Performance Improvement Specialist, Quality

Key Responsibilities

• Develop and maintain strong relationships with assigned provider groups, including decision makers and office staff, to understand quality reporting readiness and processes
• Partner with assigned providers so they are well informed on ACO Quality performance and reporting requirements
• Conduct routine visits to providers in the assigned territory to build trust and maintain open communication between our ACOs and providers
• Deliver personalised, on-site assistance with quality reporting processes at provider offices
• Independently analyse quality performance gaps, identify improvement opportunities, and lead quality improvement initiatives with market and provider teams to drive performance outcomes
• Collaborate with Manager to develop and maintain ACO Quality educational materials
• Communicate clearly and efficiently with providers and office staff
• Actively participate in cross-functional teams to complete work and resolve provider issues
• Travel frequently within the assigned service area

Skills, Knowledge & Expertise

• Bachelor’s degree in nursing, healthcare administration, business, public health or related field, or equivalent experience

• 2+ years’ experience in healthcare or managed care, working in medical operations and/or quality improvement
• 2+ years’ experience in provider relations, provider services, or related experience in a healthcare setting

• Familiarity with accountable care organization (ACO) quality reporting strongly preferred
• Proficiency with common electronic health record (EHR) systems strongly preferred
• Experience with Medicare Fee-for-Service
• Excellent written and verbal communication skills, able to tailor information to different audiences
• Strong priority management, able to work independently and manage time and resources effectively
• High proficiency in Microsoft Office (Outlook, Excel, Word, PowerPoint, SharePoint/OneDrive, Teams)

Benefits

• Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis. The office is located at 1600 Corporate Center Dr, Monterey Park, CA 91754.
• Must be able to travel frequently to provider offices in assigned service area: San Gabriel Valley.
• The target pay range for this role is between $70,304 - $80,000. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.