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Population Health Quality Specialist
Bronson Healthcare. Oversee Bronson Network and payor quality program performance .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in overseeing quality program performance within healthcare networks, with a strong focus on collaboration, data analysis, and implementation of best practices to enhance patient care and satisfaction. Proficient in developing educational tools and maintaining compliance with payor requirements while ensuring effective communication across various stakeholders.
Highest-signal resume keywords
Quality Program Performance OversightData Analysis and ReportingCollaboration with Payor RepresentativesEffective Communication SkillsRegistered Nurse License
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data AnalysisQuality Performance ReportingPolicy and Procedure DevelopmentEducational Tool DevelopmentComputer Software Utilization
Soft Skills
Effective Organizational SkillsProblem-Solving SkillsConflict ResolutionSensitivity and TactEffective Presentation Skills
Tools & Technologies
Word Processing SoftwareSpreadsheetsPresentation SoftwareElectronic Mail
Certifications & Qualifications
Registered Nurse License
Industry Keywords
HealthcarePatient SatisfactionQuality ImprovementHIPAA ComplianceMedical Practice
About the role
Key responsibilities & impact- Oversee Bronson Network and payor quality program performance
- Identify current performance, analyze successes and opportunities for improvement, and develop and implement improvement activities with practices and providers
- Work collaboratively with payor representatives, member practices, practice management, and Bronson committees and departments
- Identify and spread best practices to improve care, enhance patient satisfaction, and decrease unnecessary care costs
- Develop strong working relationships with payor representatives, colleagues, providers, and practice leadership
- Monitor Network and payor quality program updates and provide key information to Network leadership, staff, and provider members
- Analyze quality performance reporting and develop meaningful provider and practice reports to drive improvement
- Monitor provider performance and identify opportunities for improvement
- Collaborate with practice leadership and providers to identify and implement best practices across the Network
- Support policy and procedure development to meet payor requirements and implement best practices
- Develop educational tools for the Bronson Network Population Health program
- Support payor program and initiative implementation
- Attend system committee meetings as appropriate
- Support supplemental clinical-care data entry through payor websites
Requirements
What you’ll need- Bachelor’s degree required
- Minimum three to five years’ experience in a medical practice or related healthcare field
- Ability to utilize computer software including word processing, spreadsheets, presentation software, electronic mail and other software relevant to the job
- Demonstrated ability to relate and communicate well with colleagues and providers in practices and across the Bronson Network and the Bronson system
- Effective organizational skills to manage the requirements of multiple practices and provider programs
- Effective presentation skills demonstrating subject knowledge clearly
- Ability to identify key information in quality program changes recognizing and relating changes that impact Network and system
- Effective problem-solving skills and conflict resolution
- Demonstrates professional, appropriate, effective written, verbal and non-verbal communication
- Good judgment relative to sensitive and/or confidential organizational information on quality data and programs
- Sensitivity and tact in interfacing with practice leaders and staff, providers, and other departments
- Maintains patient confidentiality and follows HIPAA guidelines and regulations
- Registered Nurse license desired/preferred
Benefits
Comp & perks- Part-time schedule of 28 scheduled weekly hours