RN - Clinical Quality Analyst
Hi, we're Oscar Medical Group. Were hiring a Clinical Quality Analyst to join our Oscar Medical Group team.
At Oscar Medical Group, we are refactoring healthcare. We want to help each of our members achieve their healthcare goals in a personalized way. To help us achieve that goal we are looking for innovative leaders who think big and push boundaries to refactor healthcare and the healthcare delivery system.
About the role:
You will support the clinical care team in providing high quality, safe patient care in our virtual clinic. You are responsible for collecting, analyzing, and interpreting data related to patient safety, quality of care, and regulatory compliance. You will conduct patient safety incident reviews. You will work with clinical leadership, operations, and compliance teams to identify and address potential risk, implement quality improvement initiatives and ensure compliance with all applicable regulations and standards.
You will report into the Senior Medical Director, Oscar Primary Care.
Work Location:
Oscar Medical Group is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.
This is a remote / work-from-home role. You must reside in one of the following states: Arizona, California, Colorado, Florida, Georgia, Illinois, Massachusetts, Michigan, Nevada, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Texas, or Virginia. Note, this list of states is subject to change. #LI-Remote
Pay Transparency:
The base pay for this role is: $72,800 - $95,550 per year. You are also eligible for employee benefits, and annual vacation grant of up to 18 days per year and annual performance bonuses.
Responsibilities:
Data collection and analysis
Analyze and report out trends related to quality initiatives, HEDIS metrics, NPS/patient complaints, and safety issues to OscarCare, OMG leadership, and Compliance
Patient Safety incident review and mitigation action plans
Perform incident reviews in timely manner with closed loop feedback
Develop mitigation action plans in collaboration with clinical leadership for future risk reduction and process improvement
Trend and track reported events, themes, and preparation of summary reports for Safety and Compliance Committee meetings and stakeholders
Risk Management & Regulatory Compliance
Demonstrate expert knowledge in all internal policies as well as general knowledge of healthcare regulation
Provide feedback for improvements in internal policies and standard operating procedures to support Compliance and Risk Management
Quality assurance and process improvement
Conduct structured, targeted chart audits related to quality and HEDIS metrics
Synthesize and share findings of chart audits with cross functional clinical leaders and teams working on quality / performance improvement
Collaborate with operations and product teams in investigation and mitigations of systems issues and internal product/EMR patterns
Conduct investigations into formal patient complaints, PQIs, and NPS feedback
Education and training
Maintain and develop patient safety and quality training materials for OMG
Compliance with all applicable laws and regulations
Other duties as assigned
Requirements:
Minimum of Bachelor of Science in Nursing (BSN), but may hold a Masters degree in Nursing (MSN)
3+ years of experience in patient safety, quality improvement, or risk management
5+ years of experience as registered nurse in ambulatory or hospital setting
Bonus points:
1+ years proficiency in google suites applications and presentations to leadership
Experience as registered in nurse in telehealth setting
Patient Safety certification including but not limited to one of the following: CPPS, CSHM, CSP, CSS
Quality certification including but not limited to one of the following: CPHQ
Experience with Symplr platform or other patient safety tracking tools
Experience with NCQA, HEDIS, STARS, CAHPs metrics including monitoring and reporting
Apply Now
At Oscar Medical Group, we are refactoring healthcare. We want to help each of our members achieve their healthcare goals in a personalized way. To help us achieve that goal we are looking for innovative leaders who think big and push boundaries to refactor healthcare and the healthcare delivery system.
About the role:
You will support the clinical care team in providing high quality, safe patient care in our virtual clinic. You are responsible for collecting, analyzing, and interpreting data related to patient safety, quality of care, and regulatory compliance. You will conduct patient safety incident reviews. You will work with clinical leadership, operations, and compliance teams to identify and address potential risk, implement quality improvement initiatives and ensure compliance with all applicable regulations and standards.
You will report into the Senior Medical Director, Oscar Primary Care.
Work Location:
Oscar Medical Group is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.
This is a remote / work-from-home role. You must reside in one of the following states: Arizona, California, Colorado, Florida, Georgia, Illinois, Massachusetts, Michigan, Nevada, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Texas, or Virginia. Note, this list of states is subject to change. #LI-Remote
Pay Transparency:
The base pay for this role is: $72,800 - $95,550 per year. You are also eligible for employee benefits, and annual vacation grant of up to 18 days per year and annual performance bonuses.
Responsibilities:
Data collection and analysis
Analyze and report out trends related to quality initiatives, HEDIS metrics, NPS/patient complaints, and safety issues to OscarCare, OMG leadership, and Compliance
Patient Safety incident review and mitigation action plans
Perform incident reviews in timely manner with closed loop feedback
Develop mitigation action plans in collaboration with clinical leadership for future risk reduction and process improvement
Trend and track reported events, themes, and preparation of summary reports for Safety and Compliance Committee meetings and stakeholders
Risk Management & Regulatory Compliance
Demonstrate expert knowledge in all internal policies as well as general knowledge of healthcare regulation
Provide feedback for improvements in internal policies and standard operating procedures to support Compliance and Risk Management
Quality assurance and process improvement
Conduct structured, targeted chart audits related to quality and HEDIS metrics
Synthesize and share findings of chart audits with cross functional clinical leaders and teams working on quality / performance improvement
Collaborate with operations and product teams in investigation and mitigations of systems issues and internal product/EMR patterns
Conduct investigations into formal patient complaints, PQIs, and NPS feedback
Education and training
Maintain and develop patient safety and quality training materials for OMG
Compliance with all applicable laws and regulations
Other duties as assigned
Requirements:
Minimum of Bachelor of Science in Nursing (BSN), but may hold a Masters degree in Nursing (MSN)
3+ years of experience in patient safety, quality improvement, or risk management
5+ years of experience as registered nurse in ambulatory or hospital setting
Bonus points:
1+ years proficiency in google suites applications and presentations to leadership
Experience as registered in nurse in telehealth setting
Patient Safety certification including but not limited to one of the following: CPPS, CSHM, CSP, CSS
Quality certification including but not limited to one of the following: CPHQ
Experience with Symplr platform or other patient safety tracking tools
Experience with NCQA, HEDIS, STARS, CAHPs metrics including monitoring and reporting
Apply Now