ABOUT STAMFORD HEALTH

Stamford Health is a non-profit independent healthcare system with more than 3,500 employees committed to compassionately caring for the community and offering a wide-range of high-quality health and wellness services.  Patients and their families can rely on comprehensive person-centered care through the system’s 305-bed Stamford Hospital; Stamford Health Medical Group, with more than 30 offices in lower Fairfield County offering primary and specialty care; a growing number of ambulatory locations across the region; and support through the Stamford Hospital Foundation. Stamford Health is also a major teaching affiliate of the Columbia University College of Physicians and Surgeons. Dedicated to being the community’s most trusted healthcare partner, Stamford Health puts patients first to build long-lasting relationships.  For more information, visit StamfordHealth.org. Like us on Facebook and follow us on Twitter, YouTube, and Linked In.

JOB SUMMARY:

The Quality Associate is responsible for supporting evolving population health initiatives designed to improve the quality of care provided to Stamford Health Medical Group patients. Reporting to the Quality Manager, the Quality Associate manages pre-visit planning for assigned primary care and OB/GYN practices. The Quality Associate is responsible for reviewing and updating patient charts in advance of annual care visits to facilitate the best possible care and patient experience. Additionally, the Quality Associate serves as a subject matter expert on population health programs including the Merit-Based Incentive Payment System (MIPS), Patient-Centered Medical Home (PCMH) and Healthcare Effectiveness Data and Information Set (HEDIS). The Quality Associate is also responsible for managing day-to-day activities of value-based payor programs. Finally, the Quality Associate provides education, training, and program support to providers and regularly identifies and closes gaps in care through outreach to providers, practice managers, patients, and community resources.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Responsible for managing pre-visit planning activities for assigned primary care and OB/GYN providers. Planning activities include but are not limited to lab and imaging tracking.
• Facilitates quality program education and training with providers and staff to ensure clear understanding of measure definitions, workflows, and data capture. Assesses challenges related to the electronic health record (EHR) and workflows and provides recommendations for improved performance.
• Manages day-to-day activities for value-based payor programs including the United Healthcare Medicare Advantage Provider Incentive Program, Aetna PCMH, and Anthem’s Enhanced Personal Health Care (EPHC) program.
• Serves as a subject matter expert on programs including MIPS, PCMH, and HEDIS. Demonstrates a commitment to continual learning.
• Supports the monitoring of MIPS performance and assists in the preparation of the annual data submission to the Centers for Medicare and Medicaid Services (CMS).
• Prospectively and retrospectively works to identify and close gaps in care through communication with providers, practices, patients and community resources.
• Participates in data validation for EHR reports as required.
• Develops strong relationships with providers, practice managers, and medical assistants.

Required Skills Required Experience

QUALIFICATIONS/REQUIREMENTS:  

• Bachelor’s degree required.
• Two or more years of related professional experience in a medical group setting is strongly preferred.
• Experience with electronic health records (EHRs) is required. Experience with eClinicalWorks is preferred.
• Working knowledge of population health programs including Merit-Based Incentive Payment System (MIPS), Patient-Centered Medical Home (PCMH) and Healthcare Effectiveness Data and Information Set (HEDIS) is preferred.
• Proficient in Microsoft Office: Excel, Word, and PowerPoint.