Quality Consultant
Company | Cambia Health Solutions |
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Location | Salt Lake City, UT, USA, Post Falls, ID, USA, Yakima, WA, USA, Tacoma, WA, USA, Medford, OR, USA, Burlington, WA, USA, Tukwila, WA, USA, Salem, OR, USA, Boise, ID, USA, Pocatello, ID, USA, Spokane, WA, USA, Moscow, ID, USA, Bellevue, WA, USA, Portland, OR, USA, Bend, OR, USA |
Salary | $80000 – $90000 |
Type | Full-Time |
Degrees | Bachelor’s |
Experience Level | Senior |
Requirements
- Bachelor’s degree in business administration or related field
- 6 years of progressive experience in health care administration, quality, project management or project support
- Knowledge of quality improvement processes and performance measurement
- Demonstrated ability to identify problems, develop solutions and implement a chosen course of action
- Leadership skills with the ability to direct activities of others both individually and within a project team
- Ability to organize, plan, prioritize and develop multiple projects within time constraints
- Strong knowledge and understanding of data integrity/validity standards and significance
- Ability to perform sound basic quantitative and qualitative analyses and interpretation
- Knowledge of the healthcare industry, preferably in the managed care market
- Excellent verbal and written communication skills including ability to communicate effectively across multiple areas and levels
Responsibilities
- Develops and maintains required/applicable quality program documents, including a standardized quality management plan and program to ensure compliance with external regulatory and accreditation and/or performance measurement requirements
- Serves as a point of contact, coordinating and collaborating with accreditation entities and business partners to ensure compliance with accreditation and/or performance measurement requirements
- Prepares enterprise for accreditation and/or performance measurement submissions and reviews
- Serves as the subject matter expert for applicable accreditation standards/measurement requirements
- Makes recommendations to business unit partners for improvements or remediation to accreditation/reporting compliance/improvement programs
- Monitors exposure to accreditation/measurement risks and identifies opportunities to manage and mitigate those risks
- Compiles information related to quality improvement and accreditation monitoring activities for internal use and external audits and maintains relevant records
- Assists with the development and maintenance of required quality program documents
- Responsible for reporting activities to the quality committee and management
Preferred Qualifications
- Medical Record Review (Extraction)
- HEDIS (Preferred not required)
- EMR experience preferred
- Clinical background (RN or Coding)