Quality Improvement Specialist at Community Health Center Network Inc – San Leandro, California

Organizational Description

The Community Health Center Network (CHCN), sister organization to the Alameda Health Consortium, is made up of the eight federally qualified community health centers in Alameda County. CHCN functions as the managed care MSO for our health centers, contracting with the Alameda Alliance for Health. In order to help our health centers meet their missions of providing the best possible care to their communities, we also provide a broad range of training, technical assistance, quality improvement, information technology, and data analytic services.

Position Title: Quality Improvement Specialist

Department: Quality

Reports To: RN Population Health and Quality Improvement Manager

Classification: Non-Exempt

Status: Full-Time Regular

POSITION SUMMARY

The Quality Improvement Specialist provides communication, reporting, technical, and administrative support to the Quality department at CHCN. The Quality department works to enhance population health and quality improvement within the network, and to facilitate care improvement and efficiency at our member health centers. This role will work closely with member health centers on clinical quality improvement projects to support success in quality outcomes and incentive programs. This will include coordination of regular meetings and follow up, working with our analytics team to share valuable quality data and reports, and collaboration with quality staff and leadership to develop interventions for improvement. The role will also interface with health plan quality staff and other internal and external partners. The ideal candidate is a well-organized, flexible, team player with a passion for data and improving health outcomes. This is an exciting opportunity to have a meaningful role in helping vulnerable populations in primary care settings.

KEY RESPONSIBILITIES

The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks and responsibilities. Employees may perform other duties as assigned.

· Serve as a bridge between CHCN and member health centers

· Help health centers to navigate and understand CHCN-generated reports

· Provide training and documentation on Tableau reports

· Understand the needs of health centers as it relates to analytics and quality improvement activities

· Support implementation efforts for quality measures and track and measure progress of interventions across health centers, including implementation support for grant-funded programs

· Responsible for facilitating analytics and quality improvement activities among health centers, CHCN, and health plans during meetings, audits, patient satisfaction surveys, etc.

· Conduct CHCN Quality audits for data validation using electronic medical record system

· Maintain cooperative and productive working relationships with cross-functional teams at CHCN and all health center staff (e.g. management, analytics, clinical staff). Conduct simple

data analyses using Excel

· Update meaningful reports for leadership to make business decisions and for clinical staff to use in clinical practice

· Review new clinical or reporting guidelines, best practices for quality improvement, etc., particularly as they relate to priority Quality measures

· Create, maintain, and update department documents

HIPAA Designated Access

“For the purposes of the job duties of this position, the person in this position requires access only to the following HIPAA protected information data sets”

1. MSO Membership 2. MSO Claims 3. MSO Referral/Auth. 4. MSO Capitation

5. Data Warehouse 6. Chart Audit/QI 7. Disease Registry

SUPERVISORY RESPONSIBILITIES

None

MINIMUM QUALIFICATIONS

Skills

· Excellent written and verbal communication skills to allow for effective communication with a diverse audience, from executive team members to frontline staff. This includes strong customer service skills for periodic communication with CHCN members

· Project management experience, including project development, implementation, milestone delivery, coordination, problem identification, solution generation, and issue resolution

· Familiarity with Microsoft Office Suite, including Word, Excel, and PowerPoint

· Highly motivated and capable of adopting new methods, knowledge and skills quickly

· Ability to reliably and consistently deliver quality work product on target dates

· Ability to work both in a team setting and independently

· Detail oriented

· Passion to help vulnerable populations receive high quality of care

Background/Experience

· Bachelor's degree or equivalent experience

· Knowledge of technical and clinical elements of Quality Improvement, including knowledge of QI frameworks (e.g., IHI Model for Improvement)

· Experience in a safety net healthcare setting (1 – 2 years preferred)

· Interest in population health management, public or community health.

· Comfortable working with qualitative and quantitative data to identify trends, root causes, and track performance metrics.

· Experience executing successful outcomes within the Medicare STARS program for quality improvement (highly preferred)

· Experience with reporting tools such as Tableau and/or electronic health records a plus

· Ability to travel locally for work-related purposes to meetings, sites, events, etc.

CERTIFICATES AND/OR LICENSES

None

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this Job, the employee is regularly required to sit and use hands to finger, handle, or feel. The employee is frequently required to talk or hear. The employee is frequently required to stand; walk; reach with hands and arms and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 15 pounds. Specific vision abilities required by this job include close vision and ability to adjust focus.

WORKING CONDITIONS AND ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly exposed to an inside environment.

The Community Health Center Network is an Equal Opportunity Employer.