AtlantiCare Regional Medical Center
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
Description
POSITION SUMMARY
The Quality Specialist is responsible for quality reporting to the payers,
including reporting related to in-office assessments (IOAs), open care gaps, risk assessment, SDOH reporting, HEDIS chart chase, ensuring compliance with regulations and CMS guidelines. Attending monthly or quarterly meetings with the payers to review data and opportunities will be required. They will provide feedback to the practice related to quality opportunities and work with them on workflows opportunities when needed.
Additionally, the role involves educating new clinical staff--including MAs, LPNs, and RNs on quality metrics relevant to their departments. The Quality Specialist will perform clinical chart audits for new hires to ensure adherence to quality standards and proper workflows.
This position supports organizational goals by providing quality customer service, participating in performance improvement efforts and demonstrating a commitment to teamwork and cooperation.
QUALIFICATIONS
EDUCATION: Bachelor's degree in related field or equivalent of 10 years experience is required.
LICENSE/CERTIFICATION: Valid driver's license required
EXPERIENCE: Minimum 3 years experience required within an ambulatory care setting required, with a preferred background as a Certified Medical Assistant.
PERFORMANCE EXPECTATIONS
Demonstrates the competencies as listed on the Assessment and Evaluation Tool.
WORK ENVIRONMENT
Essential functions of this position are listed on the Assessment and Evaluation Tool
REPORTING RELATIONSHIP
This position reports to department leadership.
The above statement reflects the general details considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all work requirements hat may be inherent in the position.
Total Rewards at AtlantiCare
At AtlantiCare, we believe in supporting the whole person. Our market-competitive Total Rewards package is designed to promote the physical, emotional, social, and financial well-being of our team members. We offer a comprehensive suite of benefits and resources, including:
Generous Paid Time Off (PTO)
Medical, Prescription Drug, Dental & Vision Insurance
Retirement Plans with employer contributions
Short-Term & Long-Term Disability Coverage
Life & Accidental Death & Dismemberment Insurance
Tuition Reimbursement to support your educational goals
Flexible Spending Accounts (FSAs) for healthcare and dependent care
Wellness Programs to help you thrive
Voluntary Benefits, including Pet Insurance and more
Benefits offerings may vary based on position and are subject to eligibility requirements.
Join a team that values your well-being and invests in your future.
Job Category
Administration
Hours Per Week
40
Weekends Required?
No
Holidays Required?
No
Shift
Days
Posititon Status
Full-Time
Job Details
Pay Range
$20 - $29
Pay Transparency
In order to support the Fair Compensation Strategy by the US Govt., HR Dept., clients are required to adhere to Pay Transparency Law; in the impacted states; that have mandated the employers to list the salary ranges in Job advertisements or postings for job opportunities and Job promotions.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
Description
POSITION SUMMARY
The Quality Specialist is responsible for quality reporting to the payers,
including reporting related to in-office assessments (IOAs), open care gaps, risk assessment, SDOH reporting, HEDIS chart chase, ensuring compliance with regulations and CMS guidelines. Attending monthly or quarterly meetings with the payers to review data and opportunities will be required. They will provide feedback to the practice related to quality opportunities and work with them on workflows opportunities when needed.
Additionally, the role involves educating new clinical staff--including MAs, LPNs, and RNs on quality metrics relevant to their departments. The Quality Specialist will perform clinical chart audits for new hires to ensure adherence to quality standards and proper workflows.
This position supports organizational goals by providing quality customer service, participating in performance improvement efforts and demonstrating a commitment to teamwork and cooperation.
QUALIFICATIONS
EDUCATION: Bachelor's degree in related field or equivalent of 10 years experience is required.
LICENSE/CERTIFICATION: Valid driver's license required
EXPERIENCE: Minimum 3 years experience required within an ambulatory care setting required, with a preferred background as a Certified Medical Assistant.
PERFORMANCE EXPECTATIONS
Demonstrates the competencies as listed on the Assessment and Evaluation Tool.
WORK ENVIRONMENT
Essential functions of this position are listed on the Assessment and Evaluation Tool
REPORTING RELATIONSHIP
This position reports to department leadership.
The above statement reflects the general details considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all work requirements hat may be inherent in the position.
Total Rewards at AtlantiCare
At AtlantiCare, we believe in supporting the whole person. Our market-competitive Total Rewards package is designed to promote the physical, emotional, social, and financial well-being of our team members. We offer a comprehensive suite of benefits and resources, including:
Generous Paid Time Off (PTO)
Medical, Prescription Drug, Dental & Vision Insurance
Retirement Plans with employer contributions
Short-Term & Long-Term Disability Coverage
Life & Accidental Death & Dismemberment Insurance
Tuition Reimbursement to support your educational goals
Flexible Spending Accounts (FSAs) for healthcare and dependent care
Wellness Programs to help you thrive
Voluntary Benefits, including Pet Insurance and more
Benefits offerings may vary based on position and are subject to eligibility requirements.
Join a team that values your well-being and invests in your future.
Job Category
Administration
Hours Per Week
40
Weekends Required?
No
Holidays Required?
No
Shift
Days
Posititon Status
Full-Time
Job Details
Pay Range
$20 - $29
Pay Transparency
In order to support the Fair Compensation Strategy by the US Govt., HR Dept., clients are required to adhere to Pay Transparency Law; in the impacted states; that have mandated the employers to list the salary ranges in Job advertisements or postings for job opportunities and Job promotions.
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