Summer Intern - MLTC + MAP Quality Specialist

Job Ref: TE0092
Category: Managed Long Term Care
Department: MANAGED LONG TERM CARE
Location: 50 Water Street, 7th Floor, New York, NY 10004
Job Type: Temporary
Employment Type: Full-Time
Work Arrangement: Hybrid
Salary Range: $21.00 - $26.00

Empower. Unite. Care.

MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.

About NYC Health + Hospitals

MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlusHealth has been committed to building strong relationships with its members and providers.

Position Overview

Under the direct supervision of the MLTC Clinical Quality Manager, the Quality Specialist Intern is responsible for reviewing the Uniform Assessment System-NY (UAS-NY) assessments to support the data analysis, monitoring, evaluation and reporting activities within the Managed Long-Term Care (MLTC) department. This position will conduct ongoing analyses that will support MLTC operations in five key areas: regulatory compliance, care management, quality/performance measurement, special projects/grants, and administrative functions. The role will support the strategic goals of the MLTC department to ensure that all MetroPlus MLTC and MAP members receive appropriate services. The role requires working knowledge of Tableau, MS Access, and MS Excel; SQL preferred.

Duties & Responsibilities

• Review Lenavi reports and trends in the UAS assessment within Lenavi, quality analysis software to improvement risk scores.
• Analysis of varying analysis reports derived from the UAS assessment to reduce inconsistencies and to meets quality standards and accuracy following MetroPlusHealth policies and NYS regulations.
• Provide feedback to the management team regarding trends noted in assessment contents, completion rates, and timeliness of assessment nurses.
• Provide feedback to the management team regarding trends noted in assessment contents, completion rates, and timeliness of assessment nurses.
• Performs extraction, import, and export of data from diverse data sources including various database applications.
• Measures and tracks key performance indicators and targets to effectively monitor department activities including productivity and quality outcomes.
• Prepare various reports and correspondences as well as provide summary reports to highlight key findings for implementation of performance improvement plans.
• Provide feedback to the management team regarding trends noted in assessment contents, completion rates, and timeliness of assessment nurses.
• Prepare technical guides on opportunities to improve access to care by providing visibility to the clinical teams.
• Assist with special projects assigned to meet departmental goals and policies.
• Oversee varying reports for quality initiatives.
• Report weekly to management on reporting trends.
• Other duties as assigned

Work Shifts

9:00 AM- 5:00 PM

Minimum Qualifications

• Bachelor’s degree in nursing, public health, health administration, business administration, or information technology preferred. Bachelor’s degree required.
• Prefer experience and knowledge of Managed Care plan operations or Health Services administration.
• A minimum of two years’ analytics, programming, application, or reporting development experience is required.
• Experience analyzing various types of data and processes in a versatile manner including ability to present findings and make recommendations.

Professional Competencies:

• Integrity and Trust
• Customer Focus
• Functional/Technical skills
• Written/Oral Communication

#LI-Hybrid #MPH50