Quality Improvement Coordinator

Astiva Health • San Jose, CA

1d • $23 - $26

About The Position

Coordinate and partner with IPA/MSO delegates for HEDIS and risk adjustment data reporting. Identify gaps and opportunities for improvement. Collaborate with internal departments to review and implement projects and interventions to improve delivery of services and quality of care. Assist with audits and reviews to ensure data accuracy and validity. Review and summarize collected data with trend analysis for additional provider educational opportunities. Attend health plan meetings as requested by department leadership. Stay updated on HEDIS and risk adjustment specifications, guidelines, and industry trends. Regular and consistent attendance. Other duties as assigned.

Requirements

• Bachelor’s Degree preferred.
• 3+ years of quality improvement or healthcare related experience.
• Familiarity of HEDIS measures, specifications, and reporting requirements.
• Proficient in data analysis, Excel, and quality improvement methodologies.
• Excellent communication, presentation, and interpersonal skills.
• Ability to work independently and collaboratively in a fast-paced environment.
• Detail-oriented, organized, and problem-solving skills.

Responsibilities

• Coordinate and partner with IPA/MSO delegates for HEDIS and risk adjustment data reporting.
• Identify gaps and opportunities for improvement.
• Collaborate with internal departments to review and implement projects and interventions to improve delivery of services and quality of care.
• Assist with audits and reviews to ensure data accuracy and validity.
• Review and summarize collected data with trend analysis for additional provider educational opportunities.
• Attend health plan meetings as requested by department leadership.
• Stay updated on HEDIS and risk adjustment specifications, guidelines, and industry trends.
• Regular and consistent attendance.
• Other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level