Quality Coordinator

Job Summary and Responsibilities

As our Quality Coordinator, you will assist in the promotion of quality management activities, focusing on monitoring, assessing, and improving performance in healthcare delivery and services for value-based care patients. Your work will be instrumental in ensuring the highest standards of care are maintained across our clinical operations. Every day, you will execute targeted strategies and interventions designed to enhance member participation. By actively engaging with our patient population, you will drive the specific behaviors necessary to improve overall health outcomes and meet our quality benchmarks. To be successful in this role, you will need to be a proactive collaborator who is comfortable navigating the complexities of value-based care. Your ability to bridge the gap between quality data and patient engagement will be essential to fostering a culture of continuous improvement within our organization.

• Execute quality initiatives: Implement member-facing strategies aligned with National and Value Hub objectives to improve HEDIS, Stars, and overall quality performance.
• Conduct clinical outreach: Perform telephonic outreach to members to close care gaps, facilitate access to preventative services, and drive participation in Annual Wellness Visits (AWVs).
• Manage quality data and records: Collect, review, and organize medical records and quality data, utilizing EMR systems to analyze performance and identify critical gaps.
• Drive member engagement: Lead proactive communication efforts to increase program enrollment and assist members in accessing necessary care coordination services.
• Ensure documentation and compliance: Maintain accurate case files, track database information, and document resolution outcomes in compliance with all regulatory standards.
• Facilitate professional coordination: Serve as the primary point of contact for members, providers, and vendors, managing correspondence and re-prioritizing tasks to meet established performance standards.

Job Requirements

Required

• Associate Degree or relevant clinical certification
• Medical Assistant certification or LPN licensure 
• Two (2) or more years experience in a clinical setting with administrative duties
• Experience in Google Workspace applications

Preferred

• Experience in a healthcare setting and pay-for-performance or similar programs

Where You’ll Work

With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.