Jobs · Quality Assurance · Georgia

Quality Coordinator

Valley Healthcare System, Inc. · Columbus, GA · 1 mo ago
On-siteQuality Assurance$52k–$65k/yrFull-time
We need to output HTML fragment with sections: About the role? The description includes a paragraph about role. We'll use

for each section heading. We need to include sections only when there is real specific content. The posting includes description (intro), essential duties and responsibilities (multiple subcategories), requirements, knowledge skills and abilities, compensation & benefits (salary and benefits). Also compliance etc but those are boilerplate; we should remove cookie/navigation/legal/EEO etc. The compliance section includes HIPAA confidentiality etc - that's likely boilerplate but maybe considered part of benefits? It's more legal. We should remove boilerplate like compliance, confidentiality, security, physical requirements? The instruction: Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. So we should drop the compliance, confidentiality, security, physical requirements paragraphs. Also drop "To include HIPAA Privacy & Security." etc. So keep only substantive: description, duties, requirements, knowledge skills and abilities, compensation & benefits (salary and benefits). Also maybe "Compliance Risk Management and External Partnerships" is part of duties; we already have that under duties. So we keep that as part of duties. We need to format duties as list items? The duties are many paragraphs with headings like "Quality Leadership and Strategic Planning", "Performance Measurement Auditing and Reporting", etc. Those could be subheadings? But instruction: Use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So only top-level sections get h3. Within sections we can use
  • for any list of duties/requirements/benefits, and

    for prose. So we need to turn duties into a list (

    • ). Similarly requirements into list. Knowledge skills and abilities maybe as list or prose? It says "Knowledge Skills And Abilities" could be a section; we could treat as Skills section. Use

      for Skills. Then list items. Compensation & Benefits: we have salary and benefits. Could be two sections: Pay and Benefits. But we should only include if posting actually states them. It does state salary and benefits. So we can have

      Pay

      with

      Salary: $51,624.00 - $64,530 Annually

      . And

      Benefits

      with
      • ...
      • . Or combine into one Benefits section? The instruction says prefer a few substantive sections over many thin ones. Could combine Pay and Benefits into one "Compensation & Benefits" section. But they gave examples of headings including Pay, Benefits, Schedule. It's okay to have separate if content exists. However they say prefer few substantive sections over many thin ones. Having both Pay and Benefits separate is two thin sections; maybe combine into one "Compensation & Benefits". But they also said use

        for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So they expect those as possible headings. I'd keep separate Pay and Benefits as they are distinct. But to follow "prefer few substantive sections over many thin ones", maybe combine. However the salary is specific; benefits list is specific. I'd keep both as separate sections; it's not too many. We also need About the role section: we can use the introductory paragraph(s) before duties. That is the first paragraph: "Description The Quality Coordinator reports to the Chief Medical Officer and provides leadership for Valley Healthcare System, Inc. (VHcS)'s organization-wide quality and performance improvement program....". We'll put that in

        under

        About the role

        . We must not repeat job title as heading. Good. We must not include Job ID etc. We must preserve all substantive information; do not invent or summarize away detail. So we need to keep all details from duties, requirements, knowledge skills and abilities, compensation & benefits. We need to ensure we don't miss any duty bullet. Let's extract duties sections: From text: Essential Duties And Responsibilities Quality Leadership and Strategic Planning - Lead visible, complex improvement initiatives and resolve quality issues of strategic importance to the organization. - Develop and revise the annual Quality Improvement program, evaluation, and work plan; present these materials for review and approval. - Integrate strategic and annual quality planning into organizational strategic and operating plans with broad-based participation. - Develop a data-driven culture that supports compliance and continuous quality improvement through clear goals, measures, and accountability. - Apply established quality and performance improvement methods to define objectives, identify stakeholders, develop action steps, and coordinate human, technological, and fiscal resources. - Review organizational processes, policies, and procedures; identify best practices and improvement opportunities; and recommend changes based on findings. - Evaluate Quality Improvement policies and procedures and recommend revisions to the Quality Improvement Committee as needed. Performance Measurement Auditing and Reporting - Conduct quality audits related to Uniform Data System reporting, Patient-Centered Medical Home standards, HEDIS measures, Meaningful Use requirements, and other applicable programs to establish baselines and monitor progress toward goals. - Collect, prepare, trend, and analyze aggregate performance improvement and quality monitoring data for defined patient populations and clinical specialties. - Present data and findings in clear written and graphical formats to the Chief Medical Officer, Chief Executive Officer, Quality Improvement Committee, and other departmental committees as directed. - Review clinical documentation for completeness, accuracy, quality, and compliance; submit audit findings to the appropriate department within established timeframes. - Identify audit outliers and potential quality concerns, develop corrective action plans, monitor corrective actions through follow-up audits, and recommend additional action when needed. - Research clinical standards, benchmarks, and evidence-based criteria against which performance may be evaluated. - Assist the Chief Medical Officer with provider documentation and quality audits at least twice annually and more frequently as needed. Care Gaps Payer Quality and Patient Centered Care - Coordinate quality initiatives and care-gap closure activities for VHcS patients enrolled in Medicaid and applicable managed care plans, including Peach State Health Plan, Ambetter, Wellcare, and CareSource, while coordinating appropriately with contracted partners supporting Medicare Advantage populations. - Distribute patient appointment agendas and other quality documentation received from Optum, Peach State Health Plan, or other contracted partners to providers; track completion and return according to established workflows. - Promote healthcare integration and the principles and standards of the Patient-Centered Medical Home model throughout the organization. - Ensure that data collection methods and intervention plans are practical, feasible, and consistent with daily clinical and administrative operations. Staff Support Training and Collaboration - Coach and support staff in meeting milestones and completing quality improvement deliverables. - Provide consultation, technical assistance, and training to multidisciplinary administrative and improvement teams on quality tools, methods, and measures. - Analyze quality data to identify staff education and training needs through the performance improvement process. - Coordinate and provide functional direction to Data Analysis, Medical Records, and Risk Management personnel in completing assigned quality improvement deliverables. - Consult with executive leadership, department managers, providers, and other staff regarding quality, compliance, risk, and performance matters. Compliance Risk Management and External Partnerships - Remain current on regulatory requirements, professional standards, accreditation expectations, and industry practices that may affect VHcS operations. - Support compliance with applicable federal, state, and local requirements and ensure that ethical standards, confidentiality guidelines, continuous quality improvement practices, and HIPAA policies are communicated and modeled consistently. - Identify effective methods to reduce organizational, clinical, and operational risk. - Serve as an active member of the Quality Improvement Committee and the Risk Management and Compliance Committee; attend scheduled meetings and lead meetings as assigned. - In coordination with organizational leadership, identify and develop strategic partnerships with governmental, corporate, philanthropic, academic, and other organizations to advance quality and innovation and seek funding to strengthen quality management programs. - Maintain current knowledge and competencies in quality management through relevant meetings, continuing education, professional development, and documentation of learning activities. - Lead or assist with special projects coordinated by the Chief Executive Officer or Chief Medical Officer and perform other duties as assigned. Now Requirements: - Bachelor's degree in social work, healthcare administration, business administration, or a closely related field from an accredited institution; a master's degree is preferred. - Seven to ten years of progressively responsible managerial experience in a healthcare, social service, or business environment. - At least five years of experience developing, implementing, and maintaining quality management systems encompassing quality assurance, performance improvement, and compliance activities. - Experience with NCQA accreditation requirements and Medicaid quality programs is preferred. - Demonstrated experience in performance improvement, statistical analysis, information systems, data visualization, and outcome measurement is strongly preferred. Knowledge Skills And Abilities: - Working knowledge of continuous quality improvement, quality assurance, risk management, healthcare compliance, clinical documentation auditing, and corrective action planning. - Knowledge of HIPAA, NCQA, PCMH, UDS, HEDIS, Medicaid managed care quality requirements, and other applicable healthcare standards. - Ability to analyze complex quantitative and qualitative and quantitative data, identify meaningful trends, and communicate findings through accurate reports, graphs, and presentations. - Strong project management, facilitation, training, coaching, problem-solving, and organizational skills. - Ability to collaborate effectively across clinical, administrative, and executive teams while exercising sound independent judgment. - Strong written and verbal communication skills, attention to detail, discretion, and commitment to patient privacy. - Proficiency with electronic health records, spreadsheets, databases, presentation software, and other tools used for quality measurement and reporting. Compensation & Benefits: - Salary: $51,624.00 - $64,530 Annually - Full Benefits Package includes: 100% employer-paid Medical coverage (valued at $10,000/year), Long-term Disability coverage, and free Dental and Vision services in our clinics. - Additional Dental, Vision, and Short-term disability coverage is available for purchase at a reduce cost. We should keep that exactly. Now we need to output HTML fragment only. Structure:

        About the role

        ... (intro paragraph)

        Responsibilities

        • ... each duty bullet (maybe grouped? but we can just list all bullets as
        • items). However we might want to keep subheadings? Not allowed as they'd be headings but not h3? Could use inside
        • ? But instruction: Use
          • for any list of duties/requirements/benefits, and

            for prose. It doesn't forbid additional formatting inside

          • . We could keep the duty headings as bold inside
          • . But to preserve all info, we could include the heading as part of the
          • text. Eg
          • Quality Leadership and Strategic Planning - Lead visible...
          • . That preserves. Similarly for Requirements and Knowledge Skills And Abilities. We'll produce

            Requirements

            • ...

            Skills

            (or Knowledge Skills And Abilities) maybe use

            Skills

            .

            Pay

            Salary: $51,624.00 - $64,530 Annually

            Benefits

            • 100% employer-paid Medical coverage (valued at $10,000/year)
            • Long-term Disability coverage
            • free Dental and Vision services in our clinics
            • Additional Dental, Vision, and Short-term disability coverage is available for purchase at a reduced cost
            Note: The benefits text: "Full Benefits Package includes: 100% employer-paid Medical coverage (valued at $10,000/year), Long-term Disability coverage, and free Dental and Vision services in our clinics. Additional Dental, Vision, and Short-term disability coverage is available

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