Company :Allegheny Health NetworkJob Description :
GENERAL OVERVIEW:
Responsible for supporting the QSV Division's need around technology maintenance and administration, quality data analysis and triage, regulatory survey/tracer coordination and related data management. Coordination of QSV division communication to Sate and Regulatory agencies. Coordination of clinical registry data and reporting. Coordination of medical staff quality data, reporting and related processes. Coordination of QSV committee meeting preparation and materials. This position is to be the "hub" of QSV support across the network
ESSENTIAL RESPONSIBILITIES:
- Responsible for QSV Technology Platform maintenance and administration. (15%)
- Responsible for coordinating Network quality, regulatory, patient safety, infection prevention and risk communication to State and Regulatory agencies. QSV data coordination and triage. Assimilating work done at the hospital level, trending and analyzing data and making recommendations for further focus and actions.(15%)
- Responsible for regulatory survey and tracer coordination, data management and plan implementation. (15%)
- Coordination and support clinical registry data, reporting and standardization processes. (10%)
- Coordination and support of medical staff quality data and processes and plan implementation. Coordinating work across the network and helping in efforts to standardize processes and increase efficiencies, etc.(15%)
- Support the preparation of data, materials and presentations for various QSV committees. (15%)
- QSV data coordination and triage activities. (15%)
QUALIFICATIONS:
Minimum
- Bachelor's degree in Business or Healthcare related field required OR 4 years of progressive and relevant experience in lieu of Bachelor’s degree.
- Minimum of 2 years’ experience in coordinating cross-functional activities/projects. Experience working with various software platforms/databases. Experience in analyzing data for trending purposes.
Preferred
- Lean/Six Sigma certification preferred
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
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What We Do
Highmark Health, a Pittsburgh, PA based enterprise that employs more than 40,000 people who serve millions of Americans across the country, is the second largest integrated health care delivery and financing network in the nation based on revenue. Highmark Health is the parent company of Highmark Inc., Allegheny Health Network, and HM Health Solutions. Highmark Inc. and its subsidiaries and affiliates provide health insurance to nearly 5 million members in Pennsylvania, West Virginia and Delaware as well as dental insurance, vision care and related health products through a national network of diversified businesses that include United Concordia Companies, HM Insurance Group, and Visionworks. Allegheny Health Network is the parent company of an integrated delivery network that includes eight hospitals, more than 2,800 affiliated physicians, ambulatory surgery centers, an employed physician organization, home and community-based health services, a research institute, a group purchasing organization, and health and wellness pavilions in western Pennsylvania. HM Health Solutions focuses on meeting the information technology platform and other business needs of the Highmark Health enterprise as well as unaffiliated health insurance plans by providing proven business processes, expert knowledge and integrated cloud-based platforms.
A national blended health organization, Highmark Health and our leading businesses support millions of customers with products, services and solutions closely aligned to our mission of creating remarkable health experiences, freeing people to be their best.
Headquartered in Pittsburgh, we're regionally focused in Pennsylvania, Delaware, West Virginia and New York, with customers in all 50 states and the District of Columbia.
We passionately serve individual consumers and fellow businesses alike. Our companies cover a diversified spectrum of essential health-related needs, including health insurance, health care delivery, population health management, dental solutions, reinsurance solutions, and innovative technology solutions.
We’re also proud to carry forth an important legacy of compassionate care and philanthropy that began more than 170 years ago. This tradition of giving back, reinvesting and ensuring that our communities remain strong and healthy is deeply embedded in our culture, informing our decisions every day.
