Quality Metrics Assistant-Gaps in Care​/TOC Pool

EOE Statement
We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.

Description

JOB SUMMARY:
Assist the Quality Performance Measurement Unit staff with day-to-day operations to ensure optimum operations.

PRIMARY RESPONSIBILITIES - Transition of Care pools & Managed Care Programs

• Monitor network TOC pool for ED & MHL referrals and work with practices to schedule appointments as needed.
• Review patient charts along with Lab, Zwanger, and Cologuard portals to assess HEDIS measure compliance after receiving gaps in care (GIC) reports from the CIN for managed care incentive programs.
• Check IDX if unable to locate patient.
• Work with practice administrators to close gaps by providing patient outreach opportunities.
• Follow up with practice administrators and provide detailed feedback to the CIN.
• Review new patient rosters and notify practices of new patients and patients due for a well care visit.
• Respond to all emails.
• Answer calls to the SBCM concierge line.
• Attend Meetings as necessary

OTHER DUTIES AS NEEDED:

• Assist with running reports and pulling data and for ACO measures through Cerner and Healthe Registries.
• Run reports for Promoting Interoperability measures and communicate any outstanding issues with the Practice Administrators for improvement
• Review daily UHMC email containing list of SBCM patients seen in the SBUH ED the previous day. Distribute patient information to the appropriate practices.
• Report rapid flu test results to the HCS for all participating practices.

Other duties as assigned

Category
Business Support

Exempt/Non-Exempt
Non-Exempt

Location
SB Administrative Services, LLC

Full-Time/Part-Time
Full-Time

Position Requirements

REQUIRED QUALIFICATIONS:

• Proficient computer skills, including Microsoft Office (specifically Word and Excel) experience with Office Practicum a plus.
• 2-5 years' experience in a clinical setting.
• Self-disciplined, energetic, passionate, innovative.
• A team player that can follow a system and protocol to achieve a common goal.
• Highly organized and well-developed oral and written communication skills.
• Demonstrates sound judgment, decision-making and problem-solving skills.
• Able to maintain confidentiality with all aspects of information in accordance with practice, State and Federal regulations.
• Confidence to communicate and outreach to other community health care organizations and personnel.
• Bi-lingual preferred

Physical Demands:

Quality Metrics Assistant must be able to sit for long periods of time and must have manual dexterity to work on the computer systems and keyboard. It is reasonable to anticipate lifting 10
-15 pounds in any given day.

Shift
Days

Tags
Benefits, PTO, 401K, Student loan reimbursement, Life insurance. Office located in Commack. Hybrid position after 90 day probation.

Salary Range
$21-$25 per hour

Position
Quality Metrics Assistant-Gaps in Care/TOC Pool

Open Date
5/14/2026

This position is currently accepting applications.