Quality Improvement (QI) Coordinator
This position will be remote and may pivot to a hybrid model in 2022 working a combination of in office and remote.
The QI Coordinator performs activities in five key areas:
(1) QI NCQA Compliance program management, including administration and continuous process improvement.
(2) Driving accreditation activities across the health plan
(3) Internal coordination of accreditation activities.
(4) Support of Accreditation survey administration activities.
(5) Accreditation program maturation and development, including project management improvements
Guiding stakeholders with new or evolving NCQA requirements across the health plan.
Prioritizing the work to best meet the needs of the multiple stakeholders.
Coordinating efforts across projects and committees; using lessons learned to effect broad and lasting change.
Continuously evaluating processes for improvement.
Maintaining current knowledge and expertise in a rapidly changing environment
• Use QI techniques (e.g., PDSA, lean, 6-sigma, root cause analysis) to lead performance improvement around a requirement or quality improvement project(s).
• Serve as content expert on accreditation requirement , as assigned. Develop a deep understanding of therequirementas assigned. This includes:
• Conduct self-directed investigation/research into the rationale for the requirement, technical specifications, and frequency.
• Participate in decisions regarding project design, data collection, data analysis, methodology, and data interpretation.
• Identify root causes of problems and other perceived barriers.
• Develop improvements to work through the identified barriers. This includes assisting to resolve systems problems.
• Evaluate attainment of results and document the summary findings.
• Communicate with others (internal and external stakeholders) around the requirements
• Use project management skills, such as development of timelines, identifying internal/external stakeholders, meeting management (agenda planning, minutes), monitoring deliverables, in-scope, communication/reporting plan.
• Support interpretation of data as it pertains to an assigned accreditation requirement. Be able to explain results. This includes, understanding data limitations such as small denominators, general trending, and identifying special cause variations and discussing outliers.
• Demonstrate problem solving, leadership, conflict management, and team building skills in order to ensure a productive work environment and achievement of goals. Support the organization's quality objective by demonstrating flexibility, being proactive, displaying positive team behavior, and willingness to accept responsibilities in a changing environment.
• Perform under minimal supervision with accountability for specific goals/objectives.
• Actively participate in Accreditation team meetings and departmental QMM meetings. Participate in any assigned committees or meetings with a clear understanding of role. Meetings could include internal and external stakeholders.
Master's Degree in Public Health, Business Administration, Health Science, Health Services Administration, or other healthcare or business related field -OR- <26nbsp; years continuous years of experience in lieu of a Masters degree
Experience in project management, program evaluation, team facilitation, data analysis, and/or medical management.
2 years experience in project coordination/management.
1 year quality management/quality improvement experience.
Strong experience in Excel functions, PowerPoint presentation developing, including graph/chart functions within these programs.
Master's Degree in Public Health, Public Administration, Health Administration or Management, Adult Education, or a clinically related field
Experience with ratings and/or accreditation programs, including but not limited to: HEDIS, NCQA, URAC, delegated entities, Medicare Stars, and QRS
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
About Providence in Oregon
As the largest healthcare system and largest private employer in Oregon, Providence offers exceptional work environments and unparalleled career opportunities.
The Providence Experience begins each time our patients or their families have an encounter with a Providence team member and continues throughout their visit or stay. Whether you provide direct or indirect patient care, we want our patients to feel that they are in a welcoming place where they can be comfortable and free from anxiety. Our employees create the Providence Experience through simple, caring behaviors such as acknowledging and welcoming each visitor, introducing ourselves and Providence, addressing people by name, providing the duration of estimated wait times and updating frequently if timelines change, explaining situations in a way that puts patients at ease, carefully listening to their concerns, and always thanking people for trusting Providence for their healthcare needs. At Providence, our quality vision is simple,
"Providence will provide the best care and service to every person, every time."
Providence is consistently ranked among the top 100 companies to work for in Oregon. It is also home to two of our award-winning Magnet medical centers. Providence hospitals and clinics are located in numerous areas, ranging from the Columbia Gorge to the wine country to sunny southern Oregon to charming coastal communities to the urban setting of Portland. If you want a vibrant lifestyle while working with a team highly committed to the art of healing, choose from our many options in Oregon.
We offer a full comprehensive range of benefits — see our website for details — http://www.providenceiscalling.jobs/rewards-benefits
We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Health Care
Other Location(s): Oregon
Req ID: 351964