PRIM&R accepts advertisements from all institutions seeking to hire for positions in animal and human research ethics and related fields, such as research administration and ethics education; listing does not imply endorsement of the lister or of the qualifications stated for a position.
Under the supervision of the Manager of Quality Improvement, the Quality Program Analyst is responsible for working with core operational teams to execute on the company’s health strategy. The position will maintain a comprehensive Quality Improvement auditing and monitoring portfolio; collaborate with multiple departments to improve provider education and skillsets on documentation and coding requirements; and represent the company as a Subject Matter Expert (SME) on auditing, coding and documentation requirements. Additionally, the position will be tasked with proactively facilitating data-driven improvement through collaborative partnerships that guide meaningful health outcomes and experiences through the development, implementation, and evaluation of quality performance improvement programs and projects. Furthermore, the Quality Improvement Analyst ensures that standards of excellence are maintained through audit and other quality examinations.
ESSENTIAL FUNCTIONS & WORK DUTIES
The following essential functions of this position are performed personally, in cooperation with your supervisor, and/or in coordination with other staff. Additional work functions and duties may be assigned.
Manages comprehensive Quality Improvement audit and monitoring portfolio, including tools, policies/procedures, database(s), documentation and findings.
Act as a company-wide Subject Matter Expert (SME) on quality improvement of provider documentation and coding per relevant state and federal standards.
Partner with internal departments across the company on provider education, training, and process improvement efforts that support improved coding, documentation
Analyzes data to identify, investigate, and trends and areas of improvement that will impact Quality initiatives and contractual obligations.
Assist in training personnel in correct documentation processes and coding guidelines.
Manage projects with staff at all levels
Strong analytic skills w/ data
Proficient in Word, Excel, SharePoint, PowerPoint
Knowledge of local health agencies
Team Player: Works well as a member of a group
Thought Provoking: Capable of making others think deeply on a subject
Functional Expert: Considered a thought leader on a subject
Enthusiastic: Shows intense and eager enjoyment and interest
Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
Dedicated: Devoted to a task or purpose with loyalty or integrity
Work-Life Balance: Inspired to perform well by having ample time to pursue work and interests outside of work
Self-Starter: Inspired to perform without outside help
Goal Completion: Inspired to perform well by the completion of tasks
Flexibility: Inspired to perform well when granted the ability to set your own schedule and goals
Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization
Require Bachelor’s or better.
Prefer Masters or better.
Driver’s license required.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
Click the "Continue to Application" button or meet us in person at the CHA Health Care Career Fair Oct 3rd. Register here.
Internal Number: Oct3
About Colorado Access
Colorado Access is a local, nonprofit health plan that serves more than one million members. The company’s members receive health care under Child Health Plan Plus (CHP+), and Health First Colorado (Colorado’s Medicaid Program) behavioral health, physical health, and long-term support programs. Colorado Access provides care coordination services and administers behavioral health and physical health benefits for two regions as part of the Regional Accountable Entity program through Health First Colorado. Colorado Access is the state’s largest single entry point agency, coordinating long-term services and supports for more than 10,000 Health First Colorado recipients.