Clinical Quality Manager

The Company: A member of the Lifespan health system, Coastal Medical is a primary care driven practice serving 120,000 patients across Rhode Island, whose primary goal is to offer patients better health and better care with minimal costs. An equal opportunity and affirmative action employer, Coastal employs over 600 professionals in a variety of roles.

• Coastal Medical offers competitive wages and values work/life balance.
• Our comprehensive benefit package includes health, dental & vision benefits, a free life insurance policy, earned time, paid holidays and 401K match.
• Employee input is essential to our operations. All employees are encouraged to join and participate in committees, trainings, and workgroups.
• Coastal Medical is an equal opportunity employer. All employees and applicants for employment are afforded equal opportunity in every area of hiring and employment without regard to race, ethnicity, religion, gender, national origin, age, veteran, or disability status.
• Per the Rhode Island Department of Health all existing and new employees must be fully vaccinated against COVID-19 and receive their flu vaccination upon hire.

The Position: We are currently in search of a Clinical Quality Manager. The Clinical Quality Manager main responsibility includes the Clinical Quality Manager is responsible for and manages quality and incentive program initiatives by developing, implementing, monitoring, and evaluating the work associated with pay for performance and other continuous quality improvement initiatives.

• This is a salaried full-time position with a schedule of 40 weekly hours, Monday through Friday.
• This position is located at our Corporate Office in Providence, RI.
• Employee parking is provided.
• List any other employment specific details including holiday, weekend and evening rotations, shift differentials, extensive travel, rotating locations, in-home services, etc.

Essential Functions:

• Leads and manages process improvement initiatives for NCQA PCMH, the CMS MSSP program, the Coastal Core, and other contractual clinical quality programs.
• Collaborates on practice management workflows and processes that support improvement initiatives for NCQA, CMS programs, and other quality programs.
• Supports the Quality Team by overseeing the development of strategies for clinical quality programs.
• Leads and manages auditing of clinical elements for compliance with Coastal policies such as lab and diagnostic imaging tracking, referral tracking, patient access, and pre-visit planning.
• Prepares and submits NCQA PCMH, CMS MSSP reporting (QPP, PIP, PCF) and other reporting for clinical quality.
• Collaborates on the development of quality program plans, the development of strategies, and the evaluation of outcomes that promote the delivery of effective patient care and improved clinical performance.

Requirements:

• Bachelor's Degree in a healthcare related field preferred.
• At least one years' experience in the implementation of Quality Improvement initiatives.
• At least three years' experience related to medical office management and workflows.
• Any combination of education and experience that is substantially equivalent is also acceptable.

Why You Should Apply:

• We operate in a collaborative environment and strongly encourage and promote employee growth and development.
• Coastal offers a wide range of training opportunities including our own Leadership Academies as well as other well-known programs such as Crucial Conversations and Clifton Strengths.
• Employees can qualify for student loan repayment assistance up to $9,000 and up to $3,500 per year in education assistance.
• Some employees may also qualify for the Public Service Loan Forgiveness Program.

Check out what's happening at Coastal!

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