Quality and Population Health Coordinator I (ALD)

L.A. Care Health Plan•Los Angeles, CA

6d•Hybrid

About The Position

The Quality and Population Health Coordinator I (QPHC) is responsible for outreaching to members to close care gaps. The QPHC also outreaches to providers for medical record pursuit and retrieval. This position supports the L.A. Care medical groups by assisting with scheduling member appointments. While this role is a combination of remote and in office work, this role is intended to support L.A. Care medical groups by being embedded in the provider offices and providing direct outreach to L.A. Care members. The QPHC is an important member of L.A. Care’s quality improvement team, helping to drive improvement in health outcomes, population health, and health equity, as well as member and provider experience.

Requirements

High School Diploma/or High School Equivalency Certificate
At least 3 months of experience following basic workflows, procedures, and standards related to patient or provider communication and outreach.
Previous experience working in an office setting with basic office equipment such as telephones, fax machines, computers, etc.
Demonstrates deep compassion and sensitivity towards patient needs and community well-being.
Driven by strong motivation to positively impact people’s lives.
Excellent verbal and written communication skills.
Excellent interpersonal skills.
Proficient with Microsoft Word, Excel, PowerPoint, and Outlook.
Skills in utilizing various online platforms and search engines to efficiently gather accurate and relevant information.
Highly organized with ability to maintain accurate notes and records.
Demonstrates high efficiency in managing tasks and consistently delivering projects to successful and reliable completion.
Ability to communicate effectively with patients and health care providers.
Active & Current Driver's License, with a clean record and Auto Insurance.
Travel to offsite locations for work.

Nice To Haves

Associate's Degree
Health Plan, provider practice, or health education experience.
Some knowledge of HEDIS and other quality measures.
Some knowledge of quality improvement processes.
Bilingual in one of L.A. Care Health Plan’s threshold languages is highly desirable. English, Spanish, Chinese, Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese

Responsibilities

Make outbound calls to members to assist with scheduling and coordinating services (e.g. appointments, lab tests, health screenings, other diagnostic studies, transportation, etc.). (25%)
Educate members on missing gaps in care. Encourage them to close care gaps and pursue preventative health and health promotion activities such as health fairs. (25%)
Outreach to providers to request medical reports by fax, electronic medical records, or on-site visits if needed. (15%)
Review medical records, claims, and encounter data to identify key information to help close gaps in care. (15%)
Provide support as needed for care gap closure campaigns and other quality improvement programs. (10%)
Perform other duties as assigned. (10%)