Shared Market Clinical - Coordinator, Market Quality

ArchWell Health•Omaha, NE

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, working across multiple payors within a single market in an outpatient, senior-focused primary care setting. The coordinator supports quality-gap closure through record review, documentation, patient outreach, and scheduling and performing in-center screenings. The role also works with Market Leaders to address barriers and plan center- and market-focused initiatives, while maintaining safety, privacy, and documentation standards.

Requirements

Working knowledge of quality measures and quality-gap closure strategies.
Experience working in a primary care setting.
Proficiency with Microsoft Office Suite, including 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.
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 required.
BLS for Healthcare Providers required.
Experience with EClinicalWorks or a similar EMR.
Maintain HIPAA standards and confidentiality of protected health information; report critical incidents immediately.

Nice To Haves

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

Responsibilities

Conduct enterprise and local strategies and initiatives to close 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.
Make 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.
Perform additional responsibilities and duties as needed.
Maintain HIPAA standards and confidentiality of protected health information and report critical incidents immediately.
Embody and serve as a role model of ArchWell Health’s values: be compassionate, strive for excellence, earn trust, stay resilient, and always do the right thing.