Ambulatory Quality and Patient Safety Specialist

Ambulatory Quality And Patient Safety Specialist For Ambulatory Care

Episcopal Health Services Inc. (EHS) is a health system located on the Rockaway Peninsula in Queens, New York. EHS provides inpatient, outpatient, and emergency care to the diverse populations of the Rockaways, Five Towns, South Nassau, and beyond. The system offers comprehensive preventive, diagnostic, and rehabilitative services to people of all faiths.

St. John's Episcopal Hospital is accredited by The Joint Commission's Health Facilities Accreditation Program and is approved by the New York State Department Of Health. The hospital is a recipient of the Gold-Plus Get With The Guidelines®-Stroke Quality Achievement Award and the Gold-Plus Get With The Guidelines®-Heart Failure Quality Achievement Award from the American Heart Association. Additionally, St. John's is proud to be redesignated as a Baby-Friendly® Hospital by Baby-Friendly USA – the accrediting body and national authority for the Baby-Friendly Hospital Initiative (BFHI) in the United States.

Come Grow With Us!

Type:
Full-Time (75 hours biweekly)

Shift: Days

Hours:

8:00am- 4:30pm

Pay Range: $120,000 - $135,000

Job Description:

The Ambulatory Quality And Patient Safety Specialist For Ambulatory Care is responsible for the execution, coordination, and continuous advancement of ambulatory quality, patient safety, performance improvement, and managed care quality initiatives across all ambulatory services.

This role functions within Ambulatory Operations and Ambulatory Leadership, working in close partnership with clinical leadership, nursing, operations, population health, patient access, finance, and managed care teams to ensure ambulatory services achieve optimal clinical outcomes, regulatory compliance, and value-based financial performance.

The Ambulatory Quality And Patient Safety Specialist plays a critical role in translating organizational quality strategy into operational practice, with a strong emphasis on managed care quality performance, including HEDIS, Medicaid STAR ratings, Medicare quality measures, and payer-specific incentive programs. The position supports a data-driven, high-reliability ambulatory environment that advances health equity, improves outcomes, and maximizes earned revenue from managed care organizations.

Responsibilities:

Ambulatory Quality & Performance Improvement Execution

• Lead the day-to-day implementation of ambulatory quality, patient safety, and performance improvement initiatives across all ambulatory practices.
• Execute ambulatory quality priorities aligned with enterprise strategy, regulatory requirements, and value-based care programs.
• Coordinate and monitor performance improvement (PI) projects, ensuring defined metrics, timelines, documentation, and measurable outcomes.
• Support interdisciplinary quality committees, work groups, and operational forums through data analysis, reporting, and follow-up.

Managed Care Quality Performance & Revenue Optimization

• Serve as a key operational partner in improving ambulatory quality performance tied to managed care reimbursement and incentive revenue.
• Work collaboratively with Patient Access And Navigation Hub, Managed Care, IPA, Finance, and Population Health teams to optimize performance under payer quality programs, including:
• Healthfirst
• Fidelis Care
• Metro Plus Health Plan
• Emblem Health
• Stellar Health
• Affinity / Molina
• United Healthcare Community Plan
• Aetna Better Health
• Medicare Advantage and other contracted plans
• Track, analyze, and trend HEDIS measures, Medicaid STAR ratings, Medicare quality metrics, and payer-specific performance indicators.
• Identify gaps in performance that impact quality scores, risk adjustment, and incentive payments.
• Support the development and execution of targeted interventions to improve care gap closure, documentation accuracy, preventive care compliance, and chronic disease management.
• Participate in payer audits, data validation processes, and quality-related inquiries to ensure accuracy, integrity, and maximized revenue capture.

Data Analytics, Reporting & Performance Surveillance

• Track and analyze data generated from internal and external sources, including but not limited to:
• Pa…