Quality Program Assistant

Sun River Health • Peekskill, NY

11h • $23 - $25 • Hybrid

About The Position

A Quality Program Assistant functions as programmatic support to the Clinical
Quality department and as needed to the Health Home department, including
providing documented e-mail and telephone coverage for the Clinical Quality
Department as needed. The Quality Program Assistant provides programmatic
support to the Health Home department’s Quality team. The position interacts
directly with care management agencies (CMAs), and other service providers

$1,500 Sign On Bonus

Requirements

• Bachelors Degree

Responsibilities

• Manage information and data sharing, including confidential data/PHI, between CMAs and stakeholders as necessary
• Responsible for coordinating data sharing with CMAs and Regional Teams as needed, centralized storage and organization of data, and distribution to internal teams, vendors, and/or other stakeholders as needed. This includes management and distribution of Transitions of Care and Gaps in Care alerts via the EHR
• At the request of our Plan partners, complete chart audits, provide specific information related to member engagement, gaps in care, hospital alerts, and assist with collection of any necessary documentation
• Assist Quality Team with coordination of care conferences as needed. This includes coordination of CMA communications/documentation and related follow up based on MCO requests and/or care conferences
• Participate as needed in internal comprehensive quarterly quality audit process, including completion of CMA audit reviews
• Works with Quality Team to create and update tools for targeted quality reviews, distribute audit materials and documents as needed
• Assist Health Home team with scheduling meetings, including monthly/recurring calls with MCOs, calls with the CMA network as needed, calls for Internal Quality Management meetings, and Training coordination/delivery among others
• Responsible for coordinating and distributing agendas and meeting minutes
• Participate in meetings as needed and assist with any necessary follow-up
• Assist with departmental tracking and reporting needs, including network performance reporting, NYS and MCO reporting as needed, as well as logging, tracking and maintaining documentation of on-going projects
• Supports Quality team with development of materials related to CMA Compliance and Performance
• Performs special projects and other duties, as assigned

Benefits

• Medical, Dental and Vision Insurance: Comprehensive health coverage to ensure you and your family stay healthy.
• Life and Disability Coverage: Financial protection for you and your loved ones in case of unforeseen circumstances.
• Retirement Savings Plan: Plan for your future with our retirement savings options.
• Commuter and Transit Benefits: Assistance with your daily commute to make your journey to work easier.
• Employee Assistance Program (EAP): Access to confidential support and resources for personal and work-related issues.
• Employee Discount Program: Enjoy discounts on various products and services as a valued member of our team.
• Provider Incentive Compensation Program: Quality & Productivity.
• Provider Professional License, Certification and DEA Fees Reimbursement.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Number of Employees: 1-10 employees