Compliance Informatics Manager

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.Star Wellness is committed to providing services that are patient-focused, high-quality, accessible, and cost-effective. Services are provided with respect to the social, religious, cultural, and economic needs of the communities we serve. All patients are serviced regardless of ability to pay. Through education, innovation and community partnerships, we will anticipate and exceed the expectations of our patients and communities. We believe there is a relationship between performance, results, and judgment about quality and value.

Please note the selected candidate and new hire will be an employee of Star Wellness and not St. Lukes University Health Network. Star Wellness, affiliated with St. Lukes University Health Network, is an organization comprised of community based clinics and sites providing healthcare services to our local populations. New hire(s) will be recruited and hired via St. Lukes University Health Network, but will transition to become a Star Wellness employee following the commencement of new hire onboarding.

The Compliance/Informatics Manager works under the direction of the Director of Quality/Compliance and with other members of the Star Wellness leadership team. He/She will be responsible for the following:

Quality Improvement /Informatics:
- Evaluates the organizational performance at the individual and facility level via UDS monitoring, patient satisfaction surveys, event reports, and compliance hotline activity. Identifies barriers to progress and provides feedback and recommendations to the team.
- Identifies clinical practice workflow and process issues and concerns, providing leadership and guidance to define system and process requirements that will optimize system performance and technology utilization by clinical practitioners.
- Actively participates in the design and implementation of data collection and analysis methods relating to Star Wellness quality metrics in collaboration with the analytics department.
- Interpret and analyze data independently and develops reports to be presented to key stakeholders including the Board of Trustees, Executive Leadership, QA/QI committee and others as appropriate.
- Oversee quality data integrity via the Universal Data System (UDS) & monitor quarterly trends for areas of opportunity and improvement.
- Create and revise quality reports that are delivered to key stakeholders, including the Board of Trustees, Senior Leadership and community partners.
- Assist with the development of dashboards, written reports, or other deliverables to be presented to Star Wellness Board of Trustees and Senior Leadership.
- Assist with data analysis to determine root cause of reported or identified issues and determine level of escalation required.
- Recommend innovative ideas, processes, and/or procedures for enhancements for the objective of improving quality outcomes within all Star Wellness health centers.
- Assist with the development and delivery of a variety of performance improvement & compliance related educational materials, which will be created to fit the needs of intended audiences (health center providers & staff, leadership, & community partners).

COMPLIANCE:
- Help manage all aspects of the Compliance Hotline. Help to ensure reported issues are appropriately received, evaluated, investigated, documented, and resolved. Relate information from different sources to draw logical conclusions, respond to queries or allegations and triage issues to appropriate departments when necessary.
- Coordinate investigations in response to incoming compliance related issues. Gather all relevant information; determine underlying causes, document actions taken and subsequent resolutions.
- Assist with the development of compliance education and training materials.
- Maintain effective communication with team leaders and stakeholders in matters related to compliance awareness and education
- Support and assist the Director of Quality & Compliance in identifying and assessing areas of compliance risk for Star Wellness.
- Help to develop and maintain compliance-related policies and procedures to ensure they are current and relevant to the mission of Star Wellness and reflect our Code of Conduct Assist with providing policy-related guidance to individuals at all Star Wellness health centers.
- Research patient data for the purpose of investigation of compliance, grievance or risk management matters.

.
Education:
Required
: Bachelors Degree in nursing or healthcare administration or equivalent work experiences.
Preferred:
Masters degree in healthcare/nursing administration, healthcare informatics or public health or equivalent work experiences.
Training/Experience:

Required:
- Three+ years in a healthcare related role in an ambulatory/outpatient care facility with

In-depth knowledge of both clinical and operational components.
- Proficient in performance improvement processes, DMAIC & PDCA quality improvement models.
- Excellent computer skills (Excel, Access, Epic) with the ability to quickly acquire knowledge of other quality and compliance programs (Ethicspoint, RLSolutions, Press Ganey and other analytics platforms) that will be utilized on a daily basis.

Preferred:
- FQHC clinical and operational performance experience, as well as familiarity with HRSA requirements as they pertain to Federally Qualified Health Centers.

Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!

St. Luke's University Health Network is an Equal Opportunity Employer.
Our values are enhanced by systematically designing, measuring, analyzing, and improving the organizations functions. The value of patient care depends on the outcome achieved and the resources used.