[Hiring] Healthcare Quality Coordinator @Alignment Health

Role Description

The Quality Management Coordinator provides administrative and clerical support as well as project coordination within the quality management department.

• Responsible for data collection related to QM initiatives
• Performs outreach to Providers to ensure regulatory required compliance is maintained
• Coordinates and conducts activities with Providers, External Vendors or Internal Departments as needed
• Aggregates data and initial analysis of results on assigned projects
• Produces charts, graphs, and reports to demonstrate results and outcomes
• Maintains up-to-date databases and tracking logs
• Requests medical records to support quality review activities, conducts phone and fax follow-up, troubleshoots, investigates, follows up on retrieval of missing information and collaborates with clinical staff on patient safety issues
• Other duties and special projects as assigned

Qualifications

• 1+ year of experience in a medical office, health plan or hospital environment performing clerical supportive duties
• Managed care experience
• 2+ years’ professional experience with MS Office Suite - Word, Outlook, Excel, Access
• High School Diploma or GED
• Six months+ related experience and/or training
• Preferred: Associate degree

Requirements

• Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others
• Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors
• Mathematical Skills: Ability to perform mathematical calculations and calculate simple statistics correctly
• Reasoning Skills: Ability to prioritize multiple tasks; advanced problem-solving; ability to use advanced reasoning to define problems, collect data, establish facts, draw valid conclusions, and design, implement and manage appropriate resolution
• Problem-Solving Skills: Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment
• Report Analysis Skills: Comprehend and analyze statistical reports
• Work independently and as a part of an integrated team
• Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)

Benefits

• Pay Range: $53,210.00 - $79,815.00
• Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.