Job Description
Description Southeast Primary Care Partners/Southeast Medical Group (SEMG) is seeking a dedicated and dynamic Quality Specialist to join our team. This pivotal role serves as the crucial link between our clinic's lead physician and the SEMG’s population health team, with a focus on driving and improving quality outcomes for our patients. The ideal candidate will be instrumental in executing key initiatives aimed at enhancing performance on quality measures, actively participating in monthly quality review meetings, and identifying patients for enrollment in SEMG’s clinical programs.
Requirements Key Responsibilities: - Liaison Activities: Act as the primary liaison between the clinic’s lead physician and the SEMG’s population health team to facilitate improved quality outcomes.
- Quality Initiatives Execution: Implement and monitor key initiatives within the clinic to enhance performance on quality measures. This includes outreach to patients overdue on care gaps, coordinating with other providers to gather medical records, and scheduling necessary appointments.
- Monthly Quality Reviews: Engage actively in ongoing monthly quality review meetings with providers and the population health team, aimed at identifying and leveraging opportunities for improvement.
- Patient Enrollment: Identify patients eligible for and assist in enrolling them into SEMG’s clinical programs, such as care management and remote monitoring services.
- Independent Functioning: Operate independently based on overall team priorities, including prioritizing call lists and developing innovative approaches to drive quality outcomes in partnership with lead providers.
Background And Qualifications - Education: Medical Assistant (MA) certification, ideally obtained by the first day of employment or within the first 6 months.
- Experience with Value-Based Payor Programs (incl. understanding of HEDIS Coding)
- Experience with HEDIS, STARS ratings and other population health initiatives.
- Experience with Electronic Health Record (eHR) use and documentation. Allscripts/Veradigm experience preferred.
- Skills: Exceptional ability to function independently, prioritize effectively, and develop new strategies to achieve quality outcomes. Strong communication skills to effectively liaise between different teams and coordinate with external providers.
- Personal Attributes: The candidate should be proactive, detail-oriented, and have a strong commitment to healthcare quality and patient care.
Why Join Us? At Southeast Primary Care Partners, we are committed to providing high-quality, patient-centered care. We offer a supportive work environment, opportunities for professional growth, and the chance to make a significant impact on the health outcomes of our community. If you are passionate about improving healthcare quality and have the qualifications we are looking for, we would love to hear from you.
Application Process Interested candidates are invited to submit their resume, cover letter, and any relevant certifications. Please highlight your experience with quality outcomes and value-based care initiatives in your application.
Southeast Primary Care Partners is an Equal Opportunity Employer. We value diversity and are committed to creating an inclusive environment for all employees.
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