Quality Coordinator - Quality Assurance
About The Position
The Quality Coordinator (QC) at Desert Valley Medical Group works closely with the Quality Manager, Medical Director, and Administrator to implement quality platforms. These include chronic care management (CCM), transitional care management (TCM), HEDIS, P4P, MIPS, STAR measures, and annual wellness visits. The QC assesses missing patient benchmarks and organizes data in preparation for member outreach or healthcare provider encounters. Outreach may include mailing due-date letters or education flyers, calling patients and/or healthcare providers, and creating referrals. The QC also provides general education to healthcare providers about missing or due quality measures, reviews gaps-in-care reports, and educates providers on closing data gaps. The role provides backup to the Member Services Representative and includes other duties as assigned by the Quality Manager. This is a full-time, day-shift position. The role requires travel between clinic offices.
Requirements
- Two years of college education or equivalent work experience.
- Ability to travel between clinic offices.
- Excellent presentation, verbal, and written communication skills.
- Ability to collaborate with coworkers, senior leadership, and other management.
- Proficiency in word processing, spreadsheets (Excel), databases, and typing.
Nice To Haves
- 1–2 years of IPA/managed care experience preferred.
Responsibilities
- Work with the Quality Manager, Medical Director, and Administrator to implement quality platforms and initiatives, including CCM, TCM, HEDIS, P4P, MIPS, STAR measures, and annual wellness visits.
- Assess missing patient benchmarks and organize data for member outreach or healthcare provider encounters.
- Conduct outreach by mailing patient due letters or education flyers, calling patients and/or healthcare providers, and creating referrals.
- Provide education to healthcare providers about missing or due quality measures.
- Review gaps-in-care reports and educate providers on closing data gaps.
- Provide backup to the Member Services Representative.
- Perform other duties as assigned by the Quality Manager.
Benefits
- Paid time off
- 401(k) retirement plan
- Medical coverage
- Dental coverage
- Vision coverage
- Tuition reimbursement
- Additional voluntary benefit options
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What This Job Offers
Job Type
Full-time
Education Level
Associate degree
