BoldAge PACE is hiring: Quality and Compliance Data Specialist - Remote in Ocean

Join BoldAge PACE and Make a Difference!

BE PART OF OUR MISSION!

Are you passionate about helping older adults live meaningful, independent lives at home with grace and dignity? BoldAge PACE is an all-inclusive program of care, personalized to meet the individual health and well-being needs of our participants. Our approach is simple: We listen to our participants and their caregivers to truly understand their needs and desires.

Why work with us?

A People First Environment: We make what is important to those we serve important to us.

Make an Impact: Enhance the quality of life for seniors.

Professional Growth: Access to training and career development.

Competitive Compensation: BoldAge offers a robust benefits package, including medical, dental, paid time off, 401K, life insurance, tuition reimbursement, flexible spending account, and an employee assistance program.

Quality and Compliance Data Specialist - Remote

JOB SUMMARY

Under the supervision of the Director of Compliance, the Senior Data Analyst will support all activities of the Quality Department by closely monitoring processes and documenting findings to ensure data is logged properly. This role involves auditing and delivering Utilization Review Data (PCO) in accordance with BoldAge PACE policies and procedures, accrediting organizations, and state and federal regulations. The Senior Data Analyst will manage reporting needs with state, CMS, and other regulatory agencies through multiple applications (Acumen, HPMS, CSSC). Additional responsibilities include assisting with regulatory audits at BoldAge sites, interacting with physicians, nurses, and caregivers, and preparing QI meeting presentations and tracking RCAs.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Utilization Review Data: Create, audit, and deliver Utilization Review Data.
• Institutionalization Gidget: Assist with audits and correct entries for deficiencies and accuracy.
• Home Committee Presentations: Collaborate with the Medical Director to establish presentations.
• Conduct Audits: Perform audits for Advance Directives, Opioid, falls data, and immunization information. Conduct other audits as assigned
• HPMS Reporting: Manage Health Plan Management Systems and report findings to management.
• Agency Reporting: Manage reporting to and from all agencies affecting Quality/Compliance (CSSC, Acumen, HPMS).
• Quality Assurance: Ensure consistent quality by developing and enforcing practice systems, validating processes, providing documentation, and assisting staff.
• Quality Improvement: Train and counsel employees, develop quality improvement plans, conduct hazard analyses, and monitor processes.
• Process Validation: Establish specifications and quality attributes, measure production, document evidence, determine operations and performance qualification, and update quality assurance procedures.
• Perform other duties as assigned

EXPERIENCE AND EDUCATION

• Required: Associate degree in a health-related discipline or nursing education.
• Preferred: Bachelor’s degree in a health-related discipline.
• Experience: Minimum of 1 year working with a frail or elderly population.

BoldAge PACE provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.