QI Coordinator

AnewHealth is one of the nation’s leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs—wherever they call home. We enable better outcomes for patients and the healthcare organizations who support them. Established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare, we provide a suite of solutions that includes comprehensive pharmacy services; full-service pharmacy benefit management; and specialized support services for Program of All-Inclusive Care for the Elderly. With over 1,400 team members, we care for more than 100,000 people across all 50 states.

Job Details

The Quality and Performance Improvement Coordinator (QI Coordinator) responds to, collects, organizes, monitors, and distributes information related to quality and process improvement functions, including but not limited to compliance to and documentation of quality management standards as established by CareKinesis. This team member will also generate reports using computer skills and distribute those reports to internal stakeholders and clients on a scheduled and ad hoc basis.

Responsibilities

Primary Functions:

• Manage the quality-related event (“QRE”) reporting system and process.

  • Respond to reported events by acknowledging the receipt of the notification; initiate the root cause analysis; report on investigation findings; assist with corrective action for resolution; compile and disseminate end-of-month reports.

  • Monitor QRE process on an ongoing basis to assure effectiveness of system integrity.

• Ensure established company standards related to service quality, patient safety, and regulatory guidelines are met by contributing data and assistance to the CareKinesis Quality Team and AnewHealth Compliance Team.

  • Support quality compliance standards by alerting Compliance to any PHI (Personal Health Information)-related issues and maintain documentation to provide quarterly and ad hoc.

  • Collaborate with service line leadership to deliver quality in-services and training to staff at the time of orientation and ad hoc as needs arise.

• Collaborate with the service lines and specific departments, as appropriate, to improve performance and metric outcomes.

• Assist in the development, maintenance, and reporting of internal and external performance improvement (PI) initiatives.

• Coordinate monthly client communication reporting.

• Participate in QI Commission meetings and record minutes for team.

• Participate in the maintenance and development of the annual QI Plan and Program.

Secondary Functions:

• Provide coverage and assistance to operations area in time of high volume when needed.

This is not necessarily an exhaustive list of all responsibilities, skills, duties, requirements, efforts, or working conditions associated with the position.  While this description is intended to be an accurate reflection of the current position, management reserves the right to revise the job or to require that other or different tasks be performed when circumstances change (e.g., emergencies, change in personnel, workload, rush jobs, or technological developments).  

Qualifications

These represent the desired qualifications of the ideal candidate. They are not meant to limit consideration for candidates who do not meet all standards listed.

Education: High school diploma, or equivalent. A college degree is preferred.

Experience: 2+ years of pharmacy experience is required. QI experience in a healthcare setting is preferred.

Certificates, Licenses, Registrations:

• Patient safety or healthcare risk certificate, or equivalent, within six months of hire

  • E.g. CPHQ, CPPS, CPHRM, Six Sigma

Skills & Abilities

• Ability to communicate effectively and professionally through written, verbal, and interpersonal skills as applied when interacting with employees, clients, or agency representatives; successfully conveying and exchanging information in a positive manner

• Proficient with MS Office Suite. 

• Must have a strong patient-centered focus on quality and outcomes

• Attentive to details

• Passionate about patient safety and customer service

• Excellent interpersonal and relationship building skills

• Exceptional writing abilities

• Strong technical skills

• Able to quickly adapt to new concepts and systems

Competencies

• Possess high level of integrity

• Quality-oriented

• Innovative

• Steadfast

Physical & Mental Demands

This position is administrative in nature and will present physical demands requisite to a position requiring: hearing, seeing, sitting, and talking. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Additional functions, duties, tasks, or requirements may be assigned by supervisors as deemed appropriate to meet organizational operations. 

Must be able to work independently with confidence.  Must be able to read and understand information and ideas presented verbally or in writing. Must be able to apply general rules to specific problems to produce answers.  Must be able to arrange things or actions in a certain order or pattern according to rules/procedures. Must be familiar with basic computer functions and have relative level of expertise with Microsoft Office applications.

Work Environment

This position works in an office environment, some work situations that could present repetitive muscular and vision strain. Based Remote or hybrid environment if residing near a CareKinesis or AnewHealth location.  40 hours per week with exceptions when authorized.

AnewHealth offers a comprehensive benefit package for full-time employees that includes medical/dental/vision, flexible spending, company-paid life insurance and short-term disability as well as voluntary benefits, 401(k), Paid Time Off and paid holidays. Medical, dental and vision coverage are effective 1st of the month following date of hire.

AnewHealth provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants are encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country.