QA/QI Coordinator

The Villages, FL

Full Time

Administration, 6503 Powell Road, The Villages, FL

Experienced

QA/QI Coordinator (Quality Assurance/Quality Improvement Coordinator)
ON-SITE POSITION

About The Villages Health
The Villages Health is a patient-centered primary care driven, multi-specialty medical group with over 800 team members. Our unique care model gives us both the time and resources to truly care for our patients, along with a company culture that supports a healthy work-life balance for our team members. Our purpose, mission and vision is to empower Villagers and the surrounding communities to live out their dreams by keeping them healthy and healing them quickly. Together, we are changing the way healthcare is delivered and are making a positive difference in the lives of our patients and the communities we serve. In doing so, The Villages Health is creating America’s Healthiest Hometown.

Our Full-time Benefits
Medical, Dental & Vision Insurance | Matching HSA & 401k | PTO & Paid Holidays | The Villages Charter School Eligibility | & much more!

Hiring Event
Please bring your resume and join us:

Friday, January 17^th from 9:30 AM to 1:30 PM at The Villages Health Administrative Office (6503 Powell Road, The Villages, FL 34785) – RSVP’s are encouraged through Eventbrite at https://bit.ly/3VO31Gy

Responsibilities:
A nonexempt position responsible to support the Quality Assurance/Quality Improvement initiatives at The Villages Health. This position will coordinate quality process, educate and train Care Center Providers and staff regarding quality initiatives and process improvement and assess and report data related, but not limited to PCMH, MIPS and HEDIS Measures. The coordinator will be responsible, under the direction and guidance of the Utilization and Compliance Manager, for directing, assisting and guiding management and staff toward capture of all Quality Measures by conducting ongoing monitoring of data systems, identifying and analyzing deficiencies and assisting with completion of corrective actions.

Review and audit MIPS data within our EMR to ensure capture and scores maintained or improved. Communicate and educate Care Gaps to appropriate Providers/Teams and Care Center Leadership.
Review and audit HEDIS Measures data from payers to ensure capture and compliance within each for all Care Centers. Communicate and educate Care Gaps to appropriate Providers/Teams and Care Center Leadership and facilitate closure of Care Gaps.
Assist with developing annual PCMH submission data, based on ongoing Performance Improvement Initiatives throughout the year and audit initiatives, compile information and data for each Care Center and submit annually.
Coordinates and facilitates meetings with Care Center Teams to review progress in quality programs and leads process improvement teams and initiative.
Educates staff on proper documentation and collection of quality data information within the EMR.
Work with payer representatives to accomplish goals and care gap closures.
Builds rapport and establishes trusted relationships with Providers and Care Teams.
Acts as a resource for questions related to quality initiatives, process improvement and care gap closure needs.
Provides excellent customer service to Providers, Care Teams, Care Center Leadership, colleagues and external partners.
Maintains excellent knowledge of MIPS, HEDIS and PCMH Quality Standards and process.
Identifies and recommends opportunities for improvement.
Retrieves and inputs data and documentation into Payor Portals in order to close Care Gaps.
Other duties as assigned.

Education/Experience Requirements:

2 plus years of customer service experience analyzing and solving problems OR 1 year of experience in an office setting environment using the telephone and computer as the primary instrument to perform job duties
High school education or GED, RMA or CMA Certification preferred.
Extensive knowledge of medical terminology preferred.
Experience with computer databases to track and analyze data.
Experience with HEDIS, MIPS and PCMH, a plus.

Communication and Work Skills

Excellent organizational, interpersonal, presentation, written and verbal communication skills.
Strong communication, writing and presentation skills and must be comfortable presenting to healthcare staff and Leadership.
Keen attention to detail and ability to prioritize and handle multiple assignments.
Ability to communicate in person, by phone, or via e-mail in a professional and friendly manner.
Excellent customer service skills and attention to detail.
Ability to empathize, motivate and encourage people toward change, regardless of culture, religion or economic background
Ability to work and interact with professionals as part of an interdisciplinary team
Self-motivated, flexible individual who can flourish in an office setting with colleagues as well as in a self structured independent setting
Ability to flourish in an environment where there may be constant change; Applies knowledge/skills to activities that often vary from day to day
Ability to multi-task, this includes ability to understand multiple services and multiple delivery modes within each service
Ability to prioritize and organize own work to meet agreed upon deadlines.
Ability to travel and present at all Care Centers throughout TVH.

Technology Skills

Ability to effectively use multiple technology systems to assist with identification and enrollment of patients and review patient data
Strong PC computing experience (Microsoft Office and web based tools)
Familiarity with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications and apply their use

Demonstrate Integrity and Compliance

Model The Villages Health principles of Integrity and Compliance and adhere to our business principles
Maintain the confidentiality of sensitive information
Effective interpersonal, collaboration and communication skills

Salary is commensurate with experience.

Questions? Contact us at [email protected]

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SELF-ATTESTATION

I certify that I have read and understand the applicant instructions included with this application and that the answers given by me to the foregoing questions and statements made by me are complete and true to the best of my knowledge and belief.

I understand that any false information, omissions, or misrepresentations of facts called for in this application, whether on this document or not, may result in rejection of my application or discharge at any time during my employment.

I understand that The Villages Health is an equal opportunity employer and does not unlawfully discriminate in employment and this application form is intended for use in evaluating my qualifications for employment and that this application is not an offer of employment.

I further understand that if hired, my employment will be considered "at-will" and that my employment may be terminated for any reason, with or without cause or notice, at any time by me or the Company and that this application is not intended to constitute a contract of continued employment.

I hereby authorize The Villages Health to contact, obtain, and verify the accuracy contained in this application. I authorize all persons, educational institutions, corporations, companies, agencies, and references to supply any information concerning my background. This includes authorizing the release of information about non-judicial punishment that might have occurred in any branch of the military service. If an official background check of my credit and criminal history is needed, a separate Disclosure Statement and Authorization will be provided to me.

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QA/QI Coordinator

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