Quality Management Coordinator II

Advanced Medical Management • Long Beach, CA

11h

About The Position

The Quality Management Coordinator II manages the health plan gap reports and works closely with the Quality Management Specialists to ensure providers receive monthly gap reports with the PCP scorecard, and actively communicates with providers to close gaps and achieve quality patient care.

Requirements

• Minimum of 1 year experience in managed care or health care
• Experience in managing projects from start to finish
• Ability to work on multiple projects simultaneously
• Self-starter with excellent problem solving, decision making and follow through skills
• Valid driver’s license
• Knowledge of quality performance measures and requirements
• Demonstrates technical and operational knowledge and expertise
• Cultivates positive professional and interpersonal relationships with health plans
• Effective organizational skills

Responsibilities

• Perform medication adherence calls.
• Responsible for running the reports and provide to the assigned providers.
• Responsible for entering supplemental data in Patient Center
• Assist in the annual wellness form workflow in Ezcap.
• Participate in work groups and health plan meetings.
• Assist in coordinating new enhancements, including system enhancements and report generation, to improve STARs quality outcomes.
• Participate and/or coordinate projects with the interdepartmental team, building and maintain a good working relationship with internal and external stakeholders and key contacts.
• Assist in coordinating new enhancements, including system enhancements and report generation to improve STARs quality outcomes.
• Demonstrate and maintain current working knowledge of the required AMM systems.
• Performs other duties as assigned.

Benefits

• Health Coverage You Can Count On: Full employer-paid HMO and the option for a flexible PPO plan.
• Wellness Made Affordable: Discounted vision and dental premiums to help keep you healthy from head to toe.
• Smart Spending: FSAs to manage healthcare and dependent care costs, plus a 401(k) to secure your future.
• Work-Life Balance: Generous PTO, 40 hours of sick pay, and 13 paid holidays to enjoy life outside of work.
• Career Development: Tuition reimbursement to support your education and growth.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 11-50 employees