Quality Improvement Specialist, Provider Performance (Hybrid)- Pittsburgh, PA

UPMC • Pittsburgh, PA

12d • Hybrid

About The Position

UPMC Health Plan has an exciting opportunity for a Quality Improvement Specialist, Provider Performance position in its Quality Improvement department, located in downtown Pittsburgh at the U.S. Steel Tower. This is a full time position working Monday through Friday daylight hours and is a hybrid position consisting of working from home and in office 3 days per week.

Requirements

• Bachelor's degree in Nursing or related field required at time of hire/transfer.
• Five years related experience required.
• Knowledge of information systems and process improvement techniques.
• Knowledge of effective in-person and virtual facilitation techniques.
• Ability to lead cross-functional teams in continuous improvement efforts.
• Ability to understand, interpret, and communicate with data.
• Ability to establish and maintain positive, caring relationships with executives, managers, physicians, non-physician providers, ancillary and support staff, other departments, and patients/families.
• Critical thinking and problem-solving abilities required as related to supporting and driving continuous improvement efforts within the health plan.
• Ability to work productively and effectively within a complex environment and handle multiple/changing priorities.
• Ability to independently manage and work on multiple projects.
• Candidate must demonstrate excellent written and oral communication skills.
• Must be able to interact and engage with all facets of the healthcare industry.

Nice To Haves

• Master's degree preferred.

Responsibilities

• Build valuable relationships with internal and external multidisciplinary teams utilizing clinical expertise, strong analytical skills, and incorporating clinical operations experience and quality improvement methodologies to achieve quality outcomes.
• Serve as a quality liaison to external stakeholders participating in value-based quality incentive programs.
• Provide clinical expertise in interpreting Value Based Program measures, performance trends, and improvement opportunities.
• Plan and facilitate routine meetings, learning collaboratives, and performance review discussions with hospital and specialty programs leadership and clinical teams.
• Foster collaborative relationships, promote transparency, trust, and shared accountability for performance.
• Assist with program documentation, deliverables, and compliance with program requirements deliverable due dates.
• Utilization of most up to date industry standards such as current clinical guidelines, state and federal quality requirements, and evolving value-based care models.
• Ability to lead a quality improvement multidisciplinary workgroup.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees