Responsibilities and Specific Duties:
industry trends, anticipates implications and opportunities and collaborates
with the leadership team to develop, manage and communicate clinical quality
initiatives including but not limited to HEIDS/Star program, PCMH and
the auditing process for Data Outcomes including identifying trends and articulates
current performance in specific areas/indicators. Benchmarks performance against clinical
and provides analysis of data that is understandable to different audiences,
such as providers and staff, leaders, executive leadership, QIC and Board of
on the Quality Improvement Committee (QIC).
partnership with the QIC Committee, other departments and leaders, evaluates
process for performance improvement.
Develops, evaluates and implements policies and procedures, trainings to
ensure continuous quality improvement processes.
the direction of the Chief Medical Officer (CMO) monitors the quality improvement (QI)/quality assurance (QA) program
collaboration with the CMO, Chief of Quality, Finance, Informatics, Nursing,
and other departments, has the responsibility of directing, coordinating and
monitoring the activities related to clinical quality initiatives.
and facilitates cross-functional teams to complete projects or assignments.
in periodic mock surveys to assess accreditation preparedness.
as the organizations designated Medicare Compliance Lead to ensure compliance
with all existing and emerging requirements related to CMS.
the President/CEO and Executive Leadership team on emerging trends,
methodologies or issues in coding, billing compliance or documentation issues.
of a Bachelor's Degree in a Healthcare Related Field required.
Degree of Healthcare Administration or Business Administration preferred.
- 3 years' experience working in the areas of Quality,
Data Outcomes, Process Improvement Projects, QI or QA activities within a
healthcare entity preferred.
of CMS regulations pertaining to Medicare and Medicaid required.
knowledge of Microsoft Office and extensive knowledge of the components of
medical records is required.
- Excellent reading
comprehension and writing skills including spelling and grammar.
analysis skills for trending analysis and report.
to communicate effectively with clinical as well as non-clinical staff and
express the QI mission with all its operational details.
with a high degree of professionalism in both writing and speech; maintain
professional demeanor and dress.
confidentiality of all clinical and corporate data.
in electronic health record system.
to work flexible hours as needed.
transportation and current Florida Driver's license is required.
to all CHC locations.