Job Summary:

Practice Quality Specialist (PQS)

St. Mary's Regional Medical Center | Lewiston, Maine
Full-Time

Position Summary

St. Mary's Regional Medical Center is seeking a detail-oriented and motivated Practice Quality Specialist (PQS) to join our team!

Under the supervision of the Quality Manager, the Practice Quality Specialist supports the organization's Accountable Care Organization (ACO) and Integrated Medical Group quality initiatives. This position works closely with providers, clinical staff, and practice leadership to monitor quality measures, identify gaps in patient care, and support initiatives that improve health outcomes across our patient population.

The ideal candidate has a strong healthcare background, excellent analytical and organizational skills, and a passion for improving the quality of patient care through data, collaboration, and process improvement.

Key Responsibilities

• Support quality improvement initiatives and help ensure patients receive recommended screenings, testing, and medication management for chronic conditions.
• Manage patient registries and identify gaps in care to support improved population health and clinical outcomes.
• Coordinate pre-visit planning and follow-up processes to ensure patients receive appropriate testing, referrals, and preventive care.
• Review monthly quality reports and analyze performance related to quality measures and patient care goals.
• Identify opportunities to improve clinical workflows and recommend process improvements.
• Provide training, education, and ongoing support to providers and clinical staff regarding quality measures and related systems.
• Monitor quality performance and evaluate compliance with established improvement initiatives.
• Collaborate with practice managers, care managers, providers, and other team members to identify best practices and improve patient care.
• Serve as a communication link between clinical staff, providers, and organizational leadership.
• Participate in payer audits and assist with quality measure documentation and compliance.
• Utilize electronic health records, patient registries, and population health management systems to track and analyze clinical information.

Qualifications

• High school diploma or GED required.
• Associate degree in Medical Assisting or Medical Assistant certification preferred, or 3–5 years of related healthcare experience.
• Minimum of 3–5 years of related work experience required.
• Knowledge of medical terminology.
• Strong computer skills, including Microsoft Outlook, Word, Excel, and PowerPoint.
• Excellent organizational skills and attention to detail.
• Strong analytical, communication, and problem-solving abilities.
• Ability to work independently while collaborating effectively with providers and clinical teams.
• Ability to travel to offsite meetings as needed.

Preferred Qualifications:

• Experience with the Epic electronic medical record.
• Knowledge of process improvement methodologies such as LEAN or Six Sigma.
• Experience with CMS/HEDIS quality measures and Patient-Centered Medical Home (PCMH) ambulatory quality measures.
• Experience with patient registries, population health management, or healthcare quality initiatives.

Why Join St. Mary's?

At St. Mary's Regional Medical Center, you will have the opportunity to make a meaningful impact on patient care beyond the individual visit. Our team is committed to improving health outcomes, supporting our providers and clinical teams, and delivering high-quality care throughout our community.

If you enjoy working with data, identifying opportunities for improvement, and collaborating with healthcare professionals to make a difference, we encourage you to apply!

Covenant Health Mission Statement

We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities.

Our Core Values:

•Compassion

We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering.

•Integrity

We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources.

•Collaboration

We work in partnership, dialogue and shared purpose to create healthy communities.

•Excellence

We deliver all services with the highest level of quality, while seeking creative innovation.

Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history).

Comp Range:

$22.63 - $31.16

Rate of pay displayed reflects the beginning of the pay scale.  At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position.