Quality Improvement Specialist

Job Summary: The Quality Improvement Specialist supports PCC’s mission of delivering high-quality, patient-centered care by leading efforts to collect, analyze, and report clinical quality and program data. This role is instrumental in aggregating quality and program data and supporting external reporting requirements.

Essential Duties & Responsibilities:

• Support the building and maintenance of recurring and ad hoc data reports for internal departments, grant requirements, and organizational quality initiatives.
• Collaborate with the Quality Improvement Manager to compile required documentation and submit data for Patient-Centered Medical Home (PCMH) certification and recognition.
• Develop, validate, and analyze PCMH performance reports; conduct audits to ensure compliance with certification standards.
• Support the preparation, validation, and submission of Uniform Data System (UDS) quality reports, including data cleaning and reconciliation tasks.
• Evaluate existing data workflows and reporting processes to identify inefficiencies; recommend and implement data-driven improvements.
• Participate in organization-wide planning to enhance data strategy, tools, and infrastructure for performance measurement.
• Synthesize, audit, and summarize pay-for-quality data received from health insurance carriers for use in organizational performance reviews.
• Analyze EMR and billing data to detect inconsistencies or gaps; create performance dashboards and summary reports for leadership review.
• Monitor progress toward clinical quality and population health goals through ongoing data analysis and performance tracking.
• Contribute to special projects, grant reporting, and other data-related initiatives as assigned by leadership.
• Other duties as assigned.

Qualifications:

Experience & Training

• Bachelors Degree required.
• 2+ years’ experience in reporting and data management required.
• Proficient in MS Office Business Applications to include: Outlook, Word, PowerPoint, and Excel.

Physical Demands:

• Must be able to remain in a stationary position a majority of the time.
• Constantly operates a computer, computer printer, copy machine, and telephone.
• Occasionally positions self to maintain exertion of physical strength to move objects of 10 pounds from one level to another.
• Must be able to transport from one site to another.

Other skills:

• Ability to read and write proficiently using the English language.
• Communicates with healthcare staff. Must be able to exchange accurate information in these situations.
• Follow-through, assume responsibility and use good judgment. 
• Maintain professionalism under stressful situations. 
• Self-motivated and directed with the ability to prioritize and work efficiently under pressure.
• Ability to understand and follow verbal and written communication. 
• Detail oriented with the ability to work with minimal/no supervision.
• Willingness to be part of a team-unit and cooperate in the accomplishment of departmental goals and objectives.
• Effective and creative problem solving.