Continuous Improvement and Quality Analyst

Location: Madison Heights

General

Position Summary:

The Continuous Improvement and Quality Analyst (CIQA) works under the supervision of the Director of Compliance to monitor and analyze established standards and quality improvement initiatives throughout all departments of Johnson Health Center. This person interacts with all staff to gather information and data reports to ensure quality measures and adherence to Federal, State, and Local agencies, and all accrediting bodies' regulatory standards.

The CIQA provides guidance and support for the implementation and upholding of the organization’s compliance programs and practices.

Essential Duties and Responsibilities:

1. Works independently and with the Director of Compliance, other organizational leaders, and with contracted vendors to formulate reports and data collection.
2. Works with all staff to collect and analyze data and information related to compliance and quality measures and initiatives.
3. Assists in building, maintaining, and conducting quality and compliance audits throughout all areas of JHC.
4. Conducts pharmacy 340B audits to assess compliance in the JHC 340B program.
5. Coordinates and leads meetings associated with audits. Participates in and presents quality improvement, compliance, and ad-hoc project meetings.
6. Assists and/or conducts employee training and coaching.
7. Assists with the preparation and completion of regulatory and compliance documents and forms.
8. Works alongside the Director of Compliance to monitor, review, and manage relationship contracts with JHC partners.
9. Manages and conducts patient satisfaction surveys to monitor patient satisfaction, patient safety and compliance, and overall patient experience . Creates PDSAs for continued quality improvement.
11. Performs other duties as assigned.

Other Functions:
1. Staff members will abide by the Code of Conduct as documented in the Corporate Compliance Manual.
2. Must demonstrate a personal and professional commitment to Johnson Health Center and its mission.
3. Management may modify, add, or remove any job functions as necessary, or as changing organizational needs require.

JHC Core Values:

Staff members must actively demonstrate dedication and commitment to the core values of JHC.
1. Respect – We value and respect each patient, their family, ourselves, and each other. Every individual associated with Johnson Health Center will be treated with dignity and respect. We value and respect people’s differences, show empathy to our patients, their families and each other, and work collectively to build Johnson Health Center as a health center and an employer of choice.
2. Integrity – We are committed to doing the right thing every time. Our actions reflect our commitment to honesty, openness, truthfulness, accuracy and ethical behavior. We are accountable for the decisions we make and the outcome of those decisions.
3. Excellence – We will pursue excellence each and every day in activities that foster, teamwork, quality improvement, patient care, innovation, and efficiencies. At Johnson Health Center, our medical, dental, pharmacy, behavioral health, front desk and administrative teams are passionately committed to the highest quality of care for our patients. We continually seek out ways to enhance the patient experience and promote an environment of continuous quality improvement.
4. Innovation – We value creativity, flexibility, and continuous improvement efforts. We are advocates and instruments of positive change, encouraging employees to engage in responsible risk-taking and working to make a difference. Out of the box thinking enables us to build on successes and learn from failures.
5. Teamwork – We understand that teamwork is the essence of our ability to succeed. We work across…