SHARED SERVICES DATA QUALITY ANALYST – PR

C2Q Health Solutions•New York, NY

3d•$34,000 - $40,000•Remote

About The Position

JOB PURPOSE: The Shared Services Data Quality Analyst – PR will perform quality audits and reviews of all data submitted by the IDT teams in Care Compass. The role will also perform a variety of duties audits, inspections, and analysis of entries, and be responsible to make modifications, confirm, and/or update patient service support documentation. This will include frequent communication with participants and collaboration with various teams to effectively collect and process participant data. JOB RESPONSIBILITIES: - Maintain accurate records, timely appointments, and ensure proper documentation is collected and processed. - Complete Quality validation calls to participants, providers, and home care agencies to confirm that all services requested were received. - Capture and modify any data missing by the PACE staff who submitted the original request and communicate to all parties' key updates to ensure that deliverables are achieved for the participant. - Complete assessment and coordination notes into Care Compass EMR database related to participant home care services received, supplies delivered, nursing duty sheets, and other data management as necessary. - Coordinate and schedule appointments for PACE participants with internal and external providers, ensuring timely access to care. Communicate effectively with participants, caregivers, and providers to confirm, modify, or reschedule appointments as needed. - Maintain accurate records of all scheduled appointments in the system, ensuring compliance with regulatory and organizational timelines. Monitor upcoming appointments and follow up to ensure they occur as planned, addressing any barriers to attendance. - Manage and prepare confidential information, such as patient services and data summaries, quality assurance reports, root cause analysis, the financial impact of errors, etc. and use any/all sources of information (i.e. Staff documentation errors, missing information in Care Compass, validation calls, grievances, etc.). - Provides analysis reports of data information to management and prepares recommendations for review and/or changes to ensure higher quality standards of deliverables are met. - Inspects participant’s requests submitted by IDT and site-associated Care Delivery department to ensure deliverables are received, customer satisfaction, and data information is entered correctly and timely. - Post-inspection: conduct an evaluation and assessment of patterns, frequency, and summary of errors and/or gaps in goods, services, equipment, etc. Determine if errors are outliers or systemic issues and conduct root cause analysis. - Responsible for data entry and updating daily service-related information required for the service coordination team care planning for consistent and reliable delivery of all goods and services to participants. - Responsible for updating all Care Compass demographic updates including phone number, address, and interdisciplinary staff assignments. - Manages escalated issues, disputes, and replacement requests as assigned on the worklist. - Provides general administrative oversight support as needed. - Maintains departmental quality and productivity goals. - Adheres to all applicable compliance requirements and the Code of Conduct. Weekly Hours: 40 Days: Monday to Friday Hours: We have different schedules available between 8:00 AM to 8:00 PM, ET. Location: Full time Remote

Requirements

Associate degree preferred, or equivalent relevant call center years of experience preferred.
One to two (1-2) years of experience in customer service, quality, and/or auditing experience.
Able to pass a typing test with at least 45 WPM.
Bilingual Requirement: Spanish, Russian, Chinese, Bengali, Korean
Employees acknowledge that they have an alternative means of working in the event of a power and/or internet service outage, ensuring they are able to fulfill their job responsibilities without interruption.
Excellent written and verbal communication skills.
Ability to thrive in a fast-paced environment and meet assigned deadlines.
Excellent organizational skills, accuracy, and attention to detail.
Ability to operate both independently and collaboratively as required.
Proficiency in Microsoft Office Suite, including Word, Excel, and Outlook.

Responsibilities

Maintain accurate records, timely appointments, and ensure proper documentation is collected and processed.
Complete Quality validation calls to participants, providers, and home care agencies to confirm that all services requested were received.
Capture and modify any data missing by the PACE staff who submitted the original request and communicate to all parties' key updates to ensure that deliverables are achieved for the participant.
Complete assessment and coordination notes into Care Compass EMR database related to participant home care services received, supplies delivered, nursing duty sheets, and other data management as necessary.
Coordinate and schedule appointments for PACE participants with internal and external providers, ensuring timely access to care. Communicate effectively with participants, caregivers, and providers to confirm, modify, or reschedule appointments as needed.
Maintain accurate records of all scheduled appointments in the system, ensuring compliance with regulatory and organizational timelines. Monitor upcoming appointments and follow up to ensure they occur as planned, addressing any barriers to attendance.
Manage and prepare confidential information, such as patient services and data summaries, quality assurance reports, root cause analysis, the financial impact of errors, etc. and use any/all sources of information (i.e. Staff documentation errors, missing information in Care Compass, validation calls, grievances, etc.).
Provides analysis reports of data information to management and prepares recommendations for review and/or changes to ensure higher quality standards of deliverables are met.
Inspects participant’s requests submitted by IDT and site-associated Care Delivery department to ensure deliverables are received, customer satisfaction, and data information is entered correctly and timely.
Post-inspection: conduct an evaluation and assessment of patterns, frequency, and summary of errors and/or gaps in goods, services, equipment, etc. Determine if errors are outliers or systemic issues and conduct root cause analysis.
Responsible for data entry and updating daily service-related information required for the service coordination team care planning for consistent and reliable delivery of all goods and services to participants.
Responsible for updating all Care Compass demographic updates including phone number, address, and interdisciplinary staff assignments.
Manages escalated issues, disputes, and replacement requests as assigned on the worklist.
Provides general administrative oversight support as needed.
Maintains departmental quality and productivity goals.
Adheres to all applicable compliance requirements and the Code of Conduct.