Quality Review Coordinator II (R&D)
This position is responsible for the evaluation of services delivered to consumers and agency processes to ensure that services delivered are consistent with funding requirements, best practices, provider contracts and federal/state rules and regulations. This position works with staff, consumers, providers and other stakeholders to evaluate the entire system of health, behavioral health, and I/DD delivery as determined by DMH/DD/SAS, DMA, DHHS, CMS, accrediting bodies and other regulatory entities. Develops, implements, and conducts statistical analyses of projects, studies, and evaluations designed to improve the quality of services and internal processes. Applies statistical analysis to quality reviews of internal processes and external information to determine if trends/patterns are impacting service/system quality, and then implement interventions aimed at addressing these trends/patterns with the outcome of services delivered to consumers at the highest degree of quality.
Duties and Responsibilities
Serves as team lead for chart or clinical reviews of consumer information in order to conduct analysis of program effectiveness or to identify opportunities for process or quality improvement;
Bachelor's degree in sociology, psychology, or related field, including coursework in statistics, research methodology, computer science, continuous improvement and/or other coursework directly related to the work to be performed, and two years of progressively responsible experience in gathering, editing, and analyzing data for social and economic research, preferably including experience in the particular program area; or an equivalent combination of education and experience.
Five years of experience in the field of quality management/continuous quality improvement preferred.
Additional Training Preferred:
Lean, Six Sigma, Project Management, or related certification is preferred;
Experience in any of the following areas would be valuable for this employee: Public speaking, mediation and/or problem resolution, group facilitation, advocacy, regulations compliance and project management.
Knowledge and Skills
$46,114 - $79,384