Company Statement

Careers at AdvantageCare Physicians: At AdvantageCare Physicians, our providers and care teams reflect our commitment to population health. Improving the health of our patients is our goal; keeping our patients healthy is our commitment. Using our state-of-the-art electronic medical record (EMR) system, our providers, care teams, and practice administration staff work together to deliver high-quality, comprehensive and convenient care to our patients.

Quality Specialist

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Patient Services
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191CG Requisition #
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AdvantageCare Physicians is the largest physician led outpatient medical office in the New York Metropolitan Area.  With 36 medical offices in the Brooklyn, Long Island, Manhattan, Queens and Staten Island, we aspire to be the preferred care destination for our patients and the communities we serve.   This vision is accomplished through focusing our care on the needs of our patients as we partner with them in the pursuit of better health.  Each and every day, our actions should be guided by these principles as we interact with our patients, each other and our communities.  The values that drive the AdvantageCare Physicians culture include a caring attitude, quality focus, collaboration, excellence and good citizenship.  By integrating these behaviors into our day-to-day operations, we can deliver the highest quality healthcare while also creating positive patient experiences.

 

The Quality Specialist position provides outreach to patients to support HEDIS, HCC, and other quality improvement activities. The Quality Specialist position provides support to additional activities aimed at improving HEDIS, HCC, and other quality and care coordination activities. This includes but is not limited to identifying information in the medical record, providing information to providers and/or office staff and participating in team shadowing activities.

 

Responsibilities:

  • Outreaches patients to schedule appointments. This includes determining what barriers or obstacles exist that prohibit patient from making or keeping appointment and determine what resources may be needed or action that should be taken.

  • Reviews patient’s charts as needed to determine compliance based on specification or process outlined. Determine next steps based on chart review findings.

  • Reads, understands and applies HEDIS/HCC specification and/or policy as it relates to compliance and outreach.

  • Determines possible root cause to issue effecting patient compliance and presents issue and possible solution(s) to management

  • Conducts work essential to supporting outreach efforts, including but not limited to:

    • Collecting and verifying compliance data

    • Entering data

    • Summarizing findings

    • Recording the results of outreach

    • Reporting results to management

  • Educates providers and other staff on quality related activities (e.g. HEDIS, HCC)

  • Performs other job-related duties as required.

Qualifications:

  • High School diploma

  • Bachelor’s Degree preferred  

  • A minimum of two years’ experience in health care setting required

  • Excellent interpersonal, communication, organization and writing skills with the ability to effectively prioritize work required

  • Ability to adjust quickly to change required

  • Commitment to enhancing patient experience required

  • Must have computer proficiency, with proficient use of Microsoft Word, Excel, and PowerPoint required

  • Knowledge of HEDIS quality measures required

  • A minimum of two years’ experience in quality related activities preferred

  • Knowledge of utilizing electronic medical records systems (such as EPIC) preferred

  • Experience with HEDIS preferred

  • Experience with HCC preferred

  • Experience with PCMH preferred

EEOC Statement

We are committed to leveraging the diverse backgrounds, perspectives and experiences of our workforce to create opportunities for our people and our business. We are an equal opportunity/affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or any other characteristic protected by law.

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