Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.

Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates.

The listed pay range or pay rate reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time).

Pay Range:

Scheduled Weekly Hours:

Position Overview

SUMMARY (Basic Purpose of the Job):

Facilitates quality performance improvement and patient safety activities of Capital Health Medical Group ambulatory practices in accordance with accreditation, regulatory, value-based care program and other requirements, including continually monitoring requirements, practices and medical staff/health system needs for purpose of modifying and monitoring activities.

Performs initial screening and analysis of quality measure performance, conducts data abstraction, and facilitates meaningful chart review and documentation compliance. Implements and monitors provider performance improvement tracking, trending and reporting for ambulatory quality programs (e.g. ACO, MIPS, HEDIS).

Analyzes trends and identifies key measures; acts upon trends and measures identified. Collaborates with practice leadership, providers, and other clinical leaders to assure compliance with regulatory and quality program requirements.

MINIMUM REQUIREMENTS

• Education: Bachelor's degree. Master’s degree preferred. Related certification and New Jersey license Registered Nurse license preferred.

• Experience: Three years of related healthcare experience required. Five years experience in a healthcare environment preferred. Experience with data analysis and management of clinical databases preferred.

• Other Credentials:

• Knowledge and Skills: Possesses knowledge of PI tool, analytics and data management. Excellent coaching, organizational, interpersonal, verbal and written communication skills. Computer and analytical skills.

• Special Training: Intermediate to advanced computer skills.

• Mental, Behavioral and Emotional Abilities: Conflict resolution, Ability to effectively manage multiple projects simultaneously and ability to respond quickly in a fast paced environment.

ESSENTIAL FUNCTIONS:

• Leads, facilitates and supports performance improvement (PI) and quality initiatives and activities for assigned area to promote clinical excellence and patient safety.

• Monitors performance on ambulatory quality programs (e.g. ACO, MIPS, HEDIS, and payer value-based care programs) and coordinates gap closure and performance improvement activities with ambulatory practices.

• Performs analysis and trending of data through review of quality measure performance, gaps-in-care reports, and data abstraction.

• Prepares and designs meaningful reports that include statistical analysis, interpretation, monitoring and benchmarking of clinical data.

• Understands data definition, abstraction and benchmarking requirements to facilitate meaningful data collection, interpretation and presentation.

• Design and maintain database system for compilation and reporting of program metrics with incorporation of benchmarks and comparative data.

• Develops meaningful dashboards and reports for practices, departments, divisions, committees and staff.

• Utilizes PI methodology and PI tools such as flow mapping, fish bones, and root cause analyses to facilitate and drive process improvement.

• Develops and monitors action plans.

• Investigates quality of care concerns from providers, payers and patients/ families.

• Participates in other initiatives and programs and performs other duties as assigned by Director of department.

• Attends in-service training sessions and seminars to maintain and improve knowledge of performance improvement techniques.

PHYSICAL DEMANDS AND WORK ENVIRONMENT

• Frequent physical demands include: Sitting , Wrist position deviation , Pinching/fine motor activities , Keyboard use/repetitive motion , Talk or Hear
• Occasional physical demands include: Standing , Walking , Climbing (e.g., stairs or ladders) , Carry objects , Push/Pull , Twisting , Bending , Reaching forward , Reaching overhead , Squat/kneel/crawl
• Continuous physical demands include:
• Lifting Floor to Waist 15 lbs. Lifting Waist Level and Above 10 lbs.
• Sensory Requirements include: Accurate Near Vision, Accurate Far Vision, Color Discrimination, Minimal Depth Perception, Minimal Hearing
• Anticipated Occupational Exposure Risks Include the following: N/A

This position is eligible for the following benefits:

• Medical Plan

• Prescription drug coverage & In-House Employee Pharmacy

• Dental Plan

• Vision Plan

• Flexible Spending Account (FSA)

- Healthcare FSA

- Dependent Care FSA

• Retirement Savings and Investment Plan

• Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance

• Supplemental Group Term Life & Accidental Death & Dismemberment Insurance

• Disability Benefits – Long Term Disability (LTD)

• Disability Benefits – Short Term Disability (STD)

• Employee Assistance Program

• Commuter Transit

• Commuter Parking

• Supplemental Life Insurance

- Voluntary Life Spouse

- Voluntary Life Employee

- Voluntary Life Child

• Voluntary Legal Services

• Voluntary Accident, Critical Illness and Hospital Indemnity Insurance

• Voluntary Identity Theft Insurance

• Voluntary Pet Insurance

• Paid Time-Off Program

The pay range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity. Bonus and/or incentive eligibility are determined by role and level. 

The salary applies specifically to the position being advertised and does not include potential bonuses, incentive compensation, differential pay or other forms of compensation, compensation allowance, or benefits health or welfare. Actual total compensation may vary based on factors such as experience, skills, qualifications, and other relevant criteria.