Quality Improvement Coordinator

AllCare Management Services•Grants Pass, OR

3h•Onsite

About The Position

The Quality Improvement (QI) Coordinator supports the success of value-based care initiatives across all clinic sites by coordinating quality workflows, closing care gaps, and ensuring accurate documentation of payer-required measures. This role works closely with clinic teams, providers, billing, and EHR optimization staff to monitor performance, implement standardized processes, and improve outcomes tied to CCO, Medicare, Medicaid, PCPCH, and commercial payer programs. This position plays a key role in driving patient outreach, improving compliance, increasing incentive performance, and strengthening population health initiatives across the organization.

Requirements

High school diploma or general education degree (GED).
Familiarity with PCPCH, Medicaid CCO, Medicare Advantage, HEDIS, or value-based care models.
Previous involvement in audits, outreach programs, or quality initiatives.
Previous medical office experience (minimum 1 year) in a clinic, medical group, or healthcare organization.
Valid Oregon Driver’s License and vehicle insurance.
Familiarity with the Healthcare industry.
Exceptional writing, editing, and proofreading skills.
Excellent organization and time-management skills.
Excellent computer skills, including the Microsoft Office Suite (Outlook, Word, PowerPoint, and Excel).
Knowledge of and compliance with HIPAA regulations.
Knowledge of operating systems, programming languages, software programs, networks and other technologies.
Knowledge of project management and/or change management.
Excellent at identifying and implementing improvement activities and ensuring excellence.
Excellent at breaking a project into definable and measurable tasks and tracking progress to completion.
Excellent at interpreting data and using it to solve problems and gain new insights.
Knowledge of customer service and service recovery best practices.
Knowledge of training best practices and adult learning principles.
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
Ability to write routine reports and correspondence.
Ability to speak effectively before groups of customers or employees of organization.
Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry.
Job requires specialized computer skills. Must be adept at using various applications including database, spreadsheet, report writing, project management, graphics, word processing, presentation creation/editing, communicate by e-mail and use scheduling software.
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to work with problems involving several concrete variables in standardized situations.
The employee must be able to work onsite for all scheduled shifts.
The employee must be able to travel locally, as needed.

Nice To Haves

Being bilingual in another language, including American Sign Language (ASL), is an invaluable skill that enhances our ability to deliver culturally responsive care. We strongly encourage you to apply if you are bilingual.

Responsibilities

Supports payer quality programs including PCPCH, Medicaid CCO measures, Medicare Advantage, HEDIS, and commercial value-based contracts.
Tracks and monitors care gaps, performance measures, and documentation requirements across all sites.
Coordinates standardized workflows to ensure quality measures are consistently addressed and closed.
Reviews payer gap lists, registries, and dashboards to identify patients needing outreach or services.
Coordinates outreach efforts using EHR, Phreesia, and population health tools.
Supports clinic teams with scheduling, documentation, and patient education processes related to quality measures.
Monitors quality dashboards and payer reports to identify trends, gaps, and improvement opportunities.
Prepares site-level and provider-level performance summaries.
Assists with audits, payer validation requests, and documentation reviews.
Provides training and support to clinic teams on quality workflows, documentation standards, and payer expectations.
Supports onboarding and ongoing education related to quality programs.
Develops job aids, tip sheets, and reference guides.
Ensures clinical documentation meets payer and regulatory requirements.
Assists with internal audits to verify documentation accuracy and completeness.
Coordinates corrective action workflows when gaps or compliance risks are identified.
Works closely with Clinical Supervisors, Clinic Managers, Providers, Billing, and IT/EHR teams.
Participates in performance improvement initiatives and population health planning.
Contributes to standardization of workflows across all clinic sites.
Ensure proper use of CPT-II codes, incentives, and documentation elements required for performance programs.
Support accurate documentation for HCC, preventive care, immunizations, labs, and other data-driven initiatives.
Maintains punctual, regular and predictable attendance.
Works collaboratively in a team environment with a spirit of cooperation.
Respectfully takes direction from leadership.
Meets all required training including those listed in Relias Learning Module System (LMS).
Performs other duties as assigned.