What are the responsibilities and job description for the Quality Improvement Specialist position at Group Health Cooperative of Eau Claire?
Position Purpose
To support and help implement quality improvement initiatives at the direction of the QI Manager through coordination and collaboration both externally and internally. Help improve quality metrics through process improvement.
Essential Position Functions
To support and help implement quality improvement initiatives at the direction of the QI Manager through coordination and collaboration both externally and internally. Help improve quality metrics through process improvement.
Essential Position Functions
- Participate in QI initiatives related to Medicaid P4P measures and ETF star ratings and other performance measures.
- Investigate, track, trend, and analyze reported quality/adverse events.
- Work collaboratively with the QI Manager and CMO to provide feedback and maintain strong relationships with external vendors/entities related to HEDIS, Performance Improvement Projects (PIPs) and NCQA projects.
- Track PIP data and write quarterly PIP reports, PIP proposals, and final PIP reports.
- Engage and educate providers on QI initiatives and P4P measures and work with providers to develop processes to improve QI/P4P measures.
- Attend and participate in quarterly QI Committee meetings.
- Attend and participate in monthly credentialing meetings.
- Collaborate with other departments to accomplish QI initiatives.
- Complete provider site visits per NCQA standards.
Minimum Requirements of the Position
- Minimum of an Associate degree in related field.
- Nursing or clinical experience preferred.
- Proficient in the use of Microsoft Office Suite.
- Ability to build trust with business partners across organizational boundaries.
- Strong interpersonal skills—ability to effectively communicate with all levels and functional areas within the organization.
- Strong written and verbal communication skills.
- Ability to work independently.
Group Health Cooperative of Eau Claire complies with applicable Federal civil rights laws and does not discriminate, exclude or treat candidates less favorably on the basis of race, color, national origin (including limited English proficiency and primary language), age, disability, or sex (including sex characteristics, including intersex traits; pregnancy or related conditions; sexual orientation; gender
identity; and sex stereotypes).
The Cooperative is committed to fostering a caring and compassionate environment while ensuring that individual differences are valued. The Cooperative is a quality driven cooperative built on collaboration, community involvement, innovation, and belonging. It is essential that all employees and members feel secure and welcome, that the opinions and contributions of all individuals are respected and that all voices are heard.
This full time position offers an outstanding benefit package, including three weeks of vacation the first year, a generous retirement plan, health and dental insurance, a wellness program, and much more! If you are interested in working for an organization focused on a team atmosphere and is dedicated to providing exceptional service submit your resume today! Send resume to: resumes@group-health.com. Group Health Cooperative of Eau Claire is an affirmative action and equal opportunity employer.
identity; and sex stereotypes).
The Cooperative is committed to fostering a caring and compassionate environment while ensuring that individual differences are valued. The Cooperative is a quality driven cooperative built on collaboration, community involvement, innovation, and belonging. It is essential that all employees and members feel secure and welcome, that the opinions and contributions of all individuals are respected and that all voices are heard.
This full time position offers an outstanding benefit package, including three weeks of vacation the first year, a generous retirement plan, health and dental insurance, a wellness program, and much more! If you are interested in working for an organization focused on a team atmosphere and is dedicated to providing exceptional service submit your resume today! Send resume to: resumes@group-health.com. Group Health Cooperative of Eau Claire is an affirmative action and equal opportunity employer.
