What Does A Quality Consultant Do At Humana
* Apply your data analysis expertise in supporting our clinical team. * Create spreadsheet forecasting models and develop database tools to assist senior management in provider/customer negotiations, to measure growth and monitor profitability. * Work in a consultative role with various departments locally and at corporate headquarters in creating effective information and analyses in order to optimize the market’s strategic objectives. * Work in a consultative role with providers to effectively connect data in order to support clinical quality. * The candidate’s responsibilities may include presenting data in charts, graphs and tables as well as facilitating with the data cleansing and data management lifecycle processes (extract, transform, and load
What Does A Quality Consultant Do At Unitedhealth Group
* Develop market business plans to motivate providers to engage in improving Stars measures to be 4 STARS or higher Provide analytical interpretation of Stars and HEDIS reporting, including executive summaries to plan and provider groups Be the primary go to person for all STARS related activities within their assigned market(s) working within a matrix relationship which includes Quality corporate operations and Regional / Market operations Assist in developing of training and analytical materials for Stars and HEDIS Lead Weekly, Monthly, Bi-monthly, Quarterly and / or Annual business Review meetings related to STAR activities which summarize provider group performance and market performance as requested by or required by Quality or Regional leadership Analyze and evaluate provider group structure and characteristics, provider group / provider office operations and personnel to identify the most effective approaches and strategies Identify and assess decision makers and other key provider group personnel with a focus on identifying barriers to achieving targeted outcomes Focus communications and efforts accordingly Develop solution-based, user friendly initiatives to support practice success $3000 Sign-on Bonus for external candidates! This position requires travel in the Fort Worth area to physician offices.* This position also has the ability to transition into a work at home position once training is completed and strong performance is maintained
What Does A Quality Consultant Do At Capgemini
* The requirement is for a Quality, Audit & Risk Manager to join Cloud Infrastructure Services’ existing Global Delivery Excellence team to perform the role of quality, audit & risk manager for the Client Account.* The Quality, Audit & Risk Manager should perform, coordinate and/or retain oversight of all quality, audit and risk activities within the Client Account and in addition, be able to drive improvements in quality control, compliance and risk management.* An excellent communication skills in English (written and verbal) as well as excellent interpersonal skills will be essential.* Location of work will be permanently in a Capgemini office and/or client site(s).* Since the Client Account delivery will be spread across several countries, this role will encompass the entire delivery model, and not just the country where the Quality, Audit & Risk Manager is located.* Liaison with all levels of delivery management, rightshore and onshore business units, technical towers, APPS, FS, etc. is expected, as well as with 3 rd party suppliers is a requirement.* Working hours will be as per US working hours and the public holidays will be respected.* This role is for an experienced quality, audit & risk manager who does not just have a “checklist approach” to quality but understands the business benefits of quality, takes ownership and is self-directed, resolution and objectives oriented.* Objectives:* The objectives of the Quality, Audit & Risk Manager role are as follows:* Actively contributes to the overall success of the client account engagement.* Takes ownership for quality in all aspects and all areas of the client account and is the single-point-of-contact for quality, audit & risk issues within the client account.* Through audits or otherwise identify opportunities for improvements and assure initiation of improvement projects as needed* Be the subject matter expert in quality control, audit, risk and compliance matters.* Activities:* The person holding the Quality, Audit & Risk Manager role is expected to undertake the following activities:* Work with senior managers and account teams to ensure that quality control, quality policies, targets, plans and standards are met.* Work with senior managers in client Account and global Delivery Excellence team to build the credibility of the function and demonstrate that quality management is a benefit to the account and not just a cost.* Become intimately familiar with the client environment * Client business as well as the contract.* Liaise, train, coach, guide, and facilitate Client Account team members to comply with QMS and other Capgemini agreed Terms of References and other policies, standards, processes and quality/audit-related matters within the company.* Create client-specific quality assurance materials and get necessary approvals.* Give timely and accurate information about relevant quality, audit, and compliance related risks and issues (e.g. deviations from QMS) and escalate when appropriate.* Handle following types of audits with suitable planning, preparation, interviews, reporting, follow-up and action tracking
What Does A Quality Consultant Do At Kaiser Permanente
* Acts as a consultant for quality, AR&L, risk, patient safety, and infection prevention activities and programs.* Assists with quality management studies through data collection, data input and report development.* Analyzes, interprets and provides recommendation based on quality principles.* Organize and coordinate project planning, group process facilitation, training, and appropriate application of information technology.* Reports all occurrences which may lead to medical center liability and follows up as necessary.* Facilitates interdisciplinary collaboration for implementation of evidence based guidelines, criteria and other clinical tools to reduce variation in clinical practice and to optimize clinical outcomes.* Educates physicians and staff regarding regional projects or regulatory reviews, i.e. the interpretation of regulatory requirements and the methods of compliance when preparing for a review or the interpretation of project goals.* Analyzes risk management/patient safety principles and provides recommendations for the incorporation of risk management principles in each medical center.* Provides support services to appropriate medical center staff in implementing risk management principles into credentialing processes.* Participates in special projects as assigned, such as statistical reports for state, federal, and local agencies.* Applies the appropriate performance improvement methodology to address improvement opportunity (eg.* MFI, Lean DMAIC).* May support infection prevention and control activities.* Supports maintenance of IC records and policy/procedure manual reviews and revisions.* Supports the medical center's continuous survey readiness program to maintain compliance with regulatory standards
