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Clinical Quality Team Lead

AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation!

Does the idea of doing something that really makes a difference in people’s lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its employees? If so, AIDS Healthcare Foundation is the place for you! 

Founded in 1987, AIDS Healthcare Foundation is the largest specialized provider of HIV/AIDS medical care in the nation. Our mission is to provide cutting edge medicine and advocacy, regardless of ability to pay. Through our healthcare centers, pharmacies, health plan, research and other activities, AHF provides access to the latest HIV treatments for all who need them. 

AHF is searching for a Clinical Quality Team Lead to join our Linn House Team. This opportunity is to work on a Full Time, Regular basis. The salary is based on experience, and we offer a competitive benefits package


AHF’s core values are to be:

• Patient-Centered
• Value Employees
• Respect for Diversity
• Nimble
• Fight for What’s Right


SUMMARY
The Clinical Quality Team Lead is responsible for projecting and integrating the Mission and Core Values of the organization in the provision of leadership and supervision of the Disease and Medical Case Management Programs of AIDS Healthcare Foundation (AHF). This position, under the general supervision of the Manager, Quality and Performance Improvement, contributes to the success of the AHF Quality Management Program by assisting in the oversight of projects and clinical programs designed to make care safer, promote effective coordination of care, promote preventive care, help communities support better health, reduce costs of care through continual improvement, and promote person-centered care. This position is responsible for coordinating and implementing a broad range of collaborative activities among private and public entities to improve health and health care for all Medicare beneficiaries, Medicaid recipients/enrollees, Ryan White Grant clients, other third party payor clients and AHF Healthcare Centers nationwide.

Essential Duties & Responsibilities
Includes the following. Other duties may be assigned.

Quality and Performance Improvement
• Manages, completes and submits required analyses and reports to meet regulatory and accreditation requirements (e.g., NCQA HEDIS, HRSA-HIVQual, annual population analysis, state-level quality improvement projects).
• Coordinates activities of internal departments, external partners, and external vendors for quality analysis and reporting.
• Collaborates with health care providers to develop and implement interventions designed to promote health and wellness and improve organizational performance).
• Provides technical support to the organization that includes but is not limited to: designing process maps, performing gap analysis, conducting root cause analysis, directing implementation of interventions, identifying and overcoming barriers, and instigating organizational culture change.
• Acts as a project consultant to providers by collaborating with departments and disciplines across the organization for effective project management including: planning, implementation, analysis, communication (written and oral), and training.
• Builds sustainable relationships with internal and external customers, utilizing knowledge and skills to provide references. 
• Prepares supporting documentation for accreditation and surveys
• Serves as a resource to recommend appropriate interventions, performance improvement models, improvement strategies and behaviors.
• Communicates/consults with healthcare providers to assist with advancing their quality improvement objectives.
• Communicates and works well on tasks with ancillary and ad hoc team members, partners and stakeholders to plan, facilitate, and execute improvement activities.
• Possesses the ability to discuss complex health care issues during face-to-face meetings, teleconferences, and through written correspondence with providers and stakeholders. Refers questions to appropriate associates and contractors as needed.
• Remains current and knowledgeable about new initiatives, including the healthcare environment, activities, tools, and techniques through research, training, education, and a variety of nationally recognized sources.
• Routinely, accurately and concisely, documents and reports on project status, onsite visit activities, provider activities, and barriers/solutions using appropriate company and/or reporting tools and databases.
• Collaborates with written reports, proposals, and project budgets.

Dimensions of Practice
• Leads large scale quality improvement program initiatives and major health outcomes improvement projects, facilitates continuous departmental (divisional) process projects and quality improvement activities to measurably improve the health of people living with HIV/AIDS
• Evaluates data needs and collaborates with Information Technology Department and other analytics teams to identify opportunities to support organizational goals. 
• Designs, develops and implements solutions that address the identified opportunity. 
• Assists others within the Quality Improvement Department in study design, planning for data collection, root cause analysis and implementing solutions. 
• Assesses, reviews, and educates providers regarding the quality of care and services provided to their members through on-site assessments and data analysis. 
• Provides assistance with the design, development and implementation of solutions which address opportunities identified by provider data or IHS staff for improvement. 
• Collaborates with provider offices on continuous improvement activities, and educates provider office staff in quality improvement principles and techniques. 
• Designs quality improvement initiatives/studies based on sound performance improvement principles, tools and statistical methodologies. 
• Develops major quality improvement activities and programs that encompass research, study design, population and outcome analysis. 
• Consults with internal and external resources to keep study design and implementation directed to address study questions or charters. 
• Leads multidisciplinary efforts to develop health management programs and clinical guidelines designed to improve quality of care. 
• Optimizes use of existing divisional and corporate information resources.
• Participates in the annual update of quality improvement (QI) program description and QI work plan. 
• Assists with the evaluation of the effectiveness of the QI program and its related improvement projects, as well as identification of performance improvement opportunities. 
• Reviews documentation for compliance; audits processes; interviews appropriate management, and staff; assists with gap analysis and the development and monitoring of corrective action plans. 
• Serves as a resource to all staff seeking to better understand the accreditation/regulatory agency standards, grant requirements and aids in the development of action plans to assist others in development of processes and protocols within their department. 
• Maintains department training tools; maintains clinical QI training resources; conducts just-in-time and classroom training on quality improvement methodology and research principles. 
• Educates other project members on QI processes and tools. 

Analytics and Informatics
• Support an infrastructure and foster a culture that supports organizational learning, performance improvement deployment and cultural change strategies. 
• Coordinate external and internal quality reporting functions within the organization and ensure that the reporting formats meet the needs of the audience to whom they are delivered. 
• Contributes quality improvement, community health, and public health informatics expertise to the AHF’s community needs assessment process, health improvement goal setting, identification of public health policy and action options, program development, and creation of monitoring and evaluation plans.
• Performs and/or directs data analyses and creates visual presentations of findings and reports.

Leadership and Systems Thinking
• Facilitates and implements quality improvement and evaluation initiatives.
• Facilitates and implements health analytics initiatives.
• Keeps abreast of national trends and is active nationally within the quality and performance improvement space. 
• Contributes to a work environment where continuous quality improvement in service and professional practice are pursued.

Policy Development and Program Planning
• Serves on AHF committees involved in quality improvement, health improvement and policy development related to health informatics, health information exchange, quality improvement and/or accreditation.

Communication and Cultural Competency
• Delivers targeted, culturally-appropriate information to help individuals and groups understand health promotion and disease prevention information, policies, and regulations. 
• Utilizes appropriate methods for interacting effectively and professionally with persons of all ages and from diverse cultural, socioeconomic, educational, racial, and ethnic, sexual orientations, gender identities, lifestyles and physical abilities.
• Adheres to ethical principles and AHF in the collection, maintenance, use, and dissemination of data and information.
• Maintains current knowledge of HIV/AIDS social and clinical issues and incorporates that knowledge into the quality improvement activities performed. 

Other
• Assumes responsibility for own professional growth and development by pursuing education, participating in professional committees and work groups and contributing to a work environment where continuous improvements in practice are pursued.
• Attends a minimum of one HIV/AIDS related educational event per year.

Participation in AHF Meetings/Committees
Attends Quality Management Committees
Attends AHF meetings as assigned.
Attends community meetings as assigned.

Supervisory Responsibilities
Job has no supervisory responsibilities.

Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Desired knowledge, skills & abilities include:
• Strong knowledge of accreditation, federal and state regulations/requirements, HRSA Ryan White requirements per specific geographic location
• Strong analytical and problem solving skills
• Excellent verbal and written communications skills
• Excellent data analysis and reporting skills
• Team player who builds effective working relationships
• Ability to work independently and with others
• Medical coding knowledge
• Strong organizational skills
• Ability to effectively collect, analyze, interpret, apply and communicate clinical and administrative data (e.g., HEDIS)

OR

Any combination of academic education, professional training or work experience, which demonstrates the ability to perform the duties of the position.

Education and/or Experience
• Bachelor's degree or higher in appropriate science or related discipline Master’s degree in public health or related field preferred.
• Current healthcare related license and specialty certification preferred (quality, infection control and/or patient safety).
• 1-2 years of healthcare experience.
• Knowledge of and experience with root cause analysis and quality improvement tools and techniques, customer service and culture change concepts.
• Experience specific to process improvement, database entry, maintenance and report generation preferred.
• Successful experience with establishing collaborative learning and action networks including meeting planning and group facilitation.
• Knowledge of survey standards and requirements for state level managed care programs and CMS is preferred.

Computer/Software Skills & Abilities
To perform this job successfully, an individual should have knowledge of Database software; Internet software; Spreadsheet software and Word Processing software, Data Analytics.

Language Skills
Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.

Mathematical Skills
Very High Skills: Ability to work with mathematical concepts. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical solutions.

Reasoning Ability
Very High Skills: Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.

Computer/Software Skills & Abilities:
To perform this job successfully, an individual has should have knowledge of Microsoft Office software.

Microsoft
Software Level Skill

Word
Intermediate-Advanced
This level of skills is necessary in order to use and create a variety of templates, complex tables, merges; manage table data, sort and filter merges, and also perform basic work with existing Macros. A person with this level of skills is able to customize toolbars, import and insert graphs, embed Excel data, and elaborate reports. The person has the skills to
• Work with sections, create templates, use styles, and customize them.
• Create and format complex tables, and manage table data.
• Create Mail Merges, sort and filter them.
• Customize Toolbars.
• Insert graphic elements.
• Run and record Macros.
• Format documents, control page and document appearance, paginate and link table of contents.

Excel
Intermediate-Advanced
This level of skills is required to work with multiple worksheets, filter data, use integrate functions, and manipulate databases. With this level of skills, a person understands the concepts of databases and is able to work with charts and to use the list management capabilities of Excel. The person has the skills to
• Create, modify, and format charts.
• Use graphic objects to enhance worksheets and charts.
• Filter data and manage a filtered list.
• Perform multiple-level sorting, use sorting options, and design considerations.
• Use mathematical, logical, statistical, and financial functions.
• Group and dissociate data and perform interactive analysis.
• Create and modify some Macro commands.

Access
Basic
This level of skills is required to design, create, and modify databases, tables, queries, forms, and reports. A person with this level of skills understands the different database concepts and structures and is familiar with data validation and indexing techniques The person has the skills to
• Plan, conceive, create, save, manage, and maintain a database.
• Modify a database structure.
• Generate new records and modify them.
• s with Table Wizard and in Design View and work with them.
• Find, edit, filter, and sort records.
• Create and use Select Queries to view specific records and to perform calculations.
• Create, use, and customize forms, and reports.
• Work with Data Access Pages.

Power Point 
Advanced
This level of skills is desired, basic skill required to customize templates and the PowerPoint environment, and to make a presentation interactive by using hyperlinks and action buttons. The person has the skills to
• Create a template and work with a Design template.
• Work with graphics, animation and multimedia, inserting movies and sound.
• Work with the Office Suite to create slides from an outline and send slides to Microsoft Word.
• Customize PowerPoint toolbars and automate the slide production.
• Use AutoCorrect and the Style Checker.
• Build interactive presentations, using hyperlinks, creating interactive objects, working with Slide Show options, and using the Meeting Minder.
• Explore online meetings and broadcast presentations.

Visio
Intermediate
This level of skill is desired to develop process flow charts, organizational charts and incorporating drawings into other documents The person has the skills to:
• Create a process flow or organizational diagram and insert it into documents.
• Associate data with the shapes in the diagrams.
• Develop charts that are connected and self populate from a database.
• Import and export Word outlines or Visio diagrams into either program.

Internet Explorer
Advanced
This level of skill is required to conduct research, obtain data and connect with work related social networking programs. The person has the skills to:
• Conduct data searches
• Manage internet and intranet sites 
• Update MC websites
• Utilize social networking sites to expand the sphere of influence of the MC Division.

Certificates, Licenses and Registrations
Certified Professional in Healthcare Quality (CPHQ). If not certified, will obtain certification within 15 months of hire.

ADDITIONAL INFORMATION
Salary: Based on Experience
Location: 1001 North Martel Avenue, Los Angeles, CA 90046.
Position Type: Full Time, Employee
Reference Code: 0706-3586-CQTL

CONTACT INFORMATION
Cristina de Leon
Human Resources Business Line Partner
AIDS Healthcare Foundation
6255 W. Sunset Blvd., 21st Floor
Los Angeles, CA 90028
FAX: 323-462-6869
EMAIL: Careers@aidshealth.org 


If you are interested in this amazing opportunity, please CLICK HERE   for immediate consideration.


We look forward to hearing from you!

AHF IS AN EQUAL OPPORTUNITY EMPLOYER