Quality Improvement Specialist 3 Full Time

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Studies and understands the QPP rules and guidelines and accordingly develops and implements strategies to exceed all performance targets established by CMS. Analyzes both internal and external (CMS) clinical quality and cost data and identifies opportunities as compared to national benchmarks. Implements quality and cost improvement projects through the beginning to end of the project lifecycle from request assessment planning execution monitoring and optimization. Leads collaborative efforts by fostering a culture of shared accountability in a high performing work group. Responsible for assembling leading and leveraging project teams assigning individual responsibilities identifying appropriate resources needed and developing a roadmap and schedule to ensure timely completion of projects. Accountable to deliver solutions that are systematic scalable incorporate business process management incorporate advanced technology solutions and often impact organizational culture and clinical transformation. Collaborates closely with IT teams and clinical operations team in designing operational and technical workflows for more efficient processes to help achieve the set targets Ensures adherence to quality and data governance standards. Ensures recommended solutions meet the targeted business/clinical objectives and a plan is in place to monitor sustainability of the recommendations. Work closely with the clinical leadership team and keep them updated on the status and progress being made for QPP program. Fosters clear communication and synchronize activities among multiple projects and teams. Creates and maintains proper documentation of project related tasks and timelines Present recommendations and strategies to decision makers that are systematic scalable incorporate business process management incorporate technology solutions and often impact organizational culture and clinical transformation. Leads and facilitates meetings with key stakeholders in sharing reports identifying opportunities and implementing improvement initiatives Closely collaborate with other analysts and Quality Improvement Specialists. Serve as a subject matter expert in Physician Quality Payment Program for the health system. Provide support and expertise to perform general functions for the department as requested on an individual basis or as a team member.

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

CORE QUALIFICATIONS

Education:

Minimum Bachelors Degree in Business Healthcare Engineering Technology or related area from a four-year college or university.

Certification and Licensing:

Six Sigma Green Belt required

Project Management Professional certification Change Management certification or related certification highly preferred

Experience:

Minimum 5 years experience managing medium/large scale process improvement and/or quality improvement projects in a clinical setting with a Six Sigma Green Belt Lean Gold Certification or comparable. Project Management Professional certification or comparable certification is highly preferred. Experience quantifying outcomes and measurements and using data analytic tools for meaningful insights. Strategic planning expience. Public speaking and presentation experience required. Demonstrated ability utilizing quality improvement methodologies and process improvement principles. Demonstrated ability ensuring deliverables meet the targeted business/clinical objectives in the established timeframe. Software experience: Excel PowerPoint Access and Visio. Daily use of extensive computer software spreadsheets and flow-charting.

Preference given to candidates with most experience in the following areas:

• Broad spectrum direct work experiences in healthcare quality patient safety clinical transformation value based care and clinical variations.
• Knowledge of QPP / MACRA MIPS program will be highly preferred.
• Portfolio management.
• Experience training and mentoring within organizations
• Coursework and/or work experience in healthcare quality and patient safety clinical informatics patient centered outcomes quality improvement clinical resource management quality improvement business process management performance improvement vendor relationship management and related topics.
• Clinical project management and/or Knowledge of healthcare quality and outcomes measurement and reporting experience.
• Familiarity with aspects of care and clinical workflows.
• Evidence of ability to draw on knowledge from the following areas: Continuous process improvement processes performance improvement service excellence systems for patient safety healthcare quality.
• Knowledge of the principles and practices of value-based care including familiarity with barriers to high-value care.

Knowledge Skills and Behaviors:

• Commitment to University Values: Diversity Integrity Responsibility Excellence Compassion Creativity Teamwork.
• Excellent technical skills and ability to leverage a variety of relevant platforms and applications.
• Excellent interpersonal and presentation skills: Ability to promote and sustain outstanding interpersonal and customer service skills (verbal and written) while accepting responsibility to ensure all working relationships are respectful and professional. Ability to collaboratively communicate quality improvement methodologies and outcomes to a broad range of clinicians and non-technical staff that obtain the desired results in a collegial manner.
• Excellent critical thinking quantitative and analytical skills: Ability to consistently apply independent and critical thinking quantitative and analytical skills to solve problems and escalate problems.
• Ability to be self-directed while successfully managing the prioritization and execution of multiple deadline-driven projects simultaneously.
• Excellent attention to detail and commitment to meet deadlines.
• Excellent communication and presentation skills: Ability to clearly effectively and respectfully communicate questions ideas and solutions verbally and in writing to a broad spectrum of specialized skill and clinical experience.
• Ability to conform to shifting priorities demands and timelines through analytical and problem solving capabilities.
• Ability to ensure consistent and accurate adherence to established workflows and processes.
• Required ability to sustain mature judgement and maintain strict confidential information and patient confidentiality as mandated by HIPAA and University policies respect the rights and privacy of others at all times.
• Required to maintain current knowledge and practice in compliance with standards established by external regulatory agencies that impact job performance and deliverables and maintain active licenses / certifications as deemed required by minimum requirements for position e.g. maintain sufficient knowledge of healthcare quality programs and activities to ensure hospital and medical staff activities are in compliance with regulations.

The University of Miami offers competitive salaries and a comprehensive benefits package including medical dental tuition remission and more.

UHealth-University of Miami Health System South Floridas only university-based health system provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center we are proud to serve South Florida Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching research and patient care. Were the challenge youve been looking for.

The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.

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