Coordinator, Market Quality

ArchWell Health•Las Vegas, NV

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. As part of the market operations team, this role works across multiple payors within a single market in an outpatient, senior-focused primary care setting. ArchWell Health provides value-based primary care for adults over 60 through neighborhood centers focused on provider-patient relationships, routine wellness, and helping members stay healthy and engaged. The organization describes its care as centered on seniors and on providing comfortable, accessible settings where older adults can feel at home and participate in a wellness-focused community.

Requirements

  • Working knowledge of quality measures and quality gap closure strategies.
  • Experience working in a primary care setting.
  • Proficiency with Microsoft Office Suite products, 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.
  • Maintain HIPAA standards and confidentiality of protected health information, and report critical incidents immediately.
  • High school diploma or 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.
  • Ability to embody and role-model ArchWell Health’s values: Be compassionate, strive for excellence, earn trust, stay resilient, and always do the right thing.

Nice To Haves

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

Responsibilities

  • Carry out 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 assisting 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 develop 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.
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