Supervisor - Quality Care Improvement jobs in United States
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Astrana Health · 22 hours ago

Supervisor - Quality Care Improvement

Astrana Health is dedicated to improving patient care and health outcomes. As Supervisor of Quality, you will oversee quality improvement initiatives, support medical group physicians, and ensure adherence to quality standards across all lines of business.

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Growth Opportunities

Responsibilities

Act as an SOQ for initiatives from basic to moderate in the scope of quality improvements and applies knowledge of quality concepts to standardize workflows
Work on problems of diverse scope where analysis of quality attributes & metrics requires evaluation of identifiable areas of improvement factors
Reporting to the Medical Director, the ultimate responsible party for Quality from identification, improvement, initiation, implementation to closure
Must have demonstrated experience in situations where the development of the solution requires a multi-level of training approach
Actively contributes to the team and inter-departments with guidance from the Medical Director to assign provider quality improvement projects from the supervising kickoff to the post- implementation phase
Introduce and train quality improvement methods/procedures to the Quality Improvement Coordinator (s) and any direct reports to provider practices
Applies and advises advanced quality improvement processes, protocol, workflow & principles to provider practices.Ensures that quality improvement and operational requirements are defined for practices, implemented, and monitored in adherence to the Medical Group and Health Plan's quality requirements
Able to identify and assess quality improvement opportunities for/from provider practices
Promotes the awareness of quality, regulatory, health plan, and medical group requirements
Ensures quality standards are met under the guidance of the Medical Director
Publishes reports and documents areas of improvement and recommends potential solutions when appropriate to promote quality
Strong writing and communication skills; ability to communicate effectively both to external stakeholders, providers, and office staff, as well as internal stakeholders & colleagues
Collaborates and communicates with the Operations team to escalate issues and resolve practices, quality improvement & performance opportunities
This individual must be flexible in supporting internal & external stakeholders during extended hours
Promotes the Medical Group mission, goals, and strategic plan with the goal to improve Quality
Supervises, onboards, orients, and adhere the train-the-trainer methodology of Quality Improvement Coordinator(s) and new direct reports to ensure understanding of duties, responsibilities, work requirements, plans, tactics, culture, skills and performance standards
Reporting relationships and staffing needs based on Quality goals
Stays abreast of changes that impact quality measures including, but not limited to: Centers for Medicare Services (CMS), HEDIS, RAF, HCC, TCOC, Quality, and Stars Measures
Supervises the direct reports to better overall patient care and health outcomes by supporting the medical group's physicians and practices and maintaining the highest level of quality improvement performance status across all lines of business
Creates reports to track performance metrics and clinical outcomes that relate to the performance of the project
Applies provider practices analytic skills to evaluate, summarize, present, and recommend action based on quality improvement methodologies
Identifies opportunities for implementing innovation and novel approaches to provider practices and technical gaps in care delivery by utilizing the train-the-trainer institution practices and evidence-based performance reports and platforms
Facilitates additional quality improvement projects as needed and assigned by the Medical Director
Ensuring timeliness, milestones and smooth workflow
Administering all processes and procedures and ensuring compliance with all quality goals
Preparing reports for all project statistics on a monthly basis and analyzing all project metric data with the Medical Director, providers and peers
Developing, reviewing, and maintaining project plans for the successful implementation and completion of projects
Supervises the implementation methods to inspect, test and evaluate products and production equipment
Ensuring that products adhere to quality standards based on the Medical Director's guidance
Preparing reports by collecting, analyzing and summarizing data
Working according to deadlines for the delivery of products and reaching project goals
Understands strategic quality initiatives and performance programs and aligns improvement work with the strategic goals of the quality department and the organization
Facilitate conducting quality committee and meeting minutes
Updates policies and procedures as needed when changes or requirements occurs under the approval of the Medical Director
Commits to support functional areas to keep the quality goals successfully operating
Other duties as assigned by the CEO and leadership

Qualification

CCS/CPC certificationQuality improvement knowledgePeople management experienceMicrosoft Office knowledgeProvider training knowledgeHealthcare experienceBilingual SpanishBilingual ChineseBilingual VietnameseBilingual TagalogEffective communication

Required

CCS/CPC certification (AAPC or AHIMA)
Experience in a people management role
Associate's degree and equivalent years of healthcare or medical group related work experience; or equivalent combination of education and related work experience
2-5 years of quality, care coordination or Medical Assistant experience
Strong working knowledge of care and quality improvement
Strong knowledge of Microsoft Office
Knowledge in provider training and coding education
Effective written and verbal communication

Preferred

CRC or RHIT certification
Bilingual in Spanish, Chinese (Cantonese/Mandarin), Vietnamese, or Tagalog

Company

Astrana Health

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Leading physician-centric, technology-powered, risk-bearing healthcare mgmt. company delivering high quality care in a cost-effective manner

Funding

Current Stage
Public Company
Total Funding
$334.36M
Key Investors
Network Medical ManagementFresenius Medical Care
2019-09-26Post Ipo Equity· $300M
2017-12-20Post Ipo Equity· $5.2M
2017-12-08IPO

Leadership Team

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Brandon Sim
Chief Executive Officer & President
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Sherry McBride
Chief Operating Officer, MSO
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Company data provided by crunchbase