Clinical Quality Specialist


Clinical Quality Specialist
Vein Clinics of America- Downers Grove, IL

The Clinical Quality Specialist is responsible for assisting the Director of Patient Safety and Quality including managing day to day operations of the Quality Payment Program (QPP), analyzing risk management data and incident reports to promote best practice and improve patient and staff safety, conducting and facilitating educational programs based upon identified needs, and facilitate compliance with Accreditation Association of Ambulatory Healthcare (AAAHC) standards.

Reports To: Director of Patient Safety and Quality

Other individuals with whom the person works with on a regular basis:

Director of EHR
Clinical Training Managers
Regulatory Analyst
Other Project Specialists
Physician and staff in VCA offices
Outline of key responsibilities of this position:

Quality Payment Program

Act as a trusted adviser and key point of contact for physician offices regarding the Medicare Quality Payment Program (QPP), including the Merit-Based Incentive Payment System (MIPS).

Liaison to eMR Implementation Team. Build and maintain strong relationship with eMR Director and eMR Specialist team as QPP partners.

Build and maintain expertise about the Medicare Quality Payment Program including future impacts to the organization.

Monitor monthly the QPP metrics for all eligible providers, performing ongoing audits to ensure compliance and mitigate risk to VCA.

Prepare reports/deliverables for submission to meet QPP requirements including monthly action plans to participating providers as part of continuous process

Develop and implement QPP educational tools for onboarding and ongoing training of providers and staff.

Present information in large and small group settings related to the QPP and/or other identified Quality metrics.

Quality and Patient Safety

Identify gaps for quality improvement and use QI methodology to improve outcomes.

Identifies statistical trends, and potential issues in patient care and services.

Works collaboratively with physician offices on Quality Improvement studies including developing corrective plans, and monitoring their effectiveness.

All other duties as assigned

Teamwork: Demonstrates respect and achieves cooperative relationships in fulfilling the mission and vision of Vein Clinics of America (VCA).

Communication: Demonstrates good interpersonal skills with all whom they interact.

All communications, verbal and written, should demonstrate a commitment to internal and external customer service and excellence.

Effectively sends, receives, and responds to requests while maintaining a high level of confidentiality.


Committed to and performs quality work contributing to the strategic goals of VCA.

Assumes responsibility and accountability for his/her actions.

Meets the challenges of a changing environment, is timely in meeting job responsibilities.

Values accomplishments and shows enthusiasm and pride in the organization.

Demonstrates a self-directed work effort.

Develops goals for professional growth and strives to achieve those goals.

Customer Service: Demonstrates a commitment to courteous, sincere, and sensitive customer service.

He/she presents a positive and caring attitude in all interactions.

He/she is patient, tolerant, accepts diversity, and presents a positive image of themselves in all professional interactions.

Quality Improvement: Demonstrates a commitment to quality and excellence.

He/she solves problems through critical evaluation of data-based information and application of continuous quality improvement methods.

Can accurately identify and diagnose issues, perform preventative actions and analysis, identify alternatives, implement a plan, and evaluate and communicate results.

Bachelors or Master’s degree in a healthcare related field, in lieu of degree, 5+ years of relevant experience considered

Registered Nurse with one to three years of previous Quality/Risk/Patient Safety work experience preferred


Minimum of 3 years of experience in the health care environment required

Strong experience with reporting for the EHR Incentive Programs, Patient-Centered Medical Home, and/or PQRS

Experience with ICD-9/10, CMS (MIPS, MU, PQRS), and Accreditation (ex: AAAHC, etc.)

Thorough knowledge and understanding of quality improvement tools and experience with process improvement

Demonstrated ability to achieve positive outcomes on quality improvement projects

Experience in teaching health care providers, clinical and non-clinical staff

Strong analytical skills with intermediate to advanced knowledge of Excel

Proficiency in the use of computer applications, including Microsoft Word, Excel, PowerPoint, and EHR systems

CPHQ, PMP or Six Sigma certification is beneficial

Ability to work well independently and within a team structure, both virtually and in-person

Excellent communication and presentation skills, including public speaking

Excellent project management and organization skills

Availability for in-state and overnight travel (minimal)

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