Description

Sanitas is a global healthcare organization expanding across United States. Our services include primary care, urgent care, nutrition, lab, diagnostic, health care education and resources for our patients. We strive to attract professionals who believe in our mission, vision and are dedicated to the service of our patients and their families creating a memorable experience through compassion, respect, and kindness.

Position Summary

Quality trackers assist and provide information related to clinical quality process. They make sure companies follow compliance requirements based on the payer contract. They improve processes, assist with supplemental data, and generate reports and document QA systems. They might also train other team members in quality assurance.

A QUALITY TRACKER follows all the SANITAS measures of processes, experiences and/or outcomes of patient care, observations or treatment that relate to one or more quality aims for health care such as effective, safe, efficient, patient-centered, equitable, and timely care. Trackers provides
comprehensive Reporting and Analytics at Population, Provider, and patient level. Our solution
allows a Health Plan to track performance measurement of Quality Measures across Commercial,
Medicare, and Medicaid lines of business including HEDIS, STARs, and state-specific Medicaid
measures.

The quality tracker provides robust solution to help overcome challenges associated with HEDIS compliance based on benchmark across providers, practices, organizations, etc.

Essential Job Functions

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Proactive and continuous monitoring of Quality Measures including HEDIS and Medicare
  STARs
• Identification and tracking of Quality Gaps across time
• Comprehensive Analytics for tracking of cost and utilization trends by measure
• HEDIS measure tracking, Reporting, and Submission
• Assistant with Supplemental data
• Training other group about quality measures and best practices
• Help with medical records request: Quality reports.

Supervisory Responsibilities

This position has no supervisory responsibilities.

Qualifications

Required Education and Experience

• Completed degree(s) from an accredited institution that are above the minimum education requirement may be substituted for experience on a year for year basis
• Bachelors degree - Preferred
• Excel proficiency (Reports, PIVOT table, and Vlookup)
• 2-3 years in the medical field.

Knowledge, Skills and Abilities:

• Excellent communication skills.
• Ability to work independently.
• Bilingual skills (English/Spanish)
• Knowledge of medical terminology
• ECW knowledge
• Availity knowledge (non-essential)
• Knowledge of Microsoft Word and Excel and G-Suite.