Advertised Summary Job Description: Reporting to the Associate Director, Quality and Clinical Performance Improvement, the Quality Improvement Specialist supports the organization's quality and regulatory platforms across the Columbia Affiliated Physician's IPA (CAP IPA). The Quality Improvement Specialist is responsible for ensuring CAP IPA providers meet all CAP IPA membership quality requirements and reach appropriate benchmarks across participating shared savings programs.
The Quality Improvement Specialist collects and analyzes data, identifies patterns and trends, and develops actionable next steps to improve quality and reduce cost. The Quality Improvement Specialist works with CAP IPA members to train their staff in closing gaps in care, coordinate and facilitate meetings to review progress in quality programs, and identifies and develops new policies and processes. S/he works with the Chief Medical Officer, Chief Quality Officer, and the Associate Director to identify necessary resources to improve the quality of care and support initiatives across CAP IPA members' practices. The Quality Improvement Specialist is an integral member of the health care team who works to ensure patient safety, best practices, and high quality standards of care are maintained across the organization.
General Minimum Qualifications: Requires a bachelor's degree or equivalent in education and experience, plus five years of related experience.
Additional Specific Minimum Qualifications: - Experience working in population health, utilization review/utilization management, and/or quality improvement - New York State license to practice as a registered nurse, nurse practitioner, licensed clinical social worker or pharmacist required - Ability to work with all stakeholders: physicians, office staff, practice managers, executive suite, consultants, payor organizations, etc. - Experience with computer databases to track and analyze data - Strong communication, writing, and presentation skills, and must be comfortable presenting regularly to healthcare staff and leadership - Excellent interpersonal, organizational, and analytical skills - Ability to travel within the 5 boroughs of NYC and Westchester County - Proficiency in Microsoft Office Suite, particularly Excel - Ability to perform all other duties as required by the department and institution
Preferred Qualifications: - Experience with HEDIS, QARR, Quality Payment Program/MIPS, PCMH - Master's Degree in Public Health, Public Administration, or other healthcare-related discipline - Experience and knowledge of managed care plan operations - Keen attention to detail and ability to prioritize and handle multiple assignments - Experience with use of Electronic Medical Records
As a member of the National Collegiate Athletic Association (NCAA) and the Council of Ivy Group Presidents (Ivy League), it is imperative that members of the Columbia University community, in all matters related to the intercollegiate athletics program, exhibit the highest professional standards and ethical behavior with regard to adherence to NCAA, Conference, University, and Department of Intercollegiate Athletics and Physical Education rules and regulations.
Columbia University is an Equal Opportunity/Affirmative Action employer.
Internal Number: 126_172936
About Columbia University
Columbia University is one of the world's most important centers of research and at the same time a distinctive and distinguished learning environment for undergraduates and graduate students in many scholarly and professional fields. The University recognizes the importance of its location in New York City and seeks to link its research and teaching to the vast resources of a great metropolis. It seeks to attract a diverse and international faculty and student body, to support research and teaching on global issues, and to create academic relationships with many countries and regions. It expects all areas of the university to advance knowledge and learning at the highest level and to convey the products of its efforts to the world.