About iMPROve Health

Come join the iMPROve Health team! iMPROve Health is Michigan’s Medicare-designated Quality Improvement Organization. We are both a Cool Place to Work (Crain’s Detroit Business) for the last 4 years and one of the Best Places to Work in Healthcare as judged by Modern Healthcare. As a nonprofit organization, we have more than 35 years’ experience improving healthcare across the continuum of care using evidence-based and data-driven logic. iMPROve Health provides medical consulting and review, as well as data analysis to federal agencies, state Medicaid and public health organizations, healthcare facilities, private health plans and other third-party payers. We also have extensive experience completing thoughtful and impartial utilization review, dispute resolution and peer reviews. Our goal is simple – to help healthcare get better!

This position is 100% remote and provides the opportunity to work virtually with team members from anywhere within the United States. We pride ourselves on providing a great work/life balance for employees, while also providing the ability to promote their career development and gain new skills through employee education opportunities. iMPROve Health offers a wonderful benefit package that includes medical, dental, vision, life insurance, short term and long-term disability, and a generous 401k match.

iMPROve Health is committed to improving the quality, safety, and efficiency of healthcare. Although we do not see patients, we are healthcare professionals (including physicians and nurses) and consultants who work with healthcare providers to promote the adoption and use of evidence-based best practices and processes to achieve our healthcare quality goals. Our services offer our clients and partners access to a proven, impartial, connected resource that understands the intricacies of healthcare. It is our #1 priority to provide thoughtful evidence-based strategies and solutions that help them achieve their healthcare quality improvement goals and outcomes.

iMPROve Health is an equal employment opportunity employer.

*Must be able to work M-F normal business hours in EST.

SUMMARY:

The Senior Quality Consultant leads the oversight, development, design, implementation, and evaluation of quality data abstraction and guides assigned team to achieve project goals.

DUTIES AND RESPONSIBILITIES:

• Oversee the data abstraction process.
• Is available to data abstractors to assist in resolving documentation-related questions and barriers.
• Collaborate with project team and other staff to assess abstraction outcomes.
• Develop and conduct educational trainings to address and reduce inconsistencies in data abstraction processes and outcomes.
• Collaborate with team members to identify and implement strategies for improving the clinical quality data abstraction process.
• Serve as a resource and provide guidance and mentoring to abstractors.
• Adhere to onboarding requirements that includes fingerprinting and background checks.
• Comprehend and monitor all contract aspects related to assigned task(s) including deliverable schedule and metrics.
• Apply quality principles knowledge, acquired clinical/technical expertise and experience to employ strategies to support the attainment of project goals.
• Develop and monitor timeline(s) and work plan(s) relevant to assigned task(s).
• Engage key partners and serve as a point of contact.
• Identify areas of improvement and inform the development of the abstraction training program.
• Apply quality improvement concepts such as work flow and root cause analysis; intervention selection and implementation; and data interpretation.
• Develop, complete, oversee and ensure timeliness and quality of task deliverables.
• Develop and follow job aids and standard operating procedures.
• Proactively identify challenges and deploy mitigation strategies.
• Demonstrate personal accountability and work ethic.
• Model accountability for self-learning activities as well as the sharing and transfer of knowledge.
• Attend and present at partner and contractor meetings.
• Attend and/or present at local, state or national conferences/meetings on relevant healthcare topics.
• Develop external relationships and maintain customer satisfaction.
• Adhere to all relevant compliance regulations (HIPAA, FISMA, URAC, CMS).

QUALIFICATIONS:

• RN, RHIA or RHIT required.
• Degree in Healthcare related field required. Bachelor's degree preferred.
• Current or valid license or certification required.
• Minimum of 3 years of clinical data abstraction experience required.
• Excellent communication skills including public speaking.
• Minimum of 2 years of quality improvement experience.
• Excellent organizational, project management and customer service skills required
• Ability to multitask, working on more than one task simultaneously.
• Ability to read and interpret federal/state contracts and regulations.
• Experience with electronic documentation.
• Proficient in Microsoft Word and Excel.
• Working knowledge of PowerPoint, Microsoft Access and Visio.
• Health information technology experience/knowledge preferred.
• Travel Required.

CERTIFICATES, LICENSES, REGISTRATION:

• RN, RHIA or RHIT required.
• CPHQ and Project Management Professional preferred.
• Must maintain licensure/registration/certification with the appropriate accrediting body.