[Hiring] Coordinator-Clinical Quality Administration @American Specialty Health Incorporated

Role Description

American Specialty Health Incorporated (ASH) is seeking a Coordinator to join our Clinical Quality Administration department. The primary purpose of this position is to coordinate and support the processes within the Clinical Quality Administration Department, including:

• Provide support to department leadership by ensuring accurate documentation preparation and follow-up.
• Assist with completion of clinical quality initiatives.
• Support with administrative tasks related to actions assigned by various committees and teams.
• Coordinate other assigned functions within Clinical Quality Administration.

Qualifications

• College education with degree in Healthcare field, health information management, or equivalent experience preferred. If equivalent experience, High School Diploma required.
• 2 years experience in health care administrative work preferred.
• Committee support including minute taking experience highly preferred.
• Quality Management program coordination and support of documentation for provider-based Committees and experience in data management preferred.
• Knowledge of health care and/or legal terminology preferred. (Medium proficiency)
• Use of computer required. (High proficiency)
• Proficiency with Microsoft Word and Excel required. (High proficiency)
• Knowledge of ASH preferred. (Low proficiency)
• Great attention to detail is required in all functions of this position. (High proficiency)
• Working knowledge of HIPAA, NCQA, and URAC standards preferred. (Low proficiency)
• Demonstrated English writing proficiency required. (High proficiency)

Requirements

• Assists in management and is accountable for all activities within assigned scope of authority.
• Ensures accuracy and productivity in project completion and works cooperatively with all internal and external contacts.
• Achieves and exceeds company standards.
• Ensures confidentiality of documentation and clinical meeting materials according to ASH policy.
• Assists with development of quarterly Clinical Performance Management (CPM) and California Health Plan Assessment (CAHPA) reports.
• Provides administrative support with management of annual review of ASH Group and ASH Plans clinical policies through the Clinical Quality Team.
• Aids in continuous annual review process for all Clinical Services Process and Procedure documents.
• Supports Clinical Quality Administration budgeting and preparation of the Practice Review Committee (PRC), Quality Improvement Committee (QIC), Administrative Review Committee (ARC) and Provider Hearing stipends following each meeting.
• Supports the Clinical Quality Administration processes that ensure the integrity and accuracy of documents created and distributed by the department.
• Provides committee support for the Medicare Advantage Utilization Management Committee (MA-UMC):
• Performs administrative support related to meeting coordination among internal staff and external consultants, meeting preparation, and recording committee minutes.
• Develops, tracks, and distributes documents in support of committee processes and according to policy.
• Provides committee support for the Practice Review Committee (PRC):
• Performs administrative tasks related to preparation of files for presentation to clinical committees (copying, redacting, etc.).
• Develops, tracks, and distributes documents in support of committee processes and according to policy.
• Supports development and timely completion of activities requested by clinical committees (e.g., letters, reports, research, follow-up, etc.).
• Ensures timely completion of action items as assigned.
• Assist with Clinical Services Investigation Team (CSIT) Administrative Activities:
• Prepare, send, and log CSIT educational letters.
• Assist in preparation of CSIT reports.
• Perform administrative tasks related to preparation of files for presentation to clinical committees (copying, redacting, etc.).
• Perform other administrative tasks that may arise related to CSIT functions.
• Cross-trained in committee support functions for Clinical Quality Team (CQT), Practice Review Committee (PRC) and Quality Improvement Committee (QIC).
• Other duties:
• Support CQA management with quality improvement initiatives, policy documentation, reporting requirements, and project management.
• Prepare standardized, department and individual reports as needed.
• Assist department leadership by researching, developing and creating processes necessary to support projects.
• Develop and report information from tracking systems.
• Write, track and mail or distribute documents as directed by department leadership in support of Clinical Quality Administration activities.
• Assist with special projects as required.
• Support accreditation and delegation efforts on behalf of Clinical Quality Administration.
• Contribute to team effort by responding positively to changing circumstances and/or environment.
• Supports mail receipt and mail distribution to CQA, CQE and MNA.
• Supports quality management functions of other administrative departments to ensure efficient and effective teamwork is maintained within the organization.
• Performs other duties as assigned.
• Complies with all policies and standards.

Benefits

• Hourly Salary Range: $17.84 to $20.00 Hourly Wage Range.
• Remote Worker Guidelines: This position will be trained remotely and must be able to work from home (WFH) in a designated work area with company-provided technology equipment.
• The internet connection must have a consistent 50 down/10 up Mbps minimum internet speed. 100 down/20 up is recommended to support higher quality video meetings.

Company Description

American Specialty Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to sex (including pregnancy, childbirth, related medical conditions, breastfeeding, and reproductive health decision-making), gender, gender identity, gender expression, race, color, religion (including religious dress and grooming practices), creed, national origin, citizenship, ancestry, physical or mental disability, legally-protected medical condition, marital status, age, sexual orientation, genetic information, military or veteran status, political affiliation, or any other basis protected by applicable local, federal or state law.