Population Health Quality Specialist - Hybrid

Bronson Healthcare•Kalamazoo, MI

3d•Hybrid

About The Position

The Population Health Quality Specialist oversees Bronson Network and payor quality program performance. The role identifies current performance, analyzes successes and opportunities for improvement, and develops and implements improvement activities with practices and providers. The specialist works collaboratively with payor representatives, member practices, practice management, and Bronson committees and departments involved in policy, procedure, and standard practice. The focus is on identifying and spreading best practices to improve care, enhance patient satisfaction, and decrease costs for unnecessary care. The role requires a thorough understanding of HEDIS quality measures, payor quality incentive programs and reporting websites, the Bronson Network Population Health program, Bronson clinical documentation in Epic, BMS improvement processes, and educational program development. The position is part-time, scheduled for 28 hours weekly, and is listed as first shift and hybrid.

Requirements

Bachelor’s degree required.
Three to five years of experience in a medical practice or related healthcare field.
Ability to use computer software, including word processing, spreadsheets, presentation software, email, and other job-relevant software.
Ability to communicate and relate effectively with colleagues and providers in practices and across the Bronson Network and system.
Organizational skills to manage requirements across multiple practices and provider programs.
Presentation skills to communicate subject matter clearly.
Ability to identify key information in quality program changes and recognize and communicate changes affecting the Network and system.
Problem-solving and conflict-resolution skills.
Professional, appropriate, and effective written, verbal, and non-verbal communication.
Good judgment when handling sensitive or confidential organizational quality data and program information.
Sensitivity and tact when working with practice leaders and staff, providers, and other departments.
Ability to acknowledge patient confidentiality rights, maintain confidentiality, and follow HIPAA guidelines and regulations.

Nice To Haves

Registered Nurse license preferred.

Responsibilities

Oversee Bronson Network and payor quality program performance, identifying current performance and opportunities for improvement.
Monitor Network and payor quality program updates and provide key information to Network leadership, staff, and provider members.
Collaborate with Network team members to analyze quality performance reporting and develop meaningful provider and practice reports that drive improvement.
Monitor provider performance and identify opportunities to achieve goals.
Work with practice leadership and providers to identify best practices and implement them across the Network.
Support policy and procedure development to meet payor requirements and implement best practices.
Develop educational tools for all aspects of the Bronson Network Population Health program to support practices and staff.
Support the Bronson Network team in implementing payor programs and initiatives.
Attend system committee meetings as appropriate to support Network needs.
Support supplemental data entry of clinical care through payor websites.
Communicate professionally and effectively with colleagues, vendors, medical staff, and departments throughout the Bronson Network and system.
Protect sensitive and confidential organizational and patient information, follow HIPAA guidelines, and maintain patient confidentiality.
Build strong working relationships with payor representatives, colleagues, providers, and practice leadership inside and outside Bronson.
Participate effectively as an accountable, helpful, and welcoming team member.