Pathways Center provides mental health, developmental disabilities, and addictive disease services in the west central Georgia region. Pathways Center's administrative team provides operational support and assistance company-wide, enabling direct support team members to focus on care and service delivery to each client/patient. The individual in this role is a part of the company's administrative team focused on tracking and reporting performance indicators and program outcomes in service delivery and ensuring data integrity for the Pathways Center organization.

Under general supervision, the person in this role performs statistical, financial, and/or operational data analysis and reporting in support of management decision making. Responsibilities of the Quality Assurance Specialist include but are not limited to the following:

□ Maintains and enhances the electronic health record system and monitors system integration with third party vendors

□ Performs general maintenance and clean-up of the electronic health record system

□ Extracts data from the electronic health record and other systems to monitor and track program outcomes and performance indicators

□ Responds to internal and external requests for data

□ Monitors internal programmatic tracking logs and reviews the information contained for accuracy and completion

□ Assist with recurring State reporting and monthly programmatic reports

□ Assists with the entry of authorizations into the electronic health record system

□ Trends and trouble-shoots issues arising with authorizations that have been denied, pended, or placed under utilization review by third party payers

□ Partners with Quality Assurance Analysts to communicate program outcomes to clinical teams

□ Tracks the effectiveness of internal quality improvement cycles

□ Prepares user-friendly charts, graphs, tables, and other formats to communicate results, identify trends, and facilitate review and discussion of information presented

□ Partners with other departments, divisions, and service areas to address business or service issues

□ Exercises various latitudes of independent judgment in researching and reporting areas of inefficiency and providing suggestions for closing performance gaps, including recommendations for system efficiency and integrity

□ May present analysis of data to various stakeholders, upon request

□ Provides training and technical assistance to internal stakeholders

□ Assists with audits and compliance reviews

□ Provides electronic health record access to personnel, auditors, business partners, etc., as required

□ Monitors various helpdesks, including providing afterhours and weekend coverage on a rotating basis