PDIP / Quality lead Coordinator at Woburn

Job Description

JOB TITLE:  Psychotropic Drug Intervention Program (PDIP) / Quality Lead Coordinator

 

DEPARTMENT:    Corporate

SUPERVISOR/REPORT TO:  Assistant Director – PDIP and BHS Director of Quality

 

JOB DESCRIPTION:

The PDIP / Quality Coordinator is responsible for the administration of the activities associated with the quality pharmacy initiatives provided out of the PDIP to meet NCQA Quality Improvement requirements. These include those QI activities that are designed to directly impact specific HEDIS® scores as well as other pharmacy based quality initiatives. This position has dual reporting responsibilities to both the Assistant Director of PDIP and the BHS Director of Quality (or designee).

 

PRIMARY RESPONSIBILITIES

 

Knowledge of HEDIS©  BH measures  for Antidepressant Medication Management (AMM) and Attention Deficient Disorder (ADD)

Under the direction of the Director of Quality and program specific QI teams ensure these programs are consistent with these measures

Ensure the quality of the  HEDIS©  and AMM and ADD outreach programs   by continuous monitoring, identifying problems and within the context of the QI teams  make changes for quality improvement

Responsible for implementing and monitoring the non-clinical aspects of the AMM and ADD  Member Outreach Program across all contracts

Provide new staff training for  HEDIS© Member Outreach Programs and verify competency through testing

Participate in all QIA processes related to HEDIS©  quality programming including committee participation and work plan development

Participate in health plan specific meetings to discuss the Beacon quality pharmacy programs and coordinate quality related reporting and ad-hoc requests by health plans.

Ensure quality testing is adequately conducted and successfully completed by PDIP’s clinical team for:

New plan implementations of existing or modified algorithms for the HEDIS© quality programs

New HEDIS© quality program product or new reporting programs

Resolution of any identified problems of HEDIS© quality programs fixed by the BI team or PDIP’s analytics team

Participate in the design and development of innovative quality pharmacy programs such as the Medication Safety and Quality (MSQ) programs for seniors, children/adolescents and others as determined by the PDIP Director

As volume increases and as determined by the Director of PDIP, lead a team of coordinators in ensuring program integrity across contracts

Collaborate with both the Quality and PDIP departments analysts in the evaluation of the programs

Other duties as assigned

 

 

EDUCATION/EXPERIENCE:

• Bachelor’s Degree social work, psychology, or health care / customer service) or related field
• 2 years’ experience in customer service  
• Experience in engaging individuals on the phone for program participation

 

 

KNOWLEDGE AND SKILLS:

• Good organizational and communication skills
• Proficiency in Word, Excel, and PowerPoint
• Ability to function independently and as a team member

 

SUPERVISION EXERCISED:

None

 

SUPERVISION RECEIVED:

Weekly or as needed by Assistant Director of PDIP and Director of Quality Management  

 

WORKING CONDITION:   General office environment, some travel required. 

 

JOB CLASSIFICATIONS:

Exempt

Job Requirements

WHY BEACON?

Beacon’s objective is to be the single best source of clinical excellence and cost containment for the most complex individuals in any covered population.  In close partnership with health plans, we help bring together the fragmented pieces of healthcare to achieve better results for our members. 

Much like the uniquely effective programs we have developed for our members, Beacon also strives to offer a uniquely effective employee experience for all. We offer a competitive benefits package that includes: medical, dental, vision, 401K with company match.  We also offer STD, LTD and Life Insurance coverage that is entirely paid for by Beacon.  Employees are also welcome to participate in our Flexible Spending Accounts (Medical and Dependent/Parking and Transit) as well as our Tuition Reimbursement Program.  We truly value our employees and encourage continual development in a diverse and collaborative work environment.  We also have a rewarding companywide employee recognition program that is fueled by employee performance and contributions.

Enhance your knowledge and dedication to quality healthcare by fully utilizing your expertise at one of our specialized behavioral health solutions: Beacon in Boston, MA; Autism Services Group in Ewing, NJ; College Health IPA in Cypress, CA; Psychcare, LLC in Miami, FL; and Beacon UK in the United Kingdom, and additional opportunities across the nation.  Apply today and find your potential with Beacon.

Beacon Health Strategies is an EOE.

 

Country: USA, State: Massachusetts, City: Woburn, Company: Beacon Health Strategies.