QA/QI Coordinator

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 17th 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:

• Two 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.
• RMA or CMA Certification or LPN required.
• Extensive knowledge of medical terminology.
• Experience with computer databases to track and analyze data.
• Experience with HEDIS and MIPS, 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 recruitment@thevillageshealth.com

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