Performance Improvement Administrator

Position Summary:

This position leads the Quality Management and Performance Improvement processes for the organization.  Provides meaningful reports, tools, analytical support and analysis of performance measure metrics used to guide decision-making.  Develops and provides on-going educational support for executives and managers in appropriate utilization of statistical tools and analytical requirements for effective organizational decision-making.  Evaluates information and assures the integrity of systems processes throughout the organization.
Responsible for the Joint Commission (TJC) e-Application; Intra-cycle Monitoring; and preparation, coordination, and facilitation of TJC onsite surveys.  Primary contact for the Organization, additional responsibilities include payment of TJC associated fees, monitoring TJC website for updates and sharing these with YKHC, as well as responding to incidents submitted to TJC regarding complaints related to quality and safety concerns.    Communicates and works with the Board of Directors, officers and front line staff. 
These responsibilities include educating, monitoring, auditing, advising and reporting of PM requirements as identified by state and federal regulations and ongoing monitoring and reporting as pertaining to Meaningful Use requirements.
Responsible for the development of all appropriate monitoring and auditing plans to achieve effective results; updates and tracks all applicable policies and procedures; ensures appropriate investigation and resolution of all reports of non-compliance in a timely manner including Root Cause Analysis; and reports all tracked and trended program data.   

Position Qualifications: 

• Minimum Education:    Bachelor’s Degree.  Master’s or professional degree in a healthcare field preferred.
• Minimum Experience:    Excellent knowledge of healthcare and/or internal audit required.  3 years’ professional experience in a leadership capacity in a healthcare compliance office preferred.  Superior interpersonal, analytical, computer skills with ability to work effectively with all levels of management in a diverse organization.  Experience with Performance Improvement processes in a healthcare setting.
• License, Certification, Registration:    Certified Professional Healthcare Quality certification would be preferred
• Equipment/Tools:    Proficient in computer use.
• Specialized Knowledge and Skills:    Experience with the Joint Commission Evaluation Process
• Supervisory Responsibilities:    Yes.

Benefits Include:

• Generous PTO – starting at 4.5 weeks per year, accrued over time
• Eleven paid holidays
• Comprehensive healthcare coverage
• Life and Disability Insurance
• Flexible Spending Account
• Retirement plans
• Employee Wellness Center
• Plus More!

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