Quality Programs Coordinator

Heritage Provider Network•Victorville, CA

9d•Onsite

About The Position

The Quality Programs Coordinator will assist the Clinical Performance and Outcomes team in achieving annual quality measure goals for Heritage Victor Valley Medical Group, including senior and commercial quality measures. This role involves contacting patients to address quality measure gaps, using customer service, care coordination, and motivational interviewing techniques to encourage compliance. The coordinator will also conduct research on patient medical records, document activities in the EMR, and provide support to physician offices regarding quality measure requirements, including ongoing provider education.

Requirements

High School diploma or equivalent required.
At least 1 year experience in a medical group or medical office setting.
Knowledge Experience with data entry.
Ability to utilize computers, computer software/applications, and Microsoft Office applications (Word, Outlook, Power Point, etc.) with basic to intermediate proficiency.
Must be neat, accurate and detail oriented.
Excellent customer service and telephone etiquette skills.
Ability to manage time effectively and prioritize tasks to meet established deadlines.
Must possess excellent writing and grammar skills
Current California driver’s license and proof of auto insurance.

Nice To Haves

Bilingual preferred.
Ability to utilize Electronic Medical Records (EMR), preferred.

Responsibilities

Conduct outreach efforts to HVVMG members to enhance quality measure performance.
Collaborate with HVVMG IPA clinical staff to identify priorities and implement targeted initiatives, including telephonic or written outreach via mail or the patient portal.
Collaborate interdepartmentally to integrate patient completion of quality measures into overall care coordination activities. This includes facilitating processes with Quest, QHMO, and appointment scheduling.
Assist IPA provider staff in delivering quality measure education and training at primary care offices.
Provide regular reports and communication regarding quality measure performance to ensure alignment with goals.
Support the resolution of quality measure compliance concerns raised by primary care offices, including direct collaboration with health plans when necessary.
Develop expertise in tools such as QHMO, Manifest MedEx, Coziva, Evoke 360, and Compass to enhance quality measure performance.
Maintain accurate records of activities in the EMR and q.CALL systems.