Coordinator-Clinical Quality Administration (Remote)

American Specialty Health Incorporated

5d•$18 - $20•Remote

About The Position

American Specialty Health Incorporated (ASH) is seeking a Coordinator to join our Clinical Quality Administration department. The primary purpose of this position is to coordinate and support the processes within the Clinical Quality Administration Department, including: provide support to department leadership by ensuring accurate documentation preparation and follow-up; assist with completion of clinical quality initiatives; support with administrative tasks related to actions assigned by various committees and teams. Coordinate other assigned functions within Clinical Quality Administration.

Requirements

College education with degree in Healthcare field, health information management, or equivalent experience preferred. If equivalent experience, High School Diploma required.
2 years experience in health care administrative work preferred.
Committee support including minute taking experience highly preferred.
Quality Management program coordination and support of documentation for provider-based Committees and experience in data management preferred.
Knowledge of health care and/or legal terminology preferred. (Medium proficiency)
Use of computer required. (High proficiency)
Proficiency with Microsoft Word and Excel required. (High proficiency)
Knowledge of ASH preferred. (Low proficiency)
Great attention to detail is required in all functions of this position. (High proficiency)
Working knowledge of HIPAA, NCQA, and URAC standards preferred. (Low proficiency)
Demonstrated English writing proficiency required. (High proficiency)
Demonstrated ability to interact in a positive, respectful manner and establish and maintain cooperative working relationships.
Ability to display excellent customer service to meet the needs and expectations of both internal and external customers.
Excellent listening and interpersonal communication skills to identify critical core competencies based on success factors and organizational environment.
Ability to effectively organize, prioritize, multi-task and manage time.
Demonstrated accuracy and productivity in a changing environment with constant interruptions.
Demonstrated ability to analyze information, problems, issues, situations, and procedures to develop effective solutions.
Ability to exercise strict confidentiality in all matters.

Responsibilities

Assists in management and is accountable for all activities within assigned scope of authority. Ensures accuracy and productivity in project completion and works cooperatively with all internal and external contacts. Achieves and exceeds company standards.
Ensures confidentiality of documentation and clinical meeting materials according to ASH policy.
Assists with development of quarterly Clinical Performance Management (CPM) and California Health Plan Assessment (CAHPA) reports.
Provides administrative support with management of annual review of ASH Group and ASH Plans clinical policies through the Clinical Quality Team.
Aids in continuous annual review process for all Clinical Services Process and Procedure documents.
Supports Clinical Quality Administration budgeting and preparation of the Practice Review Committee (PRC), Quality Improvement Committee (QIC), Administrative Review Committee (ARC) and Provider Hearing stipends following each meeting.
Supports the Clinical Quality Administration processes that ensure the integrity and accuracy of documents created and distributed by the department.
Provides committee support for the Medicare Advantage Utilization Management Committee (MA-UMC): Performs administrative support related to meeting coordination among internal staff and external consultants. meeting preparation, and recording committee minutes. Develops, tracks, and distributes documents in support of committee processes and according to policy.
Provides committee support for the Practice Review Committee (PRC): Performs administrative tasks related to preparation of files for presentation to clinical committees (copying, redacting, etc.) Develops, tracks, and distributes documents in support of committee processes and according to policy.
Supports development and timely completion of activities requested by clinical committees (e.g., letters, reports, research, follow-up, etc.).
Ensures timely completion of action items as assigned.
Assist with Clinical Services Investigation Team (CSIT) Administrative Activities: Prepare, send, and log CSIT educational letters. Assist in preparation of CSIT reports. Perform administrative tasks related to preparation of files for presentation to clinical committees (copying, redacting, etc.). Perform other administrative tasks that may arise related to CSIT functions.
Cross-trained in committee support functions for Clinical Quality Team (CQT), Practice Review Committee (PRC) and Quality Improvement Committee (QIC).
Support CQA management with quality improvement initiatives, policy documentation, reporting requirements, and project management.
Prepare standardized, department and individual reports as needed.
Assist department leadership by researching, developing and creating processes necessary to support projects.
Develop and report information from tracking systems.
Write, track and mail or distribute documents as directed by department leadership in support of Clinical Quality Administration activities.
Assist with special projects as required.
Support accreditation and delegation efforts on behalf of Clinical Quality Administration.
Contribute to team effort by responding positively to changing circumstances and/or environment.
Supports mail receipt and mail distribution to CQA, CQE and MNA.
Supports quality management functions of other administrative departments to ensure efficient and effective teamwork is maintained within the organization.
Performs other duties as assigned.
Complies with all policies and standards.