Quality Programs Coordinator - Data & Audits (Hybrid)

Job Description A Quality Program Assistant functions as programmatic support to the Clinical Quality department and as needed to the Health Home department, including providing documented e-mail and telephone coverage for the Clinical Quality Department as needed. The Quality Program Assistant provides programmatic support to the Health Home department’s Quality team. The position interacts directly with care management agencies (CMAs), and other service providers $1,500 Sign On Bonus**** Job Description A Quality Program Assistant functions as programmatic support to the Clinical Quality department and as needed to the Health Home department, including providing documented e-mail and telephone coverage for the Clinical Quality Department as needed. The Quality Program Assistant provides programmatic support to the Health Home department’s Quality team. The position interacts directly with care management agencies (CMAs), and other service providers $1,500 Sign On Bonus**** Responsibilities Manage information and data sharing, including confidential data/PHI, between CMAs and stakeholders as necessary Responsible for coordinating data sharing with CMAs and Regional Teams as needed, centralized storage and organization of data, and distribution to internal teams, vendors, and/or other stakeholders as needed. This includes management and distribution of Transitions of Care and Gaps in Care alerts via the EHR At the request of our Plan partners, complete chart audits, provide specific information related to member engagement, gaps in care, hospital alerts, and assist with collection of any necessary documentation Assist Quality Team with coordination of care conferences as needed. This includes coordination of CMA communications/documentation and related follow up based on MCO requests and/or care conferences Participate as needed in internal comprehensive quarterly quality audit process, including completion of CMA audit reviews Works with Quality Team to create and update tools for targeted quality reviews, distribute audit materials and documents as needed Assist Health Home team with scheduling meetings, including monthly/recurring calls with MCOs, calls with the CMA network as needed, calls for Internal Quality Management meetings, and Training coordination/delivery among others Responsible for coordinating and distributing agendas and meeting minutes Participate in meetings as needed and assist with any necessary follow-up Assist with departmental tracking and reporting needs, including network performance reporting, NYS and MCO reporting as needed, as well as logging, tracking and maintaining documentation of on-going projects Supports Quality team with development of materials related to CMA Compliance and Performance Performs special projects and other duties, as assigned Requirements Additional Details: Bachelors Degree Job Type: Full Time – Hybrid Pay: $23-$24.68 About Sun River Health Sun River Health has a rich history of providing quality, affordable health care to communities in need. Founded in the early 1970s by four African American women in Peekskill, New York, the organization was established to address the lack of accessible health services in their community. With the help of a small federal grant, the first Sun River Health site opened its doors in 1975. Over the years, Sun River Health has grown into a comprehensive Federally Qualified Health Center (FQHC) system with over 45 locations, serving more than 250,000 patients across the Hudson Valley, New York City and Long Island. Our exceptional primary care practitioners, specialists and support staff are dedicated to delivering high-quality care to all individuals, regardless of their ability to pay. In December 2018, Sun River Health expanded its reach by merging with Brightpoint Health, an FQHC network offering integrated medical, behavioral and social support services in New York City. This merger allowed us to enhance our services and continue our mission under the unified name of Sun River Health. Our Culture At Sun River Health, we believe in fostering a culture of wellness, inclusivity and recognition. Our Workforce Wellness Program promotes staff wellness through ongoing challenges and activities, encouraging participation and rewarding engagement. We celebrate our staff's dedication and person-centered spirit through the Planetree Recognition Awards, which honor innovation, leadership and community spirit. We are committed to creating a supportive and collaborative work environment where all team members can thrive. Our values of respect, integrity and excellence guide our interactions with patients and colleagues alike, ensuring that everyone receives the care and support they deserve. Benefits At Sun River Health, we are committed to building a personal relationship with our team and supporting you in every way we can. We offer competitive compensation and a comprehensive benefits package for you and your family, including: Medical, Dental and Vision Insurance: Comprehensive health coverage to ensure you and your family stay healthy. Life and Disability Coverage: Financial protection for you and your loved ones in case of unforeseen circumstances. Retirement Savings Plan: Plan for your future with our retirement savings options. Commuter and Transit Benefits: Assistance with your daily commute to make your journey to work easier. Employee Assistance Program (EAP): Access to confidential support and resources for personal and work-related issues. Employee Discount Program: Enjoy discounts on various products and services as a valued member of our team. Provider Incentive Compensation Program: Quality & Productivity. Provider Professional License, Certification and DEA Fees Reimbursement. Why Join Sun River Health? Mission-Driven Work: Be part of a proud network of care that offers high-quality health and social support services to communities in need. Professional Growth: We provide opportunities for career advancement and professional development. Supportive Environment: Our culture promotes wellness, inclusivity, and recognition, ensuring a supportive and collaborative work environment. Community Impact: Make a difference in the lives of individuals and families by providing quality, affordable health care. Join us at Sun River Health and be part of an award-winning network of care that has been serving our communities since 1975. We are always looking for skilled and dedicated professionals to join our team and help us continue our mission of providing quality health care to all. Responsibilities Relation to Mission The mission of Sun River Health is to increase access to comprehensive primary and preventive health care and to improve the health status of our community, especially for the underserved and vulnerable. Equal Employment Opportunity Sun River Health provides equal employment opportunities to all qualified individuals without regard to race, creed, color, religion, national origin, age, sex, marital status, sexual preference, or non-disqualifying physical or mental handicap or disability in each aspect of the human resources function. Americans with Disabilities Act Applicants as well as employees who are or become disabled must be able to perform the essential job functions either unaided or with reasonable accommodation. The organization shall determine reasonable accommodation on a case-by-case basis in accordance with applicable law. Job Responsibilities The following statements reflect the general duties, responsibilities and competencies considered necessary to perform the essential functions of the job and should not be considered as a detailed description of all the work requirements of the position. Sun River Health may change the specific job duties with or without prior notice based on the needs of the organization. #J-18808-Ljbffr Sun River Health