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QUALITY SPECIALIST - (17706)

Universal Health Services


Location:
GUAYNABO
Date:
05/24/2018
2018-05-242018-06-22
Job Code:
17706
Universal Health Services
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Job Details

Deltek Talent Management - QUALITY SPECIALIST - (17706)

Job Details


QUALITY SPECIALIST - (17706)

Facility Name
FHCHS of PR, Inc.
Location
GUAYNABO, PR GUAYNABO US (Primary)
Career Area
Professional
Category
Administration
Job Description

::Carry outs a variety of tasks related to the education, measurement, corrective actions, maintenance and promotion of the Quality Improvement Program; assures compliance with federal policies and guidelines of regulating and accrediting bodies such as CMS, URAC and NCQA. Under the supervision of the Quality Manager and leaders of the Quality Committee implements, analyzes, monitors and documents the Quality Improvement Program.

Job Requirements

::

  1. Converts data found in various data bases into information that supports the decision making process of quality issues.

  2. Collaborates with the Quality Manager in the development and implementation of URAC, HEDIS and NCQA activities.

  3. Plans and organizes the Quality Committee meetings. Is responsible, in coordination with the Committee’s leaders, of the creation of the agenda, indicators reports and minute of the meeting.

  4. Performs data entry and maintains a registry of: gathered information, the Quality Indicators Report and Departmental Corrective Action Plans.

  5. Provides follow-up to corrective action plans.

  6. In charge of coordinating Quality Audits to the Providers Network.Responsible of creating all final reports of these audits according to the reports sent by quality auditors.

  7. Develops, in conjunction with the Quality Manager, the Quality Educational Plan which targets the Providers Network, patients and employees.

  8. Coordinates, in conjunction with the Quality Manager, the Quality Week.

  9. Supports quality improvement initiatives including data management and reporting, health insurance incentive programs, population health management and other value-based reimbursement programs.

  10. Coordinates and performs internal and external audits according to the Annual Quality Auditing Plan, including but not limited to: timeframe of service coordinations, monitoring of Call Center Representatives phone calls, Providers Quality Performance, Case Management and Pharmacy Department.

  11. Performs quality improvement and measurement reports both monthly and on a quarterly basis, according to all measurement and monitoring activities of the indicator reports.

  12. Available to travel all around the Island.

  13. Will perform any other task required by the Quality Manager.

    Requirements:

  14. Master’s degree in Quality Management, Public Health, Health Education or health related fields 

  15. Licenses:  Not required

  16. Relevant work experience: 3-5 years of experience

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