9854 - SENIOR QUALITY SPECIALIST:
Greenville Health System

33529-en_US
Greenville Health System
Columbia Maryland
Healthcare
Description

Job Class

NON CLINICAL PROFESSIONAL

FLSA

Exempt

Job Summary

This position is located in Columbia, SC at the CCI offices at 1401 Main Street, Columbia,SC 29201 with a focus on support for the Palmetto Health Quality Collaborative practice sites. Same-day travel to CCI's offices in Greenville, SC as well as to provider/practice sites within the Columbia area including Palmetto Health Tuomey in Sumter, SC will be required.

The Senior Quality Specialist will focus on one or more areas of clinical practice performance improvement and practice transformation. As a senior team member assists less experienced staff, coordinates and supports clinical initiatives that promote high quality care across the network using best practice models of care. Manages the relationship for the performance reporting and quality improvement program between the accountable care organization (ACO) and/or clinically integrated network (CIN) and the practices/providers in the network. Is the primary resource and liaison between the network’s performance management and operations, data analytics, and information technology teams and the practices and providers. Collaborates with the practices and providers in order to drive improvement in operational performance and clinical outcome measurements. Provides input into strategy, planning and operations for clinical quality programs, particularly those related to population health and ambulatory quality. Oversees CCI client activities in (i) applying for, managing or maintaining clinical quality programs such as Patient Centered Medical Home (PCMH) or other similar primary care or specialist quality programs, supports recognition updates, upgrades and renewals, (ii) directing activities for integrating new practices into the quality program(s) and associated processes and (iii) reporting quality performance to CMS for the Medicare Shared Savings Program (MSSP) and the Merit Based Incentive Payment System (MIPS) in addition to other reporting projects as applicable to commercial and government payors. Serves as an expert resource for the practices and providers and ensures they are well-educated about programs and supports them in their understanding of practice transformation, quality reporting and related initiatives. Works across the performance management team as well as with technology teams to compile data and improve individual physician performance as necessary.

Supervisory/Management Responsibilities

This is a non-management job that will report to a supervisor, manager, director or executive.

Minimum Education

Bachelor's Degree - Health sciences, social work, public health, biology, chemistry or a related field

Minimum Experience

5 years - Healthcare services experience including nurisng, office/practice management, medical assistant, medical/claims coding, EHR/EMR data input or data analytics in another field/industry

Required Certifications/Registrations/Licenses

NOT APPLICABLE

Specific Acceptable Credentials (if applicable)

N/A

In lieu of the Above Minimum Requirements

Master's degree in related field may be substituted for up to two (2) years of experience

Other Required Experience

Healthcare quality and process improvement experience including training or experience with Six Sigma, Lean or other process management tools and methodologies - Preferred

Experience with databases, statistics and mapping software/tools - Preferred

Position Posting Category

Non Clinical Professional/Technical

Basic Qualifications
Requirement