Quality Assurance Specialist

Klamath Tribal Health & Family Services   Chiloquin, OR   Full-time     Manufacturing / Production / Operations
Posted on March 16, 2024

Quality Assurance Specialist

Salary Range: $66,895 – $117,301 Regular, Full –Time Position with Full-Time Benefits

POSITION OBJECTIVES: Under the direction of the Compliance Administrator, the Quality Assurance Specialist is responsible for ensuring that the mission of Klamath Tribal Health & Family Services is supported by the quality of its management structure and systems. The Quality Assurance Specialist is a recognized leader within the organization and is responsible for the development, coordination, integration, and assessment of quality of care activities in accordance with the mission and strategic goals of the organization and in conformity with applicable regulations, requirements of funding sources, and ambulatory health care standards. The incumbent provides skilled implementation and assessment of quality improvement techniques and risk management activities. The incumbent will work with Program Directors to oversee the collection, analysis, and reporting of quality measures. The incumbent serves on the Quality Assurance/Quality Improvement Committee and submits regular reports on activities and measures to stakeholders. The Quality Assurance Specialist will lead the organization in preparing for quality of care audits and accreditation surveys.

MAJOR DUTIES AND RESPONSIBILITIES: 1. QA/QI Program. Develop, integrate, and administer a written Quality Improvement Program that is broad in scope to address clinical, administrative, and cost-of-care performance issues and patient outcomes. The Program must be data-driven and peerbased, linking peer-review, quality improvement activities, and risk management in a systematic way. 2. CQI Plan. Develop and implement the Continuous Quality Improvement Plan (CQIP) in accordance with the organization’s mission, strategic goals, applicable laws and regulations, and accreditation standards. Assess plan periodically. 3. Strategic Planning. Partner with the Health General Manager and Clinical Program Directors to identify and establish quality of care priorities selected for ongoing monitoring and improvement.

KNOWLEDGE, SKILLS, ABILITIES: Knowledge of the basic principles of applicable laws and regulations (e.g., CMS, HIPAA Omnibus Rule, PPACA, FTCA, OSHA, P.L.93-638 Contracts, etc.). Knowledge of ambulatory care accreditation standards (AAAHC) and the survey process. Knowledge and proficiency in the use Electronic Health Records, including analysis and interpretation of data using computer-based disease registries and population management software (e.g., i2i Tracks, NextGen) or similar data collection systems.

QUALIFICATIONS, EXPERIENCE, EDUCATION: Required to have a minimum of a Bachelor’s Degree in a health-related field (Must submit copy of diploma or transcripts with application). Required to have a minimum of two (2) years of progressive work experience in program development, process improvement, and evaluation of quality improvement processes. Required to provide evidence of experience demonstrating competency in strategic planning, quality improvement, program evaluation and health care financial management.