Sanford Health Quality Strategist in City - Remote SD, South Dakota
Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.
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Facility: Remote SD (Central Time)
Location: City - Remote SD, SD
Address: South Dakota, USA
Shift: 8 Hours - Day Shifts
Job Schedule: Full time
Weekly Hours: 40.00
The Quality Strategist role is responsible for maintaining knowledge of current quality and cost measures within value based programs and contracts including but not limited to the Centers for Medicare and Medicaid Services (CMS) quality payment program, merit-based incentive payment system (MIPS), and advanced alternative payment models. The Quality Strategist will focus on preparing Sanford Health for reporting to the CMS quality payment program. Collaborates with information technology (IT) and data analytics teams to review specifications, develop internal specifications, and develop/validate internal and external reports to maximize performance in payment programs. A familiarity with the structure of healthcare systems, practice and utilization patterns in various healthcare settings is necessary. Ability to collect and organize detailed information. Ability to review, analyze, and validate data reports. Willing to seek out new information and knowledge and be willing to embrace new responsibilities and change. This position is funded through a sub-award that Sanford was given for participating in Compass PTN with the Iowa Healthcare Collaborative (IHC), through the federal Transforming Clinical Practice (TCPI) initiative. This position is currently expected to be funded through September 30, 2019.
Knowledge regarding identified model for improving organizational performance and assists with integration throughout the organization. Reviews quality data to identify priorities for improvement and trends in non-compliance. Collaborates with the regional quality departments to implement change to increase compliance with quality metrics. Expands the collection of data using a holistic focus to identify gaps in quality care measures. Assists in prioritization of improvement activities surrounding quality measures on an annual and ongoing basis. Participates in quality measure. Reporting and organization wide quality activities. Coordinates information flow between the hospitals and external/regulatory agencies. Provides assistance and consultation to market quality and patient safety teams and executive management related to value based metrics and programs. Develops and implements case finding methods to identify relevant cases and maintain consistent and conscientious surveillance. Interprets charting by multiple disciplines in relation to billing and structure and function of the electronic health record. Ensures consistency and accuracy in electronically pulled data. Identifies situations which require further investigation. Prepares meaningful statistical reports. Assists in data review submitted to and provided by payers and regulatory bodies. Leads and participates in multi-disciplinary committees to represent the perspectives of value improvement and provide consultation as necessary. Communicates overview of improvement effort, information regarding changes to measures and evaluation and recommendation for areas with significant variance. Communicates summation of changes, new metrics, and changes in reporting to regional quality departments. Gathers and maintains current knowledge and information regarding updates or changes in measures and requirements. Maintains current knowledge of value measures, electronic health record function, and major coding and healthcare payment changes through the use of professional journals, literature, and contact with other appropriate personnel in the healthcare profession. Attends educational programs and shares knowledge.
This position qualifies for remote work.
Bachelor’s degree required. Master’s degree preferred.
Must be skilled with Microsoft Excel. Minimum one year experience in the healthcare industry is highly recommended. A variety of experiences may be applicable to this role including direct care, quality, billing, policy, contracting, and technology.
Certification in the individual’s profession and specialty is preferred.
Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, sick leave and paid time off. To review your benefit eligibility, visit https://sanfordhealth.jobs/benefits .
Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to firstname.lastname@example.org .
Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.
Job Function: Quality and Risk Management
Req Number: R-36407
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