Quality Improvement Specialist

Group Health Cooperative of South Central Wisconsin. BETTER TOGETHER

This is full-time role primarily remote, with a hybrid structure. The position requires occasional in-person clinic visits (approximately twice per month) and periodic trips to the administrative office for tasks such as mailing outreach (around once every other week).

The Quality Improvement Specialist is responsible for ensuring the organization and delivery of high-quality patient outreach and quality improvement initiatives. This includes developing and participating on GHC-SCW committees and ongoing collaboration with other members of the Quality and Population Health team. Participation includes recommending, assisting, and selecting in the design of programs, quality improvement initiatives, and outreach methods to help members inclusive of all product lines manage their preventive health and chronic illnesses. Outreach methods may include telephone calls, digital contacts, mailings, and arranging and scheduling appointments and other services. The incumbent performs the job responsibilities with a health equity framework and with independence in decision making. The incumbent will work closely with partnering organizations to ensure GHC-SCW's full membership is served. This includes but is not limited to Access Community Health Center and UW Health. The incumbent represents GHC-SCW at community events and provides and supports additional and administrative duties, as assigned.

This position requires excellent written and verbal communication, documentation, computer, organization and prioritization skills. As well as strong analytical, critical thinking, and problem-solving skills. Primary direction, guidance and supervision is provided by the Clinical Quality Coordinator with additional accountabilities to the Quality & Population Health Director, as assigned.

GHC-SCW is a quality driven cooperative built on collaboration, community involvement, innovation, and belonging. In dedication to the health and well-being of our employees, we offer a comprehensive benefits package that includes health and dental insurance, along with paid parental leave, short-term disability, long-term disability, and life insurance. Additional benefits include a flexible spending account, employee assistance programs, tuition reimbursement, pet insurance, eyewear discounts, and more. Check us out by clicking on Many Talents, One Mission! The Benefits of Working at GHC-SCW.

Job Specific Minimum Qualifications

1. Bachelor's degree from an accredited college or university in a relevant major, or equivalent combination of relevant education and experience is preferred.
2. Minimum of two (2) to three (3) years of relevant clinical experience in healthcare delivery or insurance setting is required. Knowledge of medical terminology preferred.
3. Knowledge of and proven proficiency in the use of Microsoft Office applications including Word, Outlook, Excel, PowerPoint, Visio is required. Proficiency in Share Point is preferred.
4. Knowledge of mathematical concepts for spreadsheet, data entry, and analysis required. Accurate data entry skills required.
5. Ability to read, develop, write, explain and critique a variety of creative written patient outreach materials in collaboration with various subject matter experts.
6. Strong documentation skills required. Ability to document, design, and create meeting materials, general correspondence, memos, charts, tables, graphs, web page content, reports, etc., required.
7. Ability to learn and effectively use multiple computer systems including electronic medical record and scheduling systems (e.g. Epic Systems) is required. Epic experience preferred.
8. Excellent verbal, interpersonal, and written communication skills are required. Excellent customer service skills and ability to speak and listen in person and on the phone required.
9. Ability to work collaboratively and as a member of a team.
10. Ability to be culturally sensitive and work closely with community contacts, diverse corporate and membership populations. The ability to represent GHC-SCW in a professional and compassionate manner is required.
11. Strong organizational skills with the ability to prioritize, manage multiple tasks, solve problems, maintain accurate files, draft reports, and attend to details required.
12. Ability to be flexible, meet deadlines, work under pressure, manage changing priorities, and work with minimal supervision required.
13. Ability to maintain confidentiality is required. Knowledge of or ability to learn HIPAA privacy requirements required.
14. Knowledge of or ability to learn about healthcare delivery systems including insurance and managed care.
15. Ability to keep abreast of legal and regulatory quality programs and changes affecting the delivery of healthcare is required. This includes but not limited to NCQA and the BadgerCare Quality Program.
16. Ability to work a flexible schedule as required.
17. Some travel may be required between various clinical and other service sites. If driving a vehicle possession of a valid Wisconsin driver license is required.
18. Ability to bend, reach, lift, pull, and carry up to 20lbs occasionally required.

The incumbent knows and abides by all Group Health Cooperative of South Central Wisconsin (GHC-SCW) organizational and departmental policies, sets personal standards and strives for high quality work in completing assignments, performs job duties in a timely manner, and represents the organization in a positive manner. The incumbent understands our Mission, Vision, and Common Values (stated below) and is committed to promote these values in behavior and attitude.

Our Mission Statement: We partner with members and the communities we serve to maximize health and well-being.

Our Vision: As a local, not-for-profit, member-owned Cooperative, we are the most trusted resource for lifelong health and well-being in the communities we serve.

Our Values

• We are a not-for-profit Cooperative
• We are member-centered
• We are equitable and inclusive
• We are quality-driven
• We are innovative
• We are community involved

We believe:

Healthcare is a human right.

In treating all people with dignity and respect.

There is strength in diversity.

Equity celebrates our humanity.

We are better together.

Group Health Cooperative of South Central Wisconsin is proud to be an equal opportunity employer. GHC-SCW considers candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.