Quality Care Improvement Coordinator

Astrana Health • Alhambra, CA

359d • $25 - $28

About The Position

We are currently seeking a highly motivated QCI Coordinator. This role will report to the Supervisor - Quality Care Improvement and enable us to continue to scale in the healthcare industry. Our Values: Put Patients First, Empower Entrepreneurial Provider and Care Teams, Operate with Integrity & Excellence, Be Innovative, Work As One Team.

Requirements

• Must reside in California
• Minimum of Associate's degree, Bachelor's degree or equivalent years of experience
• Experience using Microsoft applications such as Word, Excel and Outlook
• Proficiency in electronic calendaring
• Ability to type a minimum of 60 wpm
• At least one (1) year of HEDIS related experience
• Must have Driver's License, reliable transportation and be willing to travel between office locations as needed
• Ability to prioritize and effectively multi-task
• Ability to quickly adapt to various situations
• Excellent organizational skills and strong attention to detail
• Effective and professional communication skills
• Self-driven, quick learner, patient, must be able to work with people of different personalities

Nice To Haves

• Fluent in Spanish and/or Chinese (Mandarin/Cantonese)
• 1-3 years of IPA/MSO/HP or general healthcare experience
• Excellent analytical critical reasoning and interpersonal communication skill
• Ability to work in a fast-paced environment
• Ability to keep a high level of confidence and discretion when dealing with sensitive matters relating to providers, members, business plans, strategies and other sensitive information

Responsibilities

• Effectively organize projects and tasks based on priority to help meet expectations and deadlines of projects
• Act as liaison for the department in routine administrative and project coordination activities, including phone calls, inquiries, and any other matters as designated
• Follow through on all aspects of a project's life cycle from beginning to end in a timely manner
• Conduct effective research to meet project goals and assigned tasks
• Analytical problem solving with the ability to understand the overall picture
• Establish and maintain professional rapport with clients, vendors, and internal company employees
• Maintain strict confidentiality of business discussions
• Travel to various offices as designated
• Ad-hoc projects as assigned by the manager/supervisor
• May be required to work overtime to meet tight deadlines
• Comply with department policy and procedures
• Collect and collate appropriate data from IPA network providers for HEDIS measures
• Collect medical records, conduct reviews and ensure accuracy of documentation for reporting
• Collect, summarize and trend provider performance data to include provider education
• Participate in ongoing discussions concerning data collections and analysis for HEDIS
• Assist in planning and implementation of projects to improve delivery of services and quality of care
• Understand the principles of CMS, HEDIS, NCQA, Health Plan Quality Standards and HIPAA
• Generate and maintain accurate weekly/monthly/quarterly report of activities
• Attend to health plans, provider, and interdepartmental calls

Benefits

• Equal Employment Opportunity and Affirmative Action employer
• Accommodations for applicants with disabilities

What This Job Offers

• Job Type: Full-time
• Industry: Securities, Commodity Contracts, and Other Financial Investments and Related Activities
• Education Level: Associate degree
• Number of Employees: 501-1,000 employees