Quality Care Improvement Coordinator (Remote - O'ahu, HI)
Description
Job Title: Quality Care Improvement Coordinator
Department: Quality – Quality Care Improvement
*MUST reside in O'ahu, HI as position has some travel requirements
About the Role:
We are currently seeking a highly motivated QCI Coordinator. This role will report to the Supervisor – Quality Care Improvement and enable us to continue to scale in the healthcare industry.
What You’ll Do:
- Effectively organize projects and tasks based on priority to help meet expectations and deadlines of projects
- Act as liaison for the department in routine administrative and project coordination activities, including phone calls, inquiries, and any other matters as designated
- Follow through on all aspects of a project’s life cycle from beginning to end in a timely manner
- Conduct effective research to meet project goals and assigned tasks
- Analytical problem solving with the ability to understand the overall picture
- Establish and maintain professional rapport with clients, vendors, and internal company employees
- Maintain strict confidentiality of business discussions
- Travel to various offices as designated
- Ad-hoc projects as assigned by the manager/supervisor
- May be required to work overtime to meet tight deadlines
- Comply with department policy and procedures
- Collect and collate appropriate data from IPA network providers for HEDIS measures
- Collect medical records, conduct reviews and ensure accuracy of documentation for reporting
- Collect, summarize and trend provider performance data to include provider education
- Participate in ongoing discussions concerning data collections and analysis for HEDIS
- Assist in planning and implementation of projects to improve delivery of services and quality of care
- Understand the principles of CMS, HEDIS, NCQA, Health Plan Quality Standards and HIPAA
- Generate and maintain accurate weekly/monthly/quarterly report of activities
- Attend to health plans, provider, and interdepartmental calls
Qualifications:
- Must reside in O’ahu, HI
- Minimum of Associate's degree, Bachelor’s degree or equivalent years of experience
- Experience using Microsoft applications such as Word, Excel and Outlook
- Proficiency in electronic calendaring
- Ability to type a minimum of 60 wpm
- At least one (1) year of HEDIS related experience
- Must have Driver’s License, reliable transportation and be willing to travel between office locations as needed
- Ability to prioritize and effectively multi-task
- Ability to quickly adapt to various situations
- Excellent organizational skills and strong attention to detail
- Effective and professional communication skills
- Self-driven, quick learner, patient, must be able to work with people of different personalities
You’re great for the role if:
- Fluent in Ilocano and/or Tagalog
- 1-3 years of IPA/MSO/HP or general healthcare experience
- Excellent analytical critical reasoning and interpersonal communication skill
- Ability to work in a fast-paced environment
- Ability to keep a high level of confidence and discretion when dealing with sensitive matters relating to providers, members, business plans, strategies and other sensitive information
Who We Are:
Astrana Health (NASDAQ: ASTH) is a physician-centric, technology-powered healthcare management company. We are building and operating a novel, integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner. Our mission is to combine our clinical experience, best-in-class delivery network, and technological expertise to improve patient outcomes, increase access to healthcare, and make the US healthcare system more efficient.
Our platform currently empowers over 10,000 physicians to provide care for ~1 million patients nationwide. Our rapid growth and unique position at the intersection of all major healthcare stakeholders (payer, provider, and patient) gives us an unparalleled opportunity to combine clinical and technological expertise to improve patient outcomes, increase access to quality healthcare, and reduce the waste in the US healthcare system.
Our Values:
- Put Patients First
- Empower Entrepreneurial Provider and Care Teams
- Operate with Integrity & Excellence
- Be Innovative
- Work As One Team
Environmental Job Requirements and Working Conditions:
- This is a remote role based in O’ahu, HI.
- This position will require some travel to local provider sites and occasional travel to other islands.
- The working hours will be standard business hours in Hawaii Standard Time (HST)
- The total compensation target pay range for this role is: $25.00-28.00 per hour. The salary range represents our national target range for this role.
Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at [email protected] to request an accommodation.
Additional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.
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