We offer an excellent, comprehensive benefits package including Health, Dental, Vision, Life, & Disability insurance, 403b Savings Plan, Generous Paid Time Off plus 11 additional Holidays and much more!

• Assists with data collection and analysis for the development of the annual ESP Quality Plan including analysis of participant outcomes data, utilization, grievances, and participant satisfaction surveys.
• Assists with recruiting staff for quality work groups, develops agendas, facilitates monthly meetings, and implements PDSAs based upon the work groups recommendations including training staff as needed.
• Works with senior system analyst to implement recommended changes in EMR and creates reporting schedules to meet quality goals.
• Assists with development and implementation of plans to address areas of risk identified in annual internal audit processes (i.e. annual CMS mock audit, Infection Control self-assessment, Part D self-assessment).
• Recommends, implements, and monitors preventative and corrective actions to ensure that quality care standards are achieved.
• Compiles and analyzes statistical data.
• Logs, acknowledges, investigates and resolves all participant grievances timely.
• Monitors grievance data and implements corrective action plan addressing operations / processes identified in grievance investigation.
• Ensures ongoing compliance with quality and PACE regulatory requirements, including reporting HPMS level I and level II data.
• Creates quarterly program newsletter to be shared with all participants and stakeholders highlighting quality initiatives and program successes.
• Facilitates quarterly Participant Advisory Committee meetings per PACE regulations, acts upon participant areas of identified concerns and follows-up to ensure concerns are resolved.
• Responsible for generating content for required PACE annual participant mailing.
• Supports Care Coordinators, IDTs, and Directors with complex care coordination/high needs participants and ensures participants care needs are addressed.
• Consistently demonstrates respect for people and relates to people in an open, professional, and encouraging manner.
• Provides support to Quality Director as needed.

Requirements:

• Bachelor’s Degree in a related field required
• 2+ years of professional work experience, preferably in a healthcare setting
• Excellent communication skills (verbal, written, presentation & interpersonal), must be able to interact and communicate professionally with individuals at all levels, both within and outside of the organization
• Computer savvy with demonstrated experience with Microsoft 365 Office Suite
• Experience working with an Electronic Medical Record (EMR) preferred, NEXTGEN a plus.
• Proven problem-solving and analytical skills, shows initiative and good business judgment
• Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving.
• Demonstrated attention to detail
• Requires independent judgment to plan, prioritize and organize diversified workload
• Must be able to work in a fast-paced environment with demonstrated ability to handle multiple competing priorities, tasks and demands and manage stressful situations.
• Upbeat, enthusiastic and professional demeanor