Quality Improvement Specialist

Group Health Cooperative of South Central Wisconsin•Madison, WI

2d•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
Minimum of two (2) to three (3) years of relevant clinical experience in healthcare delivery or insurance setting
Proven proficiency in the use of Microsoft Office applications including Word, Outlook, Excel, PowerPoint, Visio
Knowledge of mathematical concepts for spreadsheet, data entry, and analysis
Accurate data entry skills
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
Ability to document, design, and create meeting materials, general correspondence, memos, charts, tables, graphs, web page content, reports, etc.
Ability to learn and effectively use multiple computer systems including electronic medical record and scheduling systems (e.g. Epic Systems)
Excellent verbal, interpersonal, and written communication skills
Excellent customer service skills and ability to speak and listen in person and on the phone
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
Strong organizational skills with the ability to prioritize, manage multiple tasks, solve problems, maintain accurate files, draft reports, and attend to details
Ability to be flexible, meet deadlines, work under pressure, manage changing priorities, and work with minimal supervision
Ability to maintain confidentiality
Knowledge of or ability to learn HIPAA privacy requirements
Knowledge of or ability to learn about healthcare delivery systems including insurance and managed care
Ability to keep abreast of legal and regulatory quality programs and changes affecting the delivery of healthcare
Ability to work a flexible schedule as required
If driving a vehicle possession of a valid Wisconsin driver license is required

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

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
Performing outreach methods which may include telephone calls, digital contacts, mailings, and arranging and scheduling appointments and other services
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
Knowing and 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