Quality Improvement Specialist

Group Health Cooperative of South Central Wisconsin•Madison, WI

3d•Hybrid

About The Position

The Quality Improvement Specialist is responsible for ensuring the organization and delivery of high-quality patient outreach and quality improvement initiatives. This includes developing and participating on GHC-SCW committees and ongoing collaboration with other members of the Quality and Population Health team. Participation includes recommending, assisting, and selecting in the design of programs, quality improvement initiatives, and outreach methods to help members inclusive of all product lines manage their preventive health and chronic illnesses. Outreach methods may include telephone calls, digital contacts, mailings, and arranging and scheduling appointments and other services. The incumbent performs the job responsibilities with a health equity framework and with independence in decision making. The incumbent will work closely with partnering organizations to ensure GHC-SCW’s full membership is served. This includes but is not limited to Access Community Health Center and UW Health. The incumbent represents GHC-SCW at community events and provides and supports additional and administrative duties, as assigned.

Requirements

Excellent written and verbal communication, documentation, computer, organization and prioritization skills.
Strong analytical, critical thinking, and problem-solving skills.
Bachelor’s degree from an accredited college or university in a relevant major, or equivalent combination of relevant education and experience is preferred.
Minimum of two (2) to three (3) years of relevant clinical experience in healthcare delivery or insurance setting is required.
Knowledge of medical terminology preferred.
Knowledge of and proven proficiency in the use of Microsoft Office applications including Word, Outlook, Excel, PowerPoint, Visio is required.
Proficiency in Share Point is preferred.
Knowledge of mathematical concepts for spreadsheet, data entry, and analysis required.
Accurate data entry skills required.
Ability to read, develop, write, explain and critique a variety of creative written patient outreach materials in collaboration with various subject matter experts.
Strong documentation skills required.
Ability to document, design, and create meeting materials, general correspondence, memos, charts, tables, graphs, web page content, reports, etc., required.
Ability to learn and effectively use multiple computer systems including electronic medical record and scheduling systems (e.g. Epic Systems) is required.
Epic experience preferred.
Excellent verbal, interpersonal, and written communication skills are required.
Excellent customer service skills and ability to speak and listen in person and on the phone required.
Ability to work collaboratively and as a member of a team.
Ability to be culturally sensitive and work closely with community contacts, diverse corporate and membership populations.
The ability to represent GHC-SCW in a professional and compassionate manner is required.
Strong organizational skills with the ability to prioritize, manage multiple tasks, solve problems, maintain accurate files, draft reports, and attend to details required.
Ability to be flexible, meet deadlines, work under pressure, manage changing priorities, and work with minimal supervision required.
Ability to maintain confidentiality is required.
Knowledge of or ability to learn HIPAA privacy requirements required.
Knowledge of or ability to learn about healthcare delivery systems including insurance and managed care.
Possession of a valid Wisconsin driver license is required if driving a vehicle.

Nice To Haves

Bachelor’s degree from an accredited college or university in a relevant major, or equivalent combination of relevant education and experience is preferred.
Knowledge of medical terminology preferred.
Proficiency in Share Point is preferred.
Epic experience preferred.

Responsibilities

Ensuring the organization and delivery of high-quality patient outreach and quality improvement initiatives.
Developing and participating on GHC-SCW committees.
Ongoing collaboration with other members of the Quality and Population Health team.
Recommending, assisting, and selecting in the design of programs, quality improvement initiatives, and outreach methods to help members inclusive of all product lines manage their preventive health and chronic illnesses.
Performing outreach methods which may include telephone calls, digital contacts, mailings, and arranging and scheduling appointments and other services.
Performing job responsibilities with a health equity framework and with independence in decision making.
Working closely with partnering organizations to ensure GHC-SCW’s full membership is served.
Representing GHC-SCW at community events.
Providing and supporting additional and administrative duties, as assigned.
Keeping abreast of legal and regulatory quality programs and changes affecting the delivery of healthcare is required. This includes but not limited to NCQA and the BadgerCare Quality Program.
Working a flexible schedule as required.
Bending, reaching, lifting, pulling, and carrying up to 20lbs occasionally.
Abiding by all Group Health Cooperative of South Central Wisconsin (GHC-SCW) organizational and departmental policies.
Setting personal standards and striving for high quality work in completing assignments.
Performing job duties in a timely manner.
Representing the organization in a positive manner.
Promoting the organization's Mission, Vision, and Common Values in behavior and attitude.