Quality Program Coordinator

JOB SUMMARY

The Quality Program Coordinator supports the operational execution of our organization by coordinating quality reporting, data preparation, member outreach initiatives, departmental and health plan partnerships, provider education, and day-to-day program operations. The position works closely with Quality Management team members and internal and external partners to organize information, coordinate activities, track progress, and support timely completion of quality initiatives.

JOB QUALIFICATIONS

High School Diploma/GED equivalent required. Doctor's office, IPA/MSO, or Health Plan experience preferred. Computer proficiency with Microsoft Office Suite, including a strong background in Excel, and the ability to use and learn company-specific systems as needed.

ESSENTIAL FUNCTIONS

All duties and responsibilities are essential job functions and are subject to possible modification to reasonably accommodate individuals with disabilities. Other functions and accountabilities may be assigned from time to time. Regular attendance is an essential function of this position. To perform this job successfully, the employee will possess the skills, aptitudes, and abilities to perform each duty proficiently.

TYPICAL PHYSICAL DEMANDS

Requires prolonged sitting, some bending, stooping or stretching. Manual dexterity sufficient to operate a keyboard, photocopier, calculator, telephone and other office equipment as necessary. Requires normal range of hearing, eyesight and speech to prepare and communicate appropriate reports and to train office staff in system applications.


ESSENTIAL DUTIES AND RESPONSIBILITIES

Quality Reporting & Data Coordination

• Prepare, format, organize, and distribute recurring quality reports, dashboards, care-gap lists, HCC lists, and other quality-related reports using Excel and established reporting tools.
• Reconcile information across multiple reports and data sources and identify discrepancies for appropriate follow-up.
• Collaborate with the Senior Quality Management Data Analyst to prepare data for provider engagement, member outreach, ACO activities, and health plan reporting.

Member Outreach & Quality Initiatives

• Coordinate member outreach activities and targeted member lists for the Care Center, Care Coordination, and other internal partners.
• Track outreach activities, completion, and outcomes and support reporting to internal teams and health plan partners.
• Coordinate assigned Quality Management initiatives, projects, and special programs from planning through completion.

Health Plan & Provider Support

• Participate in health plan quality meetings; document minutes, coordinate follow-up, and track action items.
• Receive and reconcile health plan care-gap and outreach reports with internal information and escalate discrepancies for review.
• Support provider engagement through preparation of provider reports, care-gap information, HCC opportunity lists, education materials, and follow-up resources.
• Coordinate new provider orientation and provider education activities.

Program Operations

• Coordinate Quality Management events, health fairs, department and/or health plan partnership initiatives, and other community or provider activities.
• Prepare and complete supplemental data uploads into Cozeva in accordance with established processes and training, and maintain supporting documentation.
• Manage the Quality Management department phone and email and coordinate routine departmental communications, meetings, trackers, and follow-up.

Process Improvement & Team Support

• Maintain organized documentation, project timelines, and tracking tools to support program accountability.
• Identify opportunities to improve processes, communication, organization, and follow-through.
• Collaborate with Quality Management team members and other departments to support organizational quality goals.
• Other functions and accountabilities may be assigned to support business needs.

PERFORMANCE REQUIREMENTS

Knowledge, Skills and Abilities

• Strong attention to detail and accuracy.
• Excellent organizational skills with the ability to manage multiple priorities, tasks, and deadlines.
• Ability to maintain strict physician, patient, staff, and corporate confidentiality.
• Ability to exercise self-initiative, plan, prioritize, and complete delegated tasks within established deadlines.
• Ability to read, understand, and follow oral and written instructions.
• Excellent written, verbal, and interpersonal communication skills.
• Ability to demonstrate professionalism when interacting with others and maintaining effective working relationships.
• Ability to work independently while appropriately communicating questions, concerns, and issues requiring follow-up.

Compensation / Pay Rate (Up to): $20.00 - $23.00