Quality Improvement Analyst

Department: Quality Improvement

Manager Title: Director of Quality Improvement

FLSA Status: Non-Exempt

Job Summary: PCC Community Wellness Center (PCC) is comprised of 12 health centers and serves West Side Chicago and near west suburbs. PCCs mission is to improve health outcomes of the medically underserved communities through a wide range of high quality, affordable and accessible health services. Quality Improvement (QI) encompasses a broad set of functions within the organization in order to actively improve the overall quality, efficiency and value of services. QI is seeking a diligent, well-organized and detail-oriented Quality Improvement Analyst to join the team. Some key duties of the position are collaborating with other departments to create reports, manipulating and synthesizing data, and monitoring clinical data to meet internal and external requirements. The position is full-time with flexible hours of work. Part-time schedule is available upon review.

Essential Duties and Responsibilities:

• Synthesize, monitor and track pay-for-quality data from insurance carriers, including Harmony, Aetna, BCBS, United Health Care, Molina, Illini Care, Chicago Health Systems, Century PHO, Medical Home Network and Family Health Network.
• Analyze pay-for-quality data for inconsistencies via EMR and billing audits, summarize findings, and prepare reports to share internally and to outside organizations.
• Participate in ongoing collaborations with health insurance plans to ensure accuracy and timeliness of data and reports.
• Regularly collaborate with the Care Coordination Department to close gaps in care and maximize outreach efforts.
• Generate patient satisfaction survey reports for all sites; create quarterly summaries/infographics using patient satisfaction survey data collected.
• Track and monitor Meaningful Use Quality reports for PCC Providers; complete MU attestation forms and assist with attestation process as needed.
• Track and monitor Performance Metrics for PCC Providers; provide Medical Director of Quality Improvement with quarterly and annual reports.
• Create and generate quarterly and annual Provider Quality Improvement Reports.
• Responsible for the collection and submission of documents required for PCMH certification/recognition. Create, validate, and monitor PCMH reports and conduct all PCMH audits.
• Track and monitor Peer Review process for all PCC Providers; create and run quarterly reports.
• Participate in the Reports Committee; develop reports for various departments, programs, and grants at PCC.
• Validate UDS quality reports and calculate annual results for quality measures; assist with other UDS data manipulation and analysis as needed.
• Monitor all incoming HEDIS requests and submit appropriate documentation in a timely manner.
• Recommend and implement solutions for existing processes; participate in planning, development, and evaluation of solutions and processes.
• Utilize data to validate and create reports and perform analysis as needed.
• Collaborate closely with PCC Providers, other internal staff and external organizations.
• Receive direction and guidance on an ongoing basis from Director of Quality Improvement
• Perform other duties as required and assigned.

Qualifications:

Experience/Training:

• Associate's degree required.
• Bachelor's Degree in related field preferred.
• 2 - 3 years' experience in reporting and data management required.
• Proficient in MS Office Business Applications to include: Outlook, Word, PowerPoint, and Excel.

Physical Demands:

• Must be able to remain in a stationary position 50% of the time.
• Must be able to move around the clinic site 50% of the time.
• Constantly operates a computer, computer printer, copy machine, and telephone.
• Occasionally positions self to maintain exertion of physical strength to move objects of 10 pounds from one level to another.
• Must be able to transport from one site to another.
• Must be able to cover other shifts as necessary.

Other Skills:

• Ability to read and write proficiently using the English language.
• Constantly communicates with other healthcare providers. Must be able to exchange accurate information in these situations.
• Follow-through, assume responsibility and use good judgment.
• Maintain professionalism under stressful situations.
• Self-motivated and directed with the ability to prioritize and work efficiently under pressure.
• Ability to understand and follow verbal and written communication.
• Detail oriented with the ability to work with minimal/no supervision.
• Willingness to be part of a team-unit and cooperate in the accomplishment of departmental goals and objectives.
• Effective and creative problem solving.