Clinical Quality Coordinator

Greater Good Health•El Segundo, CA

18h•Hybrid

About The Position

The Clinical Quality Coordinator plays a vital role in coordinating and executing clinical performance initiatives that advance Greater Good Health’s mission to deliver the healthcare seniors deserve. Working under the direction of the Director of Clinical Performance, this position collaborates with clinical and operational care teams to drive quality of care, surface & close care gaps, and support the effective care management of our senior population. Key success factors include strong organizational and communication skills, tactical problem-solving, the ability to manage multiple workstreams simultaneously, and a commitment to delivering high-quality work in a fast-moving, mission-driven environment.

Requirements

Bachelor’s degree, Healthcare Administration, Public Health, or a related field
3+ years of experience in program coordination, care management, health information, or a related healthcare role
Excellent written and verbal communication skills; comfortable presenting to and meeting with clinical teams
Familiarity with navigating EHR systems and retrieving & reconciling outside records from health information platforms (HIEs, payer data feeds, lab/Imaging portals, etc.); experience with ambulatory or primary care environments preferred
Comfort with AI-assisted tools, population health platforms, and technology-forward workflows
Proficiency in Microsoft Office tools

Nice To Haves

Experience in value-based care, managed care, or a primary care setting
Background in HEDIS, risk adjustment, or population health programs
Knowledge of HEDIS measures, HCC/risk adjustment concepts, or payor operations preferred
Professional demeanor with the ability to work effectively across functions and at all levels of the organization

Responsibilities

Ensure new patient charts are prepared, accurate, and complete prior to each patient’s first visit by reviewing and integrating data from available medical records and external sources
Review and reconcile clinical information including allergies, diagnoses, medications, vaccines, and relevant history using established protocols and standards
Ensure relevant diagnoses are presented in appropriate chart sections to support risk adjustment review by clinical team
Document relevant family, surgical, and procedure history to support comprehensive, whole-person care
Support HEDIS measure performance by reviewing and documenting applicable screening and preventive care history for assigned patient populations
Identify, surface, and address quality measures through population health tools and/or supplemental file submissions
Support claims review and gap closure coordination across payor and provider channels
Review patient quality, risk adjustment, and admissions data to identify patients requiring outreach or follow-up
Update population health tracking tools to maintain an accurate, real-time view of care gaps and outreach status
Monitor health information exchange notifications and community alerts for ED visits and inpatient admissions; initiate transitions-of-care workflows as appropriate
Retrieve and reconcile clinical documentation from hospitals and outside facilities to ensure accuracy and continuity of care in patient charts
Ensure all program activities adhere to applicable regulations, organizational standards, and payor requirements
Maintain accurate documentation in the EHR and population health platforms to support audit readiness and quality reporting

Benefits

Lunch and parking provided every day in office
Competitive Compensation Package
Comprehensive Medical, Dental, and Vision Benefits
Flexible Spending Accounts (FSAs) and Health Savings Accounts (HSAs) available
Paid holidays, vacation time, and paid parental leave
401K Program with Company Match
Monthly Phone/Internet Reimbursement
100% premiums covered by GGH for Basic Life and Accidental Death & Dismemberment (AD&D) insurance for full-time team members
Voluntary supplemental life insurance offered at a discounted rate
Voluntary short-term disability (STD) coverage
Collaborative and supportive GGH Nurse Practitioner Community, with dedicated care coordinators and MD advisors