Quality Improvement Coordinator

1 week ago


Orange, United States Astiva Health Full time
Job DescriptionJob Description

Job Title: Quality Improvement Coordinator
Target Compensation Range: $20.00-$25.00/hour, depending on relevant qualifications and experience

About Us:
Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize accessibility, affordability, and quality in all aspects of our services. Join us in our mission to transform healthcare delivery and make a meaningful difference in the lives of our members.

Summary:
The Quality Improvement Coordinator will be responsible for coordinating and implementing quality improvement initiatives related to HEDIS measures and risk adjustments/HCC. This individual will work with internal and external stakeholders to ensure compliance with HEDIS specifications, data collection, reporting, and improvement strategies.

ESSENTIAL DUTIES AND RESPONSIBILITIES: include the following. Other duties may be assigned.

  • Regular and consistent attendance. In office attendance is requested 5 days a week.
  • Coordinate and partner with IPA/MSO delegates for HEDIS and risk adjustment data reporting
  • Identify gaps and opportunities for improvement
  • Collaborate with internal departments to review and implement projects and interventions to improve delivery of services and quality of care.
  • Assist with audits and reviews to ensure data accuracy and validity
  • Review and summarize collected data with trend analysis for additional provider educational opportunities.
  • Attend health plan meetings as requested by department leadership.
  • Stay updated on HEDIS and risk adjustment specifications, guidelines, and industry trends

EDUATION and/or EXPERIENCE:

  • 3+ years of quality improvement or healthcare related experience
  • Familiarity of HEDIS measures, specifications, and reporting requirements
  • Proficient in data analysis, Excel, and quality improvement methodologies
  • Excellent communication, presentation, and interpersonal skills
  • Ability to work independently and collaboratively in a fast-paced environment.
  • Detail-orientated, organized, and problem-solving skills.

Benefits:

  • 401(k)
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance


  • South Orange, United States Jespy House Inc Full time

    Job DescriptionJob DescriptionJob PurposeUnder the supervision of the Senior Manager of Quality Assurance, the Quality Assurance Coordinator is responsible for assisting in the oversight of staff compliance to state regulations and agency policy and procedures. The QA Coordinator will assist in the investigation of complaints/grievances and tracking and...

  • Supervisor Quality Completions

    Found in: Talent US C2 - 2 weeks ago


    Orange, United States Zachry Group Full time

    Position Summary: Quality Completions Supervisor is primarily responsible for the management, control, and issuance of required Systems Turnover Documents. This role will be tasked with ensuring that electronic version of all required documentation are compiled and saved in the completions databases(s). The Quality Completions Supervisor will also be...


  • Orange, United States Surgical Care Affiliates Full time

    Overview Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and health systems around a common goal: delivering on the quadruple aim of high-quality...

  • Project Coordinator

    1 week ago


    Orange, United States The Midtown Group Full time

    Job DescriptionJob DescriptionProject Coordinator/Program Specialist Job Description Under general supervision, the Program Specialist (Coordinator) will support compliance with cultural and linguistic (C&L) state and federal regulatory requirements. The incumbent will assist in the development and/or implementation of cultural and linguistic...


  • Orange, United States Surgery Care Affiliates Full time

    Overview Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and health systems around a common goal: delivering on the quadruple aim of...


  • Orange, United States Morgan Dental Corp Full time

    Job DescriptionJob DescriptionA high quality Dental Group in Anaheim is seeking an experienced, personable, enthusiastic Treatment Coordinator The Treatment Coordinator's main job responsibility is to clearly explain treatment options and related costs.The Financial Coordinator is a liaison between the doctor and the patient and assists in the gathering...

  • Medical Staff Coordinator

    Found in: Talent US C2 - 1 week ago


    Orange, United States Providence Full time

    For direct patient care roles: Performs and maintains currency of essential competencies as required by specific area of hire and populations served. Medical Staff Administrative Support - Supports the QM/UM Director, Medical Director, Associate Medical Director, U/M Medical Director, and Administration:  Prepares routine reports, records,...

  • Coordinator

    4 days ago


    West Orange, United States RWJBarnabas Health Full time

    **Job Overview**: In conjunction with the Float Pool Director, manages the daily operations of the system-wide Corporate float pool and RWJBH agency personnel. Monitors staffing effectiveness and impact. Fosters strong working relationships with all levels of nursing/support leadership at each of the individual sites and in the system office as well as third...

  • Fleet Coordinator

    6 days ago


    Orange, United States DriveShop Full time

    COMMUNICATIONS & FLEET COORDINATOR - Orange County Area A leading national marketing and professional services company serving OEM manufacturers and their agency partners seeking a fleet coordinator. We produce media and marketing programs and events that showcase the latest make and model in the auto industry. The Fleet Coordinator in our Orange County...


  • Orange, United States Morgan Dental Corp Full time

    Job DescriptionJob DescriptionBenefits:401(k)401(k) matchingBonus based on performanceCompetitive salaryDental insuranceEmployee discountsHealth insuranceOpportunity for advancementPaid time offTraining & developmentVision insurance A high quality Dental Group in Anaheim is seeking an experienced, personable, enthusiastic Treatment Coordinator The Treatment...

  • Treatment Coordinator

    2 weeks ago


    Orange, United States Gentle Dental Full time

    At Gentle Dental, we value our teammate’s smile as much as our patient’s smile.  Our vision is to provide exceptional, lifelong, integrated oral healthcare services. We enhance the quality of our patients’ lives by providing accessible oral healthcare, which is paramount to overall health and wellbeing.   We focus on a commitment to patient care,...


  • Orange, United States Orange Healthcare & Wellness Centre Full time

    Orange Healthcare & Wellness Centre - Under the direction and supervision of the Director of Nursing Services, the Medicare/MDS Coordinator is responsible for notifying and coordinating the Interdisciplinary Team (IDT) for MDS assessment completion in accordance with State and Federal regulations.Medicare MDS Coordinator QUALIFICATIONS• Current licensure...


  • Orange, United States CareerBuilder Full time

    At Gentle Dental, we value our teammates smile as much as our patients smile. Our vision is to provide exceptional, lifelong, integrated oral healthcare services. We enhance the quality of our patients lives by providing accessible oral healthcare, which is paramount to overall health and wellbeing. We focus on a commitment to patient care, operational and...


  • Orange, United States Cross Country Workforce Solutions Group Full time

    Job DescriptionJob DescriptionPosition SummaryProgram AssistantUnder general supervision, the Program Assistant will assist with specialized services relevant to the Grievance and Appeals Resolution Services (GARS) department. The incumbent will work independently, exercising discretion and judgment and may assist in coordinating a function for the program...


  • Orange, United States Interdent Sa Full time

    Description At Gentle Dental, we value our teammate’s smile as much as our patient’s smile. Our vision is to provide exceptional, lifelong, integrated oral healthcare services. We enhance the quality of our patients’ lives by providing accessible oral healthcare, which is paramount to overall health and wellbeing. We focus on a commitment to patient...


  • Orange, United States Seton Hall University Full time

    Clinical Coordinator, School PsychologyJob no: 496064 Full time/Part time: Part-time Location: South Orange Categories: AdministratorThe Office of Fieldwork and Certification, within the College of Human Development, Culture and Media at Seton Hall University, invites applications for Clinical Coordinator for the Department of Professional Psychology and...


  • Orange, United States Jamboree Full time

    Job DescriptionJob DescriptionSalary: $24/hour + BenefitsWe’re looking for dedicated team members to join Orange County’s largest nonprofit developer of high-quality affordable housing and services that transform lives and strengthen communities.Location: Orange, CAStatus: Full Time, HourlyWage: $24/hour + BenefitsPrimary Objective of Position:The...

  • Lab Coordinator

    1 day ago


    East Orange, United States East Orange General Hospital Full time

    Under the directive of the Manager/ Director, the Supervisor plans, organizes, schedules, and directs the department in order to effectively utilize employees and equipment to meet established turnaround time and material utilization within budgetary Coordinator, Quality Control, Management, Healthcare, Director, Supervisor

  • Admissions Coordinator

    Found in: Talent US C2 - 3 weeks ago


    Orange, United States Chapman University Full time

    Job Description Summary Reporting to the Department Chair, coordinates the Doctor of Physical Therapy graduate program’s recruitment, admission and registration for new student processes. Supports the assessment and admission decisions for DPT Applicants, and supports special events, meetings, and program activities. General administrative duties such as...


  • Orange, United States Seton Hall University Full time

    Academic Resource Center (ARC) Coordinator - 2024/2025Job no: 496154 Full time/Part time: Part-time Location: South Orange Categories: Student EmploymentJOB SUMMARY:Academic Resource Center Coordinators play a key role in overseeing the peer tutors and academic coaches. The essential duties include mentoring tutoring staff members, evaluating peers, and...