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Health Outcomes Survey Lead

Job Ref: 58591
Category: Quality Assurance
Location: 160 Water St. #3, New York, NY 10038
Job Type: Regular
Employment Type: Full-Time
Hire In Rate: $75,000.00
Salary Range: $75,000.00 - $82,400.00

About NYC Health + Hospitals

MetroPlus Health Plan provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlus’ network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlus has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life. 

Position Overview

The primary function of the Health Outcomes Survey (HOS) Lead is to provide leadership in developing, implementing, monitoring and coordinating quality improvement initiatives that support the goal of improving HOS measures across all Medicare and UltraCare. This position will work directly and
collaboratively across all MetroPlus departments and with Provider Groups/Facilities to achieve Plan goals for improving HOS measures. This position will serve as the subject matter expert for HOS.

Job Description

  • Lead the development of root cause analysis, interventions and action plans, project planning, tracking and outcome summary reports.
  • Monitor and analyze HOS measures to ensure goals, objectives, outcomes are met.
  • Monitor for adverse trends, recommend modifications and corrective actions. Develops interim data collection mechanisms to track performance.
  • Ensure focus on measures that are important for achieving/maximizing quality incentive programs established by regulatory bodies including but not limited to CMS, NYS DOH, etc.
  • Communicate HOS interventions and results to external entities in accordance with applicable program objectives, policies and procedures.
  • Lead and coordinate HOS specific meetings with key stakeholders (internal and external business partners) with regular frequency to achieve HOS goals.
  • Provide reporting to Medicare Stars Director and/or health plan leadership on progress of overall HOS performance.
  • Lead and/or participate in external activities, work group or committees promoting HOS goals.
  • Participate in relevant committees and work groups; make presentations, prepare reports, data or other materials for committee presentation.
  • Assist in the maintenance of contract to administer the HOS project. Oversee the administration of regulatory CAHPS as well.
  • Participate in special projects as needed.

Minimum Qualifications

  • Bachelor’s degree in analytical field including Finance, Health Care Management or related field. Master’s Degree a plus.
  • Five to eight years’ experience in any analytic field. Two to three years of managed care experience preferred.
  • Understanding of CAHPS and HOS measures and knowledge of HEDIS, QARR, Star reporting processes strongly preferred
  • Knowledge of quality improvement activities such as PDSA preferred.
  • Must have strong working knowledge of Microsoft Office applications including Word, Excel, Access and PowerPoint.
  • Experience with relational database/statistical applications (MS Access, SAS or R) strongly preferred.

Professional Competencies

  • Integrity and Trust
  • Customer Focus
  • Functional/Technical/Analytical Skills
  • Written/Oral Communications