Quality Data Payer Specialist – Albany, NY - full time en St. Peter's Health Partners

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Description:

Quality Data Payer Specialist – Albany, NY

If you are looking for a Durable Medical Equipment coordinator position specializing in Orthopedics, this could be your opportunity.  Here at St. Peter's Health Partner's, we care for more people in more places.  This position is based out of 295 Valley View Blvd Rensselaer.

Position Highlights:

• Quality of Life: Where career opportunities and quality of life converge
• Advancement:  Strong orientation program, generous tuition allowance and career development
• Office Hours:  Monday – Friday

What you will do:

Under the direction of the Director of Quality, coordinates and implements performance analysis and reporting for Senior Leadership, Clinicians and Administrators in support of Quality Improvement Initiatives.  Specific focus on optimizing performance contract with multiple payers.

Responsibilities:

• Implements data collection and reporting strategies for evaluation of key quality performance initiatives, quality metrics, outcomes evaluation, etc. for quality improvement.
• Interfaces data from external facilities/organization for reporting purposes; develops and analyzes systems and support tools needed to obtain information or statistics vital to quality improvement efforts.
• Investigates data quality problems and reporting issues with recommended solutions
• Delivers reports and owns various Quality metrics dashboards/scoreboards.
• Manually and electronically provide EMR data in support of contractual and incentive programs.
• Collaborates with clinical and IT staff to support defined business requirements.
• Works with external Business Partners (i.e. Payers, ACO, CMS) to facilitate receipt and delivery of quality data.
• Analyzes data and prepares data trend reports.
• Identifies gap areas and coordinates follow-up activity.
• Maintains consistency and integrity of data collection and storage.
• Educate/Train Physician and staff on Quality Measure definition and workflow.

What you will need:

Education: Bachelor's Degree in Basic Sciences or related field or equivalent work experience. Associates required.

Experience:       

• Minimum of five (5) years progressively responsible related work experience, including knowledge of payer operations and quality programs, research methods, basic statistics, business intelligence applications, and data analysis. Payer Experience and Ambulatory Quality
• Excellent analytical abilities and good problem-solving skills, required.
• Exceptional computer skills required, specifically reporting metrics
• Proficiency with Microsoft Office suite, including strong Excel skills.
• Strong verbal and written communication skills, required
• Clinical/Healthcare experience, preferred.
• EMR and Billing/Claims familiarity, preferred, EPIC familiarity a plus
• Detail oriented, excellent follow-up
• Ability to multi-task in a fast paced environment
• Must be service oriented, quick learner, team player

Pay Range: $27.15 - $39.40

Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.