Quality Assurance Analyst

Quality Outreach Specialist

Come join our team as a full-time Quality Outreach Specialist with BJC Medical Group in Saint Louis Missouri this is a rare opportunity to join a great team! 40-Hours per week Day Shift Benefit Eligible NO CALL NO WEEKENDS NO HOLIDAYS

BJC Medical Group is the multi-specialty physician-led organization of BJC HealthCare and includes over 600 doctors and advanced practice providers who are affiliated with top-ranked hospitals in the Midwest region. Since 1994 BJC Medical Group has provided access to extraordinary care in over 145 locations and over 25 specialties in the greater St. Louis mid-Missouri and southern Illinois areas. Our providers are nationally recognized for excellent patient satisfaction quality health care and improving the health and well-being of the communities we serve. BJC Medical Group practices serve their community by providing the highest level of quality care to their diverse patient populations.

Role Purpose

The Quality Outreach Specialist will play a critical role in ensuring success within the Accountable Care Organization (ACO) Medicare Advantage and commercial contracts with a focus on Healthcare Effectiveness Data and Information Set (HEDIS) quality measures. This service-oriented position is knowledgeable in HEDIS quality measures and familiar with approaches for reviewing electronic medical records to identify and submit documentation to address quality measure gap closure. This position requires strong attention to detail excellent communication skills and a passion for quality measure performance.

Responsibilities

Utilizes knowledge of quality measure specifications to aid in the audit and review of patient charts for quality measure information. Conducts outreach to patients to address open quality care gaps provides education and assists with determining the discrepancies between recommended best practices and the actual care provided. Uploads supplemental data to individual payor portals towards meeting contractual quality metric requirements and improving performance in quality incentive programs. Assists patients with scheduling appointments and placing orders for the care they need to remain healthy. Assists with quality performance improvement plans and efforts executes health campaigns participates in meetings regarding quality generates ideas to improve quality performance.

Minimum Requirements

Education: High School Diploma or GED Experience: 2 years

Preferred Requirements

Education: Associate's Degree Experience: 2-5 years Supervisor Experience: No Experience