Quality Specialist Jobs in Massachusetts

Purpose of Position: Supports CCHC ACO performance efforts by assisting in generating and analyzing data from various sources to measure and report on the performance of physicians and other providers affiliated with Cape Cod Healthcare’s Physician Hospital Organization (PHO.)

Description

:

• Generates and analyzes data from various sources, including but not limited to: CCHC ACO quality data warehouse, claims databases, health plan data, physician practice management systems, electronic health record, health information exchange network data as well as data and analytics produced by third-party vendors.
• Works with PHO and CCHC data analysts on data validation and defines clinical and other standards and specifications for measuring and reporting physician-specific and PHO-wide quality, cost, and care coordination-related data and reporting.
• In close coordination with the quality team, reviews reports/data to assess PHO performance against goals and to identify targeted areas of opportunity for priority focus and improvement.
• Works with CCHC ACO leadership and quality team to develop physician report cards reflective of organizational priorities for cost, quality, care coordination and otherwise with respect to PHO’s clinical integration plans.
• Leverages data and reporting to support CCHC ACO in development of value-driven, physician incentives.
• Assists with integration issues and support; looks for opportunities to improve system integration related to all electronic medical records used by CCHC PHO physician practices.
• Provides clarification and support on performance-related reports and accompanying documentation
• Performs and supports quality team with routine chart abstraction activities related to payer audits and internal performance measures
• Maintains collaborative team relationships with physicians, physician practice staff, PO Managers, CCHC ACO staff and health plans to effectively contribute to the achievement of goals.
• Performs other duties as new opportunities arise and are assigned.

Qualifications

:

• Bachelor’s degree preferred or equivalent combination of experience and education. Nursing Degree a plus.
• 3-5 years of experience in active use of healthcare informatics.
• Accuracy and attention to detail are required. Must be able to collect and interpret clinical information from diverse sources and summarize information and data in a meaningful, actionable manner that supports performance improvement.
• Strong interpersonal skills and ability to interact positively with a wide range of constituents. Proven excellent written and verbal communication skills.
• Ability to present information to small and, at times, large audiences.
• Strong organizational and project management skills including development of project parameters, goals, and time lines and outcome measurement.
• Must be able to maintain confidentiality of information.
  Knowledge and proficiency in use of a variety of analytic and clinical systems including MS Office Suite (Excel, Word, and PowerPoint), EMRs, SQL, and relational databases preferred.
• Ability to function effectively within an ever-changing environment and to meet deadlines and reprioritize as necessary.
• Ability to work both independently and within a team environment and a multi-dimensional environment.
• Creative, flexible, self-motivated, professional must possess sound judgment ability to plan and initiate new activities consistent with achieving service excellence.
• Requisite poise, judgment, and trustworthiness to represent CCHC ACO to internal and external groups.
• Maintains information in a confidential manner according to policy

Schedule Details: Full-Time, Monday-Friday, No Weekends & No Holidays

Organization

: Cape Cod Healthcare, Inc.

Primary Location

: Massachusetts-Hyannis

Department: HCI-PHO

Annual/Hourly: Unassigned

Hiring Pay Range: $0 - $0