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Providence Quality Management Analyst in Mission Hills, California

Description:

Providence is calling a Quality Management Analyst (Full-Time/Day Shift) to Providence Facey Medical Foundation in Mission Hills, CA.

We are seeking a Quality Management Analyst who will be responsible for providing support services to the Quality Management Department and clinic operations in the areas of root cause analysis, benchmark reporting and fluctuation analysis, P4P/CMS 5 Star trending analysis, patient satisfaction reporting, and working with Operations staff in the definition and enhancement of existing processes in order to improve clinic efficiencies and patient outcomes. Assists the Quality Management Department in the identification of quality of care or patient satisfaction issues and the design and implementation of performance improvement plans. Assists in development of reporting to track and trend specified patients/populations identified for interventions. Major responsibilities include understanding of quality measure specifications, provision of reports and guidance to departments on interpretation and application of quality data/reports, analysis of workflow and related processes that impact results, formulation of recommendations for processes to improve outcomes, and presentation of information to multi-disciplinary groups. Assists in reporting processes to external agencies to meet regulatory requirements (ICE, P4P, HEDIS, NCQA). Serves as a technical resource to respond to questions from providers and staff regarding PCMH benchmarks, Ascender reporting and MTC reporting. Will support the ACO project teams with analysis required to compare health plan's information to Facey internal data. May build simple tools/project plans to track patients outreach efforts.

Due to the more complicated nature, this position will require greater technical, analytical, problem-solving and communication abilities. This position will be expected to demonstrate strong leadership and interpersonal skills via participation in various work groups with all levels of staff/management.

In this position you will:

  • Deliver upon the service expectations of both our providers and fellow staff members by listening to their needs; engaging in positive interactions; and following through on promises made in a thoughtful, efficient, timely and courteous manner so that their total outcome is better than expected.

  • Respect the dignity, confidentiality and privacy of patients.

  • Work in a safe manner, adhering to general safety precautions and standards. Reports any unsafe conditions to their supervisor and/or the safety hotline.

  • Responsible for data collection, reporting and project coordination related to the annual Pay for Performance programs.

  • Create, analyze, interpret, and distribute reports related to specific programs.

  • Review and reconcile data from health plans that may support ACO, HCC and P4P/CMS 5 Star efforts.

  • Analyze external health industry benchmark data to determine performance in access to care, quality, and patient experience.

  • Create summary and detailed reports and presentations for leadership to support business and strategic decisions.

  • Knowledge of industry changes on programs affecting quality, population health, and incentive programs.

  • Keep abreast of industry changes and serves as a subject matter expert on programs affecting quality, population health, and incentive programs.

  • Train providers and clinics staff on measure specifications and quality improvement techniques.

  • Perform process improvement analysis to identify areas for improvement. Prepares and presents findings to key stakeholders.

  • Implement performance improvement tools to support outreach activities, track data gaps, and decrease health care disparities.

  • Provide technical assistance, consultation, coordination, facilitation and educational activities to key stakeholders.

  • Coordinate with other departments / vendors regarding data and reporting needs.

  • Ensure compliance with HIPAA regulations through encryption of protected health information.

  • Process Improvement and Interaction with Operations:

  • Support Clinical Focus Team meetings, setting agenda and coordinating clinical performance review discussions with input from FMG Medical Director and FMG Medical Director for Quality Management.

  • May suggest areas for reorganizing workflow to achieve economies of scale and efficiencies.

  • Lead Clinical Focus Team meetings, setting agenda and coordinating clinical performance review discussions with input from FMG Medical Director and FMG Medical Director for Quality Management.

  • Continually suggest areas for reorganizing workflow to achieve economies of scale and efficiencies.

  • Interact with all operating departments so that appropriate information is shared and information can be provided to monitor performance and enhance results.

  • Anticipate and achieve problem solving for possible adverse circumstances or events.

  • Work to integrate operating and clinical reporting, such as HEDIS measures by site, health plan and product and other reporting as required.

  • Share clinical/quality information as appropriate to all operating departments on a regular and open basis.

Qualifications:

Required qualifications for this position include:

  • Bachelor's Degree or equivalent educ/experience

  • Two (2) years experience in health care, quality management and/or managed care operations.

  • Two (2) years experience in data collection and reporting.

  • Requires strong technical, analytical, and problem solving skills.

  • Must be detail-oriented with high level of accuracy.

  • Must be able to work independently and as a team leader/member on a variety of assignments with minimal direction and fluctuating workload.

  • Must be able to set priorities to meet deadlines.

Preferred qualifications for this position include:

  • Master's Degree in Public Health or Healthcare Administration

  • One (1) year professional and analytical experience as well as project management and process improvement.

  • Understanding of California Pay for Performance Programs

About the hospital you will serve.

Facey Medical Group is a multi-specialty medical group with over 160 physicians providing care to the growing population in the North & East regions of Los Angeles & Ventura Counties. Twelve medical clinics, including two urgent care centers and dedicated women's centers, are located across the San Fernando, Santa Clarita and Simi Valleys. The group began as a single medical practice over 90 years ago.

Facey is part of Providence Health & Services, an integrated, not-for-profit 5-state network of hospitals, care centers, medical clinics, affiliated services and educational facilities spanning from California to Alaska.

For information on our comprehensive range of benefits, visit:

http://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Quality/Risk/Safety (Non-Clinical)

Location: California-Mission Hills

Req ID: 282788

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