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.

 

To protect the health and safety of our workforce, members, patients, and the communities we serve, the EmblemHealth family of companies require all new employees to be fully vaccinated for COVID-19. Exemption/reasonable accommodations may be granted because of 1) a qualifying medical condition or disability that makes getting the vaccine unsafe for the individual, or 2) objection on the basis of sincerely held religious beliefs and/or practices.

Quality Specialist

📁
Patient Services
📅
220S1 Requisition #
Sign Up for Job Alerts

AdvantageCare Physicians (ACPNY) is one of the largest primary and specialty care practices in New York City. With more than 35 medical offices and over half a million patients across all five boroughs* and Long Island, ACPNY aspires to be a home for health for the communities we serve. This vision is accomplished through a “whole you” care approach that recognizes the physical, mental, and lifestyle factors that impact a patient’s health. When our teams of providers, nurses, and specialists work together, we can get patients in sooner, answer their questions in real time, and give them the support they need to achieve their health goals. ACPNY is also driven by a commitment to diversity, an unyielding desire to deliver high-quality care, and community-focused collaboration. By integrating these behaviors into our day-to-day operations, ACPNY strives to always create healthier futures for our patients.

*BronxDocs medical offices are affiliates of AdvantageCare Physicians.

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

Pay Disclosure

A good faith estimate of the compensation range for individuals hired to work for the EmblemHealth Family of Companies is provided. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, internal peer equity, and market and business considerations. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. It is not typical for an individual to be hired at or near the top of the range, as compensation decisions depend on each case’s facts and circumstances. Union roles covered by a collective bargaining agreement will compensate in accordance with the union contract.

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.

Previous Job Searches

Similar Listings

New York, New York

📁 Patient Services

New York, New York

📁 Patient Services

New York, New York

📁 Patient Services