follow up on actions required, respond in a timely manner, meet scheduled deadlines, create, and implement contingent plans as needed.
- Prepare and present slide decks with appropriate content (graphs, data, etc.) for meetings and reporting purposes.
- Assist coworkers within Quality department with projects and tasks as needed.
- Manage large data sets and be able to create and maintain spreadsheets/dashboards. Understand and utilize functions/tools/formulas such as filtering, freeze, pivots, graphs, conditional formatting, VLOOKUP, etc.
- Understand and able to use different reporting platforms such as: disease registry tool, EMR, 3rd party registries, etc.
- Assists in design, implementation, and maintenance of a comprehensive quality improvement across Quality Goals (IHA/ CMS/ MSSP/ CEI/ Other Health Plan) and related programs, including health equity.
Additional functions may include, but not limited to:
- Cover and support Quality Improvement Specialist duties, as needed.
- Rounding in offices
- Support in auditing of workflow for primary and specialty sites.
- Monitor and review Epic In-basket.
- Collaborate with QIS and other departments within ministry to support clinics and various partnerships including but not limited to Pharmacy, CHP, HMR.
- Understand outreach process and partner with outreach team, QIS, Ops, Health plans, and key stakeholders when submitting outreach requests, as needed.
- Understand data and how it flows.
Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Preferred qualifications:
- 3 years Experience in healthcare administrative support position.
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
