Quality Measure Specialist

Quality Measure Specialist -AdventHealth

All the benefits and perks you need for you and your family:

· Benefits from Day One

· Paid Days Off from Day One

· Student Loan Repayment Program

· Career Development

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule: M-F

Shift: 8AM-5PM

Location: Virtual (Local to Florida)

The role you’ll contribute:

The Quality Measure Specialist performs a wide variety of tasks to be compliant with quality initiatives and other requirements to ensure patient safety and improved member care. This position will ensure the effective management of care gaps, including referral tracking and member/provider outreach. This position requires excellent communication, diplomacy, strong computer skills and the ability to manage complex working relationships.

The value you’ll bring to the team:

· Maintains current expertise on quality measures (including but not limited to ACO, CMS, HEDIS etc)

· Support and maintain outreach initiatives and other quality improvement strategies

· Answers questions and provides clear instructions to enhance patient compliance and support quality metrics

· Maintains and reviews medical records for purposes of identifying, confirming, and/or documenting referrals, results and appropriate medical coding

· Collect and analyze data, needs assessments, cost and utilization data to support program planning and reporting requirements. Provide reports and/or information related to measures and provider performance

· Oversees data entry on relevant quality performance indicators

· Designs, schedules and conducts quality review audits as appropriate to the healthcare practice or service; performs or coordinates chart and/or other medical record reviews and records and/or abstracts specific relevant data as appropriate.

· Participates in the planning, development, coordination and presentation of specific training and educational programs as appropriate to the quality assurance needs of the health center or service.

· Adhere to company and department policies and procedures

· Other duties as assigned.

Qualifications – External

The expertise and experiences you’ll need to succeed :

Minimum qualifications :

· Bachelor’s degree in health-related field or Business or Finance.

· Minimum of 2 years of experience working with Data and Data Analysis related to healthcare.

LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:

· Registered Nurse

Preferred qualifications:

· Registered Nurse candidate

· Masters Degree

· Lean Sig Sigma green belt or PDSA training

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

Category: Quality/Clinical Effectiveness

Organization: AdventHealth PHSO Resources

Schedule: Full-time

Shift: 1 – Day

Req ID: 24036805

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.