Quality Specialist Jobs

AdvantageCare Physicians (ACPNY) is one of the largest primary and specialty care practices in New York City. With more than 35 medical offices and over half a million patients across all five boroughs* and Long Island, ACPNY aspires to be a home for health for the communities we serve. This vision is accomplished through a “whole you” care approach that recognizes the physical, mental, and lifestyle factors that impact a patient’s health. When our teams of providers, nurses, and specialists work together, we can get patients in sooner, answer their questions in real time, and give them the support they need to achieve their health goals. ACPNY is also driven by a commitment to diversity, an unyielding desire to deliver high-quality care, and community-focused collaboration. By integrating these behaviors into our day-to-day operations, ACPNY strives to always create healthier futures for our patients.

• BronxDocs medical offices are affiliates of AdvantageCare Physicians.

• Performs other job-related duties as required.
• Conducts work essential to supporting outreach efforts, including but not limited to:
  • Collecting and verifying compliance data
  • Entering data
  • Summarizing findings
  • Recording the results of outreach
  • Reporting results to management
• Outreaches patients to schedule appointments. This includes determining what barriers or obstacles exist that prohibit patient from making or keeping appointment and determine what resources may be needed or action that should be taken.
• Collecting and verifying compliance data
• Reads, understands and applies HEDIS/HCC specification and/or policy as it relates to compliance and outreach.
• Educates providers and other staff on quality related activities (e.g. HEDIS, HCC)
• Summarizing findings
• Recording the results of outreach
• Reporting results to management
• Reviews patient’s charts as needed to determine compliance based on specification or process outlined. Determine next steps based on chart review findings.
• Entering data
• Determines possible root cause to issue effecting patient compliance and presents issue and possible solution(s) to management

• Requisition ID: 220S1
• Hiring Range: $24.00-$31.00 per hour