Shared Market Clinical - Coordinator, Market Quality

ArchWell Health • Omaha, NE

3d

About The Position

The Market Quality Coordinator monitors and pursues CMS STARS and HEDIS measures, conducts patient outreach, and partners with center leadership and teams to achieve quality goals. The role is part of the market operations team and works across multiple payors in a single market within an outpatient, senior-focused primary care setting.

The coordinator supports enterprise and local strategies to close quality gaps, reviews medical records and documentation, requests and uploads records to the electronic medical record system, and conducts outreach to help members schedule and complete screenings. The role also schedules and performs ancillary visits for in-center screenings and works regularly with Market Leaders to review progress, resolve roadblocks, and plan initiatives.

The position requires compliance with OSHA safety standards, accurate and ethical documentation, and protection of confidential health information. ArchWell Health provides value-based primary care for older adults in neighborhood centers and emphasizes compassionate, high-quality care and strong provider-patient relationships.

Requirements

• High school diploma or GED required.
• At least 1 year of work experience as a Medical Assistant.
• Graduation from a nationally accredited Medical Assistant program or comparable healthcare vocational training, such as foreign-trained physician or paramedic training.
• BLS for Healthcare Providers required.
• Working knowledge of quality measures and quality gap-closure strategies.
• Experience working in a primary care setting.
• Proficiency with Microsoft Word, Excel, PowerPoint, 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.
• EClinicalWorks or similar EMR experience.
• Ability to maintain HIPAA standards and confidentiality of protected health information.
• Ability to embody and model ArchWell Health’s values: Be compassionate, Strive for excellence, Earn trust, Show respect, Stay resilient, and Always do the right thing.

Nice To Haves

• Experience working with geriatric patients.
• Experience with the CMS STARS program (HEDIS).

Responsibilities

• Conduct enterprise and local strategies and initiatives for closing STARS gaps.
• Review medical records to document and close Focus On Care measures.
• Request medical records and upload documentation to the electronic medical records system.
• Conduct patient outreach calls to support quality gap closure, including helping and encouraging members to schedule and complete screenings.
• Schedule and perform ancillary visits to complete in-center screenings.
• Meet regularly with Market Leaders to discuss roadblocks and progress and strategize center- and market-focused initiatives.
• Ensure compliance with OSHA safety standards and maintain accurate, legal, and ethical documentation.
• Maintain HIPAA standards and confidentiality of protected health information, and report critical incidents immediately.
• Perform additional responsibilities and duties as needed.
• Model ArchWell Health’s values.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED