质量改进经理,Praxis Health
Quality Improvement Manager, Praxis Health
质量改进经理负责领导和推动组织的质量表现,主要关注HEDIS指标、支付方激励计划和人群健康项目。该职位负责识别质量改进机会,监控多个支付方项目的绩效,制定改进结果的策略,并领导一个支持质量和绩效项目的团队。
质量改进经理与人群健康总监及其他临床和运营领导者密切合作,制定和实施可持续的质量改进策略。该职位是组织在电子病历(EMR)中质量领域的专家,确保临床工作流程、文档、数据采集和EMR功能有效支持质量表现。
地点:仅限俄勒冈州、华盛顿州和爱达荷州居民的远程职位
关键职责
质量与HEDIS表现
- 领导组织的HEDIS表现策略,包括监控、分析、差距识别和改进计划。
- 跟踪和分析HEDIS指标和其他质量指标的绩效,以识别趋势、障碍和改进机会。
- 制定并实施有针对性的干预措施,以弥补护理差距并改善临床结果。
- 监控组织、支付方和提供方层面的质量目标进展。
- 确保质量计划符合监管要求、支付方期望和组织优先事项。
- 将质量数据转化为对临床和运营团队有行动意义的见解。
团队领导与管理
- 领导、管理和培养支持HEDIS、质量改进、护理差距弥补和支付方激励计划的团队。
- 为质量团队建立明确的目标、工作流程、优先事项和绩效期望。
- 监控团队的生产力和效率,并识别改进流程的机会。
EMR质量专业知识
- 担任组织在EMR中与质量相关的功能方面的专家。
- 深入了解质量指标、护理差距、临床文档、工作流程、健康维护、注册表和报告在EMR中的体现方式。
- 识别优化EMR工作流程和功能以支持质量表现的机会。
教育与员工参与
查看英文原文
The Quality Improvement Manager is responsible for leading and advancing organizational quality performance with a primary focus on HEDIS measures, payer incentive programs, and population health initiatives. This role oversees the identification of quality improvement opportunities, monitors performance across multiple payer programs, develops strategies to improve outcomes, and leads a team responsible for supporting quality and performance initiatives.
The Quality Improvement Manager partners closely with the Director of Population Health and other clinical and operational leaders to develop and implement sustainable quality improvement strategies. This individual serves as the organization’s subject matter expert for quality within the electronic medical record (EMR), ensuring that clinical workflows, documentation, data capture, and EMR functionality effectively support quality performance.
Location: Remote opportunity for Oregon, Washington, and Idaho residents
Key Responsibilities
Quality & HEDIS Performance
- Lead the organization’s HEDIS performance strategy, including monitoring, analysis, gap identification, and improvement initiatives.
- Track and analyze performance across HEDIS measures and other quality metrics to identify trends, barriers, and opportunities for improvement.
- Develop and implement targeted interventions designed to close care gaps and improve clinical outcomes.
- Monitor progress toward organizational, payer, and provider-level quality goals.
- Ensure quality initiatives are aligned with regulatory requirements, payer expectations, and organizational priorities.
- Translate quality data into actionable insights for clinical and operational teams.
Team Leadership & Management
- Lead, manage, and develop a team supporting HEDIS, quality improvement, care gap closure, and payer incentive initiatives.
- Establish clear goals, workflows, priorities, and performance expectations for the quality team.
- Monitor team productivity and effectiveness and identify opportunities to improve processes.
EMR Quality Expertise
- Serve as the organization’s subject matter expert on quality-related functionality within the EMR.
- Develop deep expertise in how quality measures, care gaps, clinical documentation, workflows, health maintenance, registries, and reporting are represented within the EMR.
- Identify opportunities to optimize EMR workflows and functionality to support quality performance.
Education & Staff Engagement
- Develop and deliver education and training related to HEDIS measures, quality requirements, payer programs, documentation, and care gap closure.
- Create educational materials, tools, and resources to support ongoing quality improvement.
- Promote organizational awareness and accountability for quality performance.
Qualifications
- Bachelor’s degree in healthcare administration, nursing, public health, health information management, or a related field preferred.
- 3–5+ years of experience in healthcare quality, HEDIS, population health, payer quality programs, or quality improvement.
- Experience managing or supervising a team.
- Strong knowledge of HEDIS measures, quality metrics, care gaps, and payer incentive programs.
- Experience working with EMR systems and quality-related functionality, reporting, registries, and workflows. Experience with Cerner/Oracle Health is highly preferred.
- Strong analytical skills with the ability to interpret quality data and translate findings into actionable improvement strategies.
- Excellent, communication, presentation, and organizational skills.
- Ability to collaborate effectively with clinical providers, operational leaders, IT/EMR teams, analytics teams, and executive leadership.
About Our Company
Praxis Health is a family of medical groups providing high-quality healthcare throughout the state of Oregon. Our community-based clinics are the DNA of our business, providing better medicine, advocacy for our patients, and a satisfying and collaborative culture for our providers and staff. The Praxis family approach is dynamically different from other healthcare companies in Oregon. We are not “big box” health care, but rather a company of small groups and clinics, of nimble micro-cultures that can quickly adapt to industry changes, as well as patient needs. We have been serving communities across the beautiful and adventurous state of Oregon for over 50 years! And we are pioneers and thought leaders in the industry. Our commitment to innovative and operational excellence has allowed us to create healthcare solutions that are both cost-efficient and cutting-edge. Come see how healthcare is done right!
General Physical Requirements
- While performing the duties of this job, the employee is regularly required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms and talk or hear.
- The employee is occasionally required to sit and stoop, kneel, crouch.
- The employee must regularly lift and/or move up to 10 pounds, frequently lift and/or move up to 25 pounds and occasionally lift and/or move up to 50 pounds.
- Work Environment: Combination of medical office and exam/procedure room settings.
OSHA Category
This position performs tasks that involve exposure to blood, body fluids, and/or tissues. All employees performing these duties are offered the opportunity to receive the Hepatitis-B vaccination series.
Originally posted on Himalayas