Quality Improvement Coordinator

FLSA Status

Job Role Summary

The Quality Improvement Coordinator is responsible for development, implementation, monitoring and analysis of appropriate methods of quality assessment/assurance/improvement and activities as part of the Quality Management Program. This position contributes to external programs and requirements associated with managed care contracts, HRSA and Joint Commission standards, CMS and NCQA programs.  

Essential Functions and Responsibilities

•    Proactively contributes to Eskenazi Health’s mission: Advocate, Care, Teach and Serve with special emphasis on the vulnerable population of Marion County.  Models Eskenazi values of P.R.I.D.E. (Professionalism, Respect, Innovation, Development and Excellence)
•    Responsible for development, implementation, monitoring and effectiveness analysis of appropriate methods of quality assessment/assurance and quality improvement projects and activities as part of the Quality Management Program
•    Interacts with all internal and external customers in a caring and respectful manner in accordance with our Core Values philosophy
•    Serves as a subject matter expert for assigned quality measures and has general understanding of all quality measures
•    Manages multiple projects/programs simultaneously including but not limited to outreach, process improvement, external incentive or contracted programs and adoption of standards of work (SOW)
•    Serves as content expert and educates customers on assigned programs (ex: HEDIS, MIPS, PCMH, pay for performance, UDS).  Collaborates with colleagues to ensure successful completion of assigned project(s). 
•    Leads internal customers through implementation and management of clinical quality best practices including the process of hard wiring, identifying sustainability opportunities and metrics, identifying opportunities to create new or change existing best practices and ensuring compliance with regulatory and safety standards
•    Develops materials and communications to assist with implementation of the quality program including but not limited to culturally and language sensitive patient materials, newsletters, Sharepoint page, posters, audit tools, visual aids, presentations, workflows, etc
•    Coordinates and conducts formal presentations and trainings to various levels in the organization and externally
•    Assists in medical record reviews and quality control reviews includes the participation in the data collection process for HEDIS and other performance measures and on-going audits to ensure data integrity and identify opportunities for improvement
•    Leads teams through formal process improvement (PDSAs, LSS, DMAIC, SMART, etc), partners with community and external organizations to reduce barriers to care and collects voice of the customer 
•    Facilitates committee meetings
•    Participates in site visits and audit requests, ensures on-going compliance with regulatory standards (ex: HRSA, FSSA)
•    Responsible for development, implementation and adherence to the data governance process and uses data for decision making. Ensures data integrity, policy adherence, proper storage and utilization, and analysis of data to assist with improvement and monitoring of performance.

Job Requirements

•    Master’s Degree in Healthcare Administration, Business Administration, or related field preferred
•    Bachelor’s degree in healthcare or business-related field required 
•    Cross-functional project management - minimum of 3 years required
•    Healthcare Quality Improvement experience - minimum of 3 years required
•    Investigative, decision making, problem solving, organization and analytical skills required
•    Valid Driver’s License
•    Experience with Medicaid Managed Care, HEDIS, CMS and Quality incentive programs preferred
•    QI Certification such as Lean Six Sigma Green Belt or higher is preferred

Knowledge, Skills & Abilities

•    Ability to establish and maintain credibility and build effective relationships 
•    Ability to effectively communicate verbally and in writing to various levels of management
•    Ability to interpret and present data at staff, peer, management, and committee level
•    Knowledge of medical terminology
•    Demonstrated competence/knowledge of healthcare field
•    Demonstrated knowledge of quality management processes
•    Strong PC skills (including Excel, Access, Visio, other reporting database management systems) required
•    Ability to work independently
•    Able to prioritize and manage multiple tasks/priorities simultaneously
•    Detail-oriented
•    Good organizational skills
•    Displays good judgment in apprising management of situations that are incompatible with established policies for which there is little precedence