Market Quality Coordinator (Medical Assistant)

ArchWell Health•Port Charlotte, FL

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 within a single market in an outpatient, senior-focused primary care setting. The coordinator supports quality-gap closure through medical record review, documentation, outreach calls, and scheduling and performing ancillary visits for in-center screenings. The role also works regularly with market leaders to discuss progress and obstacles and develop center- and market-focused initiatives. The coordinator must follow OSHA safety standards and maintain accurate, legal, ethical, and confidential documentation.

Requirements

  • High school diploma or equivalent (GED).
  • 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 certification.
  • 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.
  • Ability to maintain HIPAA standards and confidentiality of protected health information and report critical incidents immediately.
  • Ability to embody and model ArchWell Health’s values: compassion, striving for excellence, earning trust, resilience, and doing the right thing.

Nice To Haves

  • Experience working with geriatric patients.
  • Experience with the CMS STARS program (HEDIS).
  • Experience with EClinicalWorks or a similar EMR.

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.
  • 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.
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