Shared Market Clinical - Coordinator, Market Quality

ArchWell Health • Las Vegas, NV

3d

About The Position

The Market Quality Coordinator is responsible for the monitoring and pursuit of CMS STARS HEDIS measures, conducting patient outreach calls, and partnering with center leadership and teams to achieve STARS and HEDIS goals. This role serves as part of the market operations team, working across many payors within a single market in an outpatient senior-focused primary care setting.

Requirements

• Working knowledge of quality measures and quality gap closure strategies.
• Experience working in a primary care setting.
• Proficient with Microsoft Office Suite products including Word, Excel, Power Point, Outlook, and Teams
• Demonstrated team building skills.
• Ability to work independently with a high level of attention to detail.
• Sensitivity to the needs of culturally diverse staff, patients, and communities.
• Maintains HIPAA standards and confidentiality of protected health information; reports critical incidents immediately.
• Embodies and serves as a role model of ArchWell Health’s Values: Be compassionate Strive for excellence Earn trust Stay resilient Always do the right thing
• High school diploma or equivalent education (GED) required.
• A minimum of 1 year work experience as a Medical Assistant
• Graduation from a nationally accredited Medical Assistant program OR comparable healthcare vocational training (i.e, foreign-trained physician, paramedic, etc.) required
• BLS for Healthcare Providers required
• EClinicalWorks or similar EMR experience

Nice To Haves

• Experience working with geriatric patients is a plus
• Experience with the CMS STARS program (HEDIS) preferred
• Embodies and serves as a role model of ArchWell Health’s Values: Be compassionate Strive for excellence Earn trust Show respect Stay resilient Always do the right thing

Responsibilities

• Conduct enterprise and local strategies and initiatives for closing STARS gaps
• Medical record review to document and close Focus On Care measures
• Request medical records and upload documentation to electronic medical records system
• Perform patient outreach calls to support quality gap closure, including assisting and encouraging members with scheduling and completing screenings.
• Schedule and perform ancillary visits to complete in-center screenings.
• Meet regularly with Market Leaders to discuss roadblocks, regular progress, and to strategize center and market focused initiatives.
• Ensure compliance with OSHA safety standards and conduct accurate, legal, and ethical documentation at all times.
• Additional responsibilities and duties as needed.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 501-1,000 employees