Quality Improvement/Accreditation Associate
Waltham, MA /
Clinical Operations /
A bit about us:
We’re on a mission to change healthcare — how it’s paid for, delivered, experienced. We want to put people center stage, not process or profit. We are guided by a deep belief that every person on Medicare should be treated like we would treat a member of our own family: with loving care and a profound commitment to their health and well-being.
That’s why we’re gathering a whole bunch of smart, big-hearted people to create a new kind of healthcare company — one that combines compassion, health insurance, clinical care, and technology seamlessly.
We want to throw the long ball with people we love for a cause we believe in. Life is short. Join us.
Why Devoted: Make a difference... a big difference. You will have the opportunity, in a unique and dynamic culture, to be a part of something incredibly meaningful. We’re a disruptive startup with an inspiring mission. Learn and grow alongside our world-class team of healthcare, technology, and data leaders, dedicated to building a health plan and clinical services that care for everyone like they were our own mothers or fathers. Our team and board members have decades of experience in health policy, clinical services, data and technology. With their support, we look forward to building a health plan and clinical services that will give seniors easy access to the high-quality care they deserve.
A bit more about this role:
- Ensuring that quality trends and patterns are monitored and issues are identifed.
- Monitoring and reporting to the Quality Committee the status of Performance Improvement interventions and in accordance with the Quality Improvement Program.
- Interfacing with all internal departments to gather data on Performance Improvement activities and policies and procedures.
- Assuring reporting compliance with the requirements of accrediting and regulatory agencies, including but not limited to, CMS, AAHC, and State Agencies.
- Ensuring that staff collects and monitors data and reports identified trends to the Medical Director.
- Monitoring delegated Quality Improvement activities to ensure proper performance of Quality Improvement functions in compliance with regulatory and delegation requirements (ex, behavioral health).Organizing and executing on required quality reporting for the dual eligibles special needs plan (D-SNP).
The Quality Improvement Associate is responsible for all reporting needs associated with the Health Plan’s Quality Improvement, Accreditation, and Chronic Care Improvement Programs. The position reports directly to the Medical Director for Clinical Management. The Associate will monitor the performance and progress against all quality improvement goals, organize the reporting of metrics, and assure that the Health Plan meets Centers for Medicare & Medicaid Services (CMS), accreditation, and other regulatory agencies’ standards for quality reporting. The Associate will assist in the preparation of any required annual evaluations and quarterly Quality Committee presentations.
In addition to the above, other specific functions include:
Attributes to success:
- Member/patient focused: you’re driven to make sure Devoted is making dramatic improvements in the lives of our members.
- You bring experience in the quality arena, with a clear understanding of regulatory requirements and how to execute on them, or an eagerness to understand quality requirements.
- You are comfortable working with data and reporting on performance.
- You are good at working with members across multiple teams to gather the data and information you need.
- You are organized and forward thinking, with a clear plan on how to execute complex tasks.
- You are comfortable working in an organization that is growing and changing quickly.
Skills and experience:
- You have excellent project management skills and can juggle many streams of work at the same time.
- Ideally 2 year of demonstrated experience.
- You are good at coordinating across different departments.
- You are comfortable working through different state and federal regulations.
- Health care/Health plan quality experience preferred but not required.
Healthcare equality is at the center of Devoted’s mission to treat our members like family. We are committed to a diverse and vibrant workforce. If you lack a specific credential for this position but believe that your strengths and life experiences will propel our mission, we would love to hear from you.
If you love running towards complex challenges and transforming them into solutions, if you want to make a potentially huge impact on many lives, and if you are looking for a disruptive startup with an inspiring and talented team, Devoted Health may be the place for you!
Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business.
As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.