Altamonte Springs, FL, 32701, USA
12 hours ago
Quality Outcomes Manager
**Quality Outcomes Manager AdventHealth PHSO Resources** **All the benefits and perks you need for you and your family:** + Benefits from Day One + Paid Days Off from Day One + Career Development + Whole Person Wellbeing Resources + Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about being part of something bigger. Its about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that **together** we are even better. **Schedule:** Full Time **Shift** : Monday -Friday 8AM-5PM **Location:** Remote **The role you'll contribute:** The Quality Outcomes Manager (QOM) will have oversight and management of the quality coordinators and quality analyst and will provide strategic leadership and mentoring for the quality department. The QOM is responsible for accurately submitting quality measure reports to appropriate agencies and initiatives. This is achieved by assessing the quality of care provided to patients by examining multiple quality measures and objectives within EMR. These measures include those associated with Healthcare Effectiveness Data and Information Set (HEDIS), Merit Incentive Based Programs (MIPS) and Clinical Quality Measures (CQM). The QOM also offers support regarding recent policy changes made by such initiatives or organizations which can affect the approaches of the EMR Training Team and EMR data reporting. The QOM coordinates with practices, providers, and all levels of management within AHSC to ensure quality measures and standards are being met and that eligible providers are in compliance. The QOM assists in building and maintaining the appropriate analytics infrastructure and processes to support member attribution, quality and other value-based core competencies that improve the patient and provider quality experience. **The value you'll bring to the team:** + Accountability and management for the Adventhealth ratings and ACO REACH quality outcomes. + Closely work with providers and clinics to improve the Adventhealth ratings and ACO REACH quality outcomes. + Manage the coordination and communication of star ratings, and care gaps closure from quality incentive programs to improve the quality of care provided to patients through regular meetings and reporting. + Interface with payers and maintain current knowledge of contracts, compliance requirements and incentive programs. + Support and assist in building and maintaining analytical infrastructure and systems to support quality and attribution alignment. + Collaborates with leadership and Providers to develop and implement strategic growth plans including identifying, recommending, and implementing practice needs: staffing, services, equipment and facilities. **The expertise and experience you'll need to succeed:** **Minimum qualifications:** + Bachelor's + 5 years of experience **Preferred qualifications:** + Master's + Healthcare operations experience + Experience with computers and EMR systems This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location. **Category:** Quality/Clinical Effectiveness **Organization:** AdventHealth PHSO Resources **Schedule:** Full-time **Shift:** 1 - Day **Req ID:** 25030170 We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.
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