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    Primary Care Quality Specialist - Pittsburgh, United States - Net Health

    Net Health
    Net Health Pittsburgh, United States

    3 weeks ago

    Default job background
    Full time
    Description

    JOB OVERVIEW

    The Primary Care Quality Specialist provides support, training, consultation, and acts as a subject matter expert for clients participating in value-based care programs. This position works closely with internal and external stakeholders to identify challenges and actionable opportunities within the design, implementation, and ongoing support of quality improvement and value-based care programs and collaborates extensively with the product and engineering teams on program requirements, analysis, and workflow mapping. The Primary Care Quality Specialist provides insights to determine operational impact, trends, and opportunities; develops reports and deliverables; provides support for data submission; and represents the voice of the provider in program design and ongoing support. This position conducts face-to-face and/or remote training sessions for customers and/or stakeholders and will also remain current on industry and product trends both within the organization and among competitors.

    RESPONSIBILITIES AND DUTIES

  • Work closely with providers, payers, partners as part of a diverse stakeholder team
  • Subject matter expert in primary care quality programming
  • Provide input into ongoing design and support of value-based care programs
  • Analyze provider- and patient-level data related to clinical care and outcomes to evaluate performance, reveal trends, identify opportunities, and leverage health information technology to improve performance and outcomes
  • Remain current and expand knowledge base on quality measures and value-based care initiatives and incentive programs in the primary care and physician practice space
  • Stay abreast of current legislative and regulatory changes in the healthcare landscape
  • Develop reports and deliverables for management and communicate with all levels of stakeholders
  • Conduct face-to-face and/or remote training sessions for customers and/or employees
  • Provide support to program participants and stakeholders
  • Design and develop training programs and plans
  • May direct the work of others without formal management responsibilities
  • May utilize internal or external resources to accomplish goals

    • QUALIFICATIONS

  • Minimum Education – bachelor's degree in nursing or related field
  • Active clinical license/credentials as applicable
  • 10+ years' relevant experience
  • 5 years' experience in health care quality management, utilization, or similar vertical
  • Knowledge of quality improvement processes, population health management concepts

    • INTERACTION

    This role will be to work closely with key departmental and project stakeholders across the organization. Therefore, the ability to work collaboratively and effectively with all levels of management and staff within the organization is a key priority in this role.

    COMMUNICATION AND COGNITIVE ABILITIES

  • Cooperate with matrixed team members to meet goals or complete tasks
  • Must be comfortable working in ambiguous and/or stressful situations
  • Must be self-motivated and know when to seek guidance; detail-orientation is a must
  • Flexibility, ability to change priorities quickly, and capacity to handle multiple tasks
  • Effective collaborator with proven process improvement skills
  • Exceptional organization and time management skills
  • Excellent communication and interpersonal skills
  • Ability to work as part of a geographically dispersed team
  • Ability to communicate effectively to both technical and non-technical audiences

    • REQUIRED SOFTWARE EXPERIENCE

  • Microsoft Office (Word, Excel, PowerPoint)
  • Salesforce experience preferred
  • Camtasia, Articulate, or similar video creation/editing software preferred
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