Quality Program Coordinator

Northern Light Health

Department: Quality Perf. Improvement

Position is located: Cianchette Professional Blding

Work Type: Full Time

Hours Per Week: 40.00

Work Schedule: 8:00 AM to 4:30 PM

Summary :

The Quality Program Coordinator will facilitate quality initiatives and clinical quality data management for quality regulations and agreements. The coordinator will understand the quality components of all agreements. This includes, but is not limited to, MIPS, eCQMs, HEDIS and CGCAHPS for ambulatory quality and IQR, QHIP, Leapfrog, Medicare Star Ratings, and HCAHPS for inpatient quality. The coordinator will provide guidance to data and programming experts to ensure all relevant information is collected and captured and ensure accurate capture and reporting through extensive auditing and validation processes. The coordinator will provide education and training to member organizations on clinical quality metrics and documentation requirements and monitor performance towards achievement of targeted goals.

Responsibilities :

• Translates current and proposed quality regulations and agreements.
• Analyzes risks associated with new and existing quality programs to determine the probability, severity, and consequences of the risk.
• Establishes and proactively identifies ways to streamline documentation collection and data elements from internal and external customers.
• Develops educational tools and training guides related to pertinent quality components and documentation requirements. Educates quality coordinators, staff members, and clinicians. · Tracks, assesses, and makes recommendations on performance towards achievement of targeted goals by contract.
• Leads work groups to develop innovative strategies that maximize compliance rates for members and assure optimal performance standards.
• Performs other duties as delegated by management for which the employee is qualified to perform.
• Demonstrates self-motivation with an ability to work independently, prioritize needs, pay attention to detail, organize complex processes, think creatively, and interact in a professional manner.
• Demonstrates the ability to work collaboratively with members, physicians, other medical disciplines, and management staff.
• Provides coverage for co-workers on an as needed basis.

Other Information :

• Able to work effectively at all levels in an organization.
• Independent travel to various sites required.
• Collaborates with Quality Program Manager to create individual self-development plan.
• Sound analytical and problem-solving techniques with ability to prioritize problems and demonstrate resourcefulness in their resolution.
• Exceptional communication skills both written and verbal.
• Excellent active listening skills.
• Problem solving and root cause identification skills.
• Must have knowledge of the following software: Project Management, Workflow Management, Microsoft Excel, Word, and PowerPoint.
• Understanding of the health care delivery setting.

Competencies and Skills

• 5 years of relative work experience required.
  • 5 years’ experience of Ambulatory/Population Health quality knowledge OR 5 years’ experience of Hospital Quality knowledge
  • 3 years’ experience of clinical process and quality improvement
• Achieves Results: Sets high standards for their own outcomes and seizes opportunities to engage others towards objectives. Consistently moves forward with direct actions in order to attain or exceed objectives. Manages their own time effectively to accomplish assigned tasks. Successfully prioritizes multiple projects and duties as needed.
• Effectively Communicates: Listens, speaks and writes appropriately, using clear language. Communication methods are fitting to the message(s), audience, and situation and follow-ups are regular and timely. Shows that important (non-) verbal information is absorbed and understood and asks further questions to clarify when necessary. Expresses ideas and views clearly to others and has ability to adjust use of language to the audiences' level.
• Word processing, spreadsheets, data entry, database experience and other computer related skills.
• Seeks Process Improvement & Applies System Thinking: Possesses and gains insight into situations, problems and processes. Understands the interconnection between organizational elements. Deconstructs problems and systematically investigates the various components. Considers the impact of actions on the entire process/system. Detects problems and opportunities, recognizes important information, and links various data to trace potential causes and relevant details.
• Serves Others: Strives to understand, meet and exceed the expectations and requirements of internal and external customers which may include the people and communities in our service areas. Develops and maintains relationships, alliances and coalitions within and outside the organization and leverages them in order to obtain information, support, and promote cooperation and collaboration.
• Behaves with Integrity and Builds Trust: Acts consistently in line with the core values, commitments and rules of conduct. Leads by example and tells the truth. Does what they say they will, when and how they say they will, or communicates an alternate plan.
• Cultivates Respect: Treats others fairly, embraces and values differences, and contributes to a culture of belonging, empowerment, and cooperation.
• Fosters Accountability: Creates and participates in a work environment where people hold themselves and others accountable for processes, results and behaviors. Takes appropriate ownership not only of successes but also mistakes and works to correct them in a timely manner. Demonstrates understanding that we all work as a team and the quality and timeliness of work impacts everyone involved.
• Practices Compassion: Exhibits genuine care for people and is available and ready to help; displays a deep awareness of and strong willingness to relieve the suffering of others.

Education

• Required Bachelor's Degree and 8- years of experience (additional to the position's minimum experience requirements) will be considered in lieu of degree.

Working Conditions

• Work with computers, typing, reading or writing.
• Prolonged periods of sitting.

Brewer, Maine, Corporate Office, Cianchette, Foundation, Finance, Human Resources, Legal Services