Quality Management Coordinator (Healthcare Experience)

Location: Orange, California US

Notice

This position is no longer open.

Job Number: 3379

Position Title: Quality Management Coordinator

External Description:

The Quality Management Coordinator provides support and project coordination for the quality management program and initiatives. The QM Coordinator supports the QM team and reports directly to the Director of Quality Management.

General Duties/Responsibilities:

(May include but are not limited to)

  • Provide administrative support for the quality management department
  • Supports Member or Provider outreach initiatives
  • Maintains department files in an organized, accurate, secure manner
  • Assists with preparation for meetings by typing agenda, preparing slides, attachments and minutes
  • Aggregation of data on assigned projects and basic analysis of results
  • Maintain up-to-date databases and tracking logs; assist with data collection to support QI projects and initiatives
  • Obtains medical records from medical groups, physicians or facilities in support of quality review activities and conduct phone and fax follow-up, to troubleshoot, investigate, and follow up on retrieval of missing medical record information.
  • IPA/Medical Group outreach on to gather clinical data on assigned QI projects and initiatives
  • Completes special projects or assignments as needed to meet initiatives and/or objectives of department
  • Other duties as assigned to ensure compliance of projects and meeting target dates

Supervisory Responsibilities:

This job has no supervisory responsibilities.

 

Minimum Requirements:

 

  1. Minimum Experience:
    1. Minimum of two years of experience in a medical office, Health Plan or hospital environment performing administrative duties with a clinical focus
    2. Managed Care Experience
    3. Minimum of two years profession experience with MS Office Suite- Word, Outlook, Excel, Access
    4. Experience with medical terminology
  2. Education/Licensure:
    1. Requires a High School Diploma or equivalent
    2. Associates Degree preferred
  3. Other:
    1. Excellent organizational skills with the ability to manage multiple priorities.
    2. Ability to work in a fast-paced environment with changing priorities
  1. Work independently and as a part of an integrated team.
  2. Ability to take initiative and see tasks to completion.
  3. Advanced Computer skills and experience with Microsoft Office Products.
  4. Excellent verbal and written communication skills
  5. Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)
  6. Problem solving skill sets and analytical ability
  7. Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers
  8. Knowledge of Medicare, Managed Care and HEDIS preferred


Essential Physical Functions:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

  1. While performing the duties of this job, the employee is regularly required to talk or hear.
  2. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.
  3. The employee frequently lifts and/or moves up to 10 pounds.
  4. Specific vision abilities required by this job include close vision and the ability to adjust focus.

City: Orange

State: California

Location City: Orange

Location State: California

Community / Marketing Title: Quality Management Coordinator (Healthcare Experience)

Company Profile:

Alignment Healthcare was founded with a mission to revolutionize health care with a serving heart culture. Through its unique integrated care delivery models, deep physician partnerships and use of proprietary technologies, Alignment is committed to transforming health care one person at a time.

By becoming a part of the Alignment Healthcare team, you will provide members with the quality of care they truly need and deserve. We believe that great work comes from people who are inspired to be their best. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment community.

EEO Employer Verbiage:

Alignment has implemented a policy requiring all new hires to receive the COVID-19 vaccine and booster.  Proof of vaccination and booster will be required as a condition of employment subject to applicable laws concerning exemptions/accommodations.  This policy is part of Alignment’s ongoing efforts to ensure the safety and well-being of its staff and community, and to support public health efforts.

Alignment Healthcare, LLC is proud to practice Equal Employment Opportunity and Affirmative Action. We are looking for diversity in qualified candidates for employment: Minority/Female/Disable/Protected Veteran.

If you require any reasonable accommodation under the Americans with Disabilities Act (ADA) in completing the online application, interviewing, completing any pre-employment testing or otherwise participating in the employee selection process, please contact careers@ahcusa.com.