Remote

Description

The Data & Improvement Specialist is responsible for supporting and coordinating value-based incentive programs, quality improvement initiatives and organizational performance related to quality data, process optimization, and regulatory incentive programs. The DIS abstracts and analyzes clinical data from Electronic Health Records (EHRs), identifies trends, and works with internal teams and external stakeholders to implement best practices and ensure compliance with quality metrics and standards and supports our quality improvement initiatives, playing a critical role in driving data-informed decision-making and continuous improvement across the organization.

This is a two (2) level job progression, allowing for growth based on the complexity of work, increased responsibility, and proven performance on past projects.

Duties and Responsibilities:

Data Coordination & Analysis:

Abstracts, reviews, and analyzes clinical data from EHRs to assess performance against quality metrics.
Monitors compliance with Medicare, Medicaid, commercial payer, and other pay-for-performance initiatives.
Provides accurate and timely reports on quality outcomes and trends to leadership and relevant departments.

Quality Improvement:

Completes administrative duties to ensure the documentation of processes, procedures, and systems:
Obtains and documents all necessary information required to define key processes and procedures.
Designs and documents processes using flow charting methodology.
Documents project teams using standardized charters and improvement tools.
Develops and monitor a system to track the status of various work plans and action items.
Provides administrative support to improvement teams.
Participates in improvement projects and initiatives identified by management:
Works with management to define and outline goals and objectives of the improvement initiative.
Assists in developing and maintaining processes, systems, and action plans.
Monitors progress to improvement project milestones.
Works with appropriate manager to take any necessary follow up or corrective action.
Implements and maintains a tracking and notification system ensuring accurate and timely follow up.
Works with managers on developing, implementing, and evaluating systems.
Assists with and ensures timely and accurate data collection.
Assists with researching improvement initiatives and other innovations that could be incorporated into projects.
Works cross-functionally to develop, implement, and evaluate workflows that align with the quadruple aim: cost efficiency, high-quality care, patient satisfaction and provider satisfaction.

Program Management:

Coordinates payer incentive programs, ensuring the organization captures available funds by meeting quality goals.
Facilitates action planning to support performance targets and organizational priorities.

Stakeholder Engagement:

Fosters effective communication with stakeholders to drive engagement in QI efforts.

Training & Education:

Provides support and training on quality metrics, documentation practices, and data integrity.
Promotes a culture of continuous improvement and accountability across departments.

Administrative & Operational Support:

Supports internal audits and prepares for external reviews or surveys related to quality standards.
Participates in the organization’s planning processes and contributes to goal-setting and evaluations.

Requirements

Education:

Diploma or equivalent work experience in healthcare, business, or a related field.

Experience:

Minimum two years in a healthcare setting with experience in quality improvement, data analysis, or clinical coordination.

Other Requirements:

Behavioral Expectations:

Upholds the organization’s mission, vision, and values in all interactions.
Demonstrates integrity, accountability, and respect in daily work.
Maintains confidentiality and professionalism at all times.

Knowledge and Abilities:

Proficient in EHR systems and Microsoft Office Suite.
Demonstrated ability in project coordination, data analysis, and report generation.
Strong interpersonal and communication skills to interact with diverse stakeholders.
Ability to manage multiple priorities in a dynamic healthcare environment.
Knowledge of healthcare quality frameworks and regulatory requirements.

Salary Description

$23-$28/hour

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