Quality Assurance Specialist
Company: Care Alliance
Location: Cleveland
Posted on: October 17, 2024
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Job Description:
Description: Mission Statement:Our mission is to provide
high-quality, comprehensive medical and dental care, patient
advocacy and related services to people who need them most,
regardless of their ability to pay. Caregivers demonstrate an
elevated level of empathy, compassion and profound respect while
providing excellence of care to our patients. They serve as
advocates for all in our Northeast Ohio community, especially the
most vulnerable.
Job Summary:The Quality Assurance Specialist is responsible for
assisting in the coordination of Care Alliance Health Center
(CAHC's) quality initiatives, with a focus on provider
credentialing, patient safety, patient experience, and quality
improvement measures, metrics and strategies that will enhance
patient care. Coordinate proactive implementations of strategies
that reduce organization risk in consultation with the Director of
Quality and Risk Management. Responsible for maintaining and
reporting the quality measures and data instituted by grantors and
other CAHC (Care Alliance Health Center) partner and collaborative
organizations.
Task Responsibilities:*Include but are not limited to: - Utilize
EPIC, Azara, UDS, ODM, HRSA and other databases to identify and
formulate data relating to the needs of patients and clinical
programs, as well abstract data to ensure the alignment of cost
with care outcomes - Manage all aspects of the credentialing,
re-credentialing and contract enrolling for all providers. Maintain
up-to-date data for each provider in credentialing databases;
ensure timely renewal of licenses and certifications. - Manage
patient data and generate reports for analysis for identification
of quality-of-care gaps/opportunities. - Works with the QA Director
to identify and report outlying metrics to review with the
leadership team. - Review payor program metrics and formulate the
data required to meet CAHC quality initiatives, and participate in
monitoring improvement initiatives - Monitor payor care management
program targets and ensure we are on track through monthly
monitoring and reporting, - Work collaboratively with the Director
of Quality and risk Management to implement any quality initiatives
including population health initiatives. - Monitor, review, and
capture quality initiatives and gaps, and work with Finance
department to identify payor incentives. - Maintain a quality
dashboard for tracking and reporting purposes. Creating reports and
metrics data for all CAHC departments. - Other duties as
assigned
Requirements: Minimum Education and Experience: Required:
Compensation details: 60000-65000 Yearly Salary
PI19f109878fe9-37248-35581031
Keywords: Care Alliance, Mentor , Quality Assurance Specialist, Other , Cleveland, Ohio
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