C2Q Health Solutions

Compensation

Full Description

JOB PURPOSE: The Shared Services Data Quality Analyst – PR will perform quality audits and reviews of all data submitted by the IDT teams in Care Compass. The role will also perform a variety of duties audits, inspections, and analysis of entries, and be responsible to make modifications, confirm, and/or update patient service support documentation. This will include frequent communication with participants and collaboration with various teams to effectively collect and process participant data. JOB RESPONSIBILITIES: - Maintain accurate records, timely appointments, and ensure proper documentation is collected and processed. - Complete Quality validation calls to participants, providers, and home care agencies to confirm that all services requested were received. - Capture and modify any data missing by the PACE staff who submitted the original request and communicate to all parties' key updates to ensure that deliverables are achieved for the participant. - Complete assessment and coordination notes into Care Compass EMR database related to participant home care services received, supplies delivered, nursing duty sheets, and other data management as necessary. - Coordinate and schedule appointments for PACE participants with internal and external providers, ensuring timely access to care. Communicate effectively with participants, caregivers, and providers to confirm, modify, or reschedule appointments as needed. - Maintain accurate records of all scheduled appointments in the system, ensuring compliance with regulatory and organizational timelines. Monitor upcoming appointments and follow up to ensure they occur as planned, addressing any barriers to attendance. - Manage and prepare confidential information, such as patient services and data summaries, quality assurance reports, root cause analysis, the financial impact of errors, etc. and use any/all sources of information (i.e. Staff documentation errors, missing information in Care Compass, validation calls, grievances, etc.). - Provides analysis reports of data information to management and prepares recommendations for review and/or changes to ensure higher quality standards of deliverables are met. - Inspects participant’s requests submitted by IDT and site-associated Care Delivery department to ensure deliverables are received, customer satisfaction, and data information is entered correctly and timely. - Post-inspection: conduct an evaluation and assessment of patterns, frequency, and summary of errors and/or gaps in goods, services, equipment, etc. Determine if errors are outliers or systemic issues and conduct root cause analysis. - Responsible for data entry and updating daily service-related information required for the service coordination team care planning for consistent and reliable delivery of all goods and services to participants. - Responsible for updating all Care Compass demographic updates including phone number, address, and interdisciplinary staff assignments. - Manages escalated issues, disputes, and replacement requests as assigned on the worklist. - Provides general administrative oversight support as needed. - Maintains departmental quality and productivity goals. - Adheres to all applicable compliance requirements and the Code of Conduct. Weekly Hours: 40 Days: Monday to Friday Hours: We have different schedules available between 8:00 AM to 8:00 PM, ET. Location: Full time Remote QUALIFICATIONS: Education: Associate degree preferred, or equivalent relevant call center years of experience preferred. Experience: - One to two (1-2) years of experience in customer service, quality, and/or auditing experience. Additional Requirements: - Able to pass a typing test with at least 45 WPM. - Bilingual Requirement: Spanish, Russian, Chinese, Bengali, Korean - Employees acknowledge that they have an alternative means of working in the event of a power and/or internet service outage, ensuring they are able to fulfill their job responsibilities without interruption. - Excellent written and verbal communication skills. - Ability to thrive in a fast-paced environment and meet assigned deadlines. - Excellent organizational skills, accuracy, and attention to detail. - Ability to operate both independently and collaboratively as required. - Proficiency in Microsoft Office Suite, including Word, Excel, and Outlook. Physical Requirements Individuals must be able to sustain certain physical requirements essential to the job. This includes, but is not limited to: Standing – Duration of up to 6 hours a day. Sitting/Stationary Positions – Sedentary position in duration of up to 6-8 hours a day for consecutive hours/periods. Lifting/Push/Pull – Up to 50 pounds of equipment, baggage, supplies, and other items used in the scope of the job using OSHA guidelines, etc. Bending/Squatting – Have to be able to safely bend or squat to perform the essential functions under the scope of the job. Stairs/Steps/Walking/Climbing – Must be able to safely maneuver stairs, climb up/down, and walk to access work areas. Agility/Fine Motor Skills - Must demonstrate agility and fine motor skills to operate and activate equipment, devices, instruments, and tools to complete essential job functions (ie. typing, use of supplies, equipment, etc.) Sight/Visual Requirements – Must be able to visually read documentation, papers, orders, signs, etc., and type/write documentation, etc. with accuracy. Audio Hearing and Motor Skills (Language) Requirements – Must be able to listen attentively and document information from patients, community members, co-workers, clients, providers, etc., and intake information through audio processing with accuracy. In addition, they must be able to speak comfortably and clearly with language motor skills for customers to understand the individual. Cognitive Ability – Must be able to demonstrate good decision-making, reasonableness, cognitive ability, rational processing, and analysis to satisfy essential functions of the job. Disclaimer: Responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of the company. We are an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, height, weight, or genetic information. We are committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. Salary Range (Min-Max): $34,000.00 - $40,000.00 Centerlight Healthcare Systems is based in New York and currently hires employees in states where we are registered to do business. At this time we are able to consider candidates residing in the following states: Alabama California Colorado Connecticut Florida Georgia Illinois Indiana Louisiana Massachusetts New Jersey New York North Carolina Ohio Oklahoma Oregon Pennsylvania Puerto Rico South Carolina Texas Utah Virginia Wisconsin C2Q Health Solutions offers management services tailored to the needs and goals of healthcare providers. Drawing from our leadership team's experience in providing key administrative solutions to healthcare programs such as managed long-term care, home care companies and other community health plans, C2Q’s expertise spans a full spectrum of functions that support an organization’s growth.