Overview

Under the direction of the Risk and Quality Director, the Risk and Quality Specialist will play an essential role in the coordination, implementation and evaluation of daily risk and quality operations. Utilization of skills to effectively collaborate in the management and reduction of risk issues; development of targeted solutions to support organizational initiatives; proactively manage quality functions and communicate with a diverse audience of healthcare, legal and insurance professionals.

Job Highlights

ESSENTIAL DUTIES AND RESPONSIBILITIES: (The ideal candidate must be able to complete all physical requirements of the job with or without a reasonable accommodation)

• Assists in the development and maintenance of the Risk and Quality Program in accordance with corporate initiatives
• Participates in data collection, management and reporting of risk and quality documents, management of case files and correspondence in an organized, confidential and secure manner through corporate tracking systems
• Prepares quality reports with tracking and trending of identified risk and quality measures and escalation to Director of any unusual or recurring trends in patient care
• Assists the Risk and Quality Director and the medical staff in the development and maintenance of overall risk management operations through the identification of potential areas of risk by data collection, investigation, and submission of adverse events
• Reports identified risks to Risk and Quality Director
• Coordinates with Director the data collection for all lines of insurance for the platform and reports as requested
• Assists the Risk and Quality Director and medical staff in the development and maintenance of a quality assessment and performance improvement program designed to measure individual and divisional performance using valid, reliable, and measurable indicators
• Uses established peer review guidelines to analyze cases for review and identify opportunities for improvement
• Manages patient, facility and provider quality of care complaints and escalates as appropriate
• Responds to Survey Vitals requests for contact
• Promotes patient safety through the implementation of quality measures, strategies and benchmarks established by national quality organizations and the Continuous Quality Improvement Committee
• Provides support to the Continuous Quality Improvement Committee and other committees by agenda development, gathering of data and preparation of reports and minutes
• Promotes patient safety through the implementation of quality measures and guidelines established by national quality organizations and the Continuous Quality Improvement Committee
• At the direction of the Risk & Quality Director, collaborates with both clinical and operations staff to monitor and analyze the spectrum of care and services provided to patients for quality improvement, patient satisfaction and risk mitigation
• Other duties as assigned

Qualifications

Knowledge/Skills/Abilities (KSAs):

• Demonstrates willingness to learn new skills

• Some experience in healthcare risk and quality improvement programs including outcome reporting a plus

• Strong communication skills (listening, speaking, writing)

• Strong organizational skills and detail-orientation

• Results-oriented and able to consistently meet service level targets

• Ability to adhere to policy in the maintenance of confidential information

• Ability to work in computer applications including MS Excel, MS Word, MS PowerPoint, Adobe, MS Outlook

• Ability to work in collaborative relationships

• Ability to present materials in a concise and detailed manner

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

• Occasional Standing
• Occasional Walking
• Frequent Sitting
• Frequent hand, finger movement
• Use office equipment (in office or remote)
• Communicate verbally and in writing

Anesthesia Partners, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, disability (physical or mental), family medical history or genetic information, political affiliation, military service, or other non-merit based factors.