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Quality Coordinator
2 months ago
Title: Quality Coordinator
Department: Quality
About the role:
The Quality Coordinator plays a pivotal role in an organization's efforts to improve patient care, safety, and outcomes. The primary focus of this role is to track and ensure execution on projects, collect and review data, create and execute improvement plans, through collaboration with clinics, health plans, and database developers.
What You'll Do:
- Commitment to the principles of continuous quality improvement
- Evaluate and continuously review existing procedures to identify areas that require enhancement
- Compare performance and quality metrics to industry benchmarks
- Support improvement plans and strategies, including but not limited to root cause analysis, corrective action plans, objectives, actions, timelines, status and performance
- Collaborate with teams across departments to align and share accountability with quality improvement efforts with organizational goals, including Coding and Utilization
- Ensure compliance with CMS, NCQA HEDIS, PQA, and other industry regulations and standards
- Lead and foster relationships with internal and external stakeholders and payors
- Provide expertise in education, training, and support to staff in the development of quality knowledge, initiatives, and skills while ensuring understanding of objectives and method
- Mind records for quality gap closures, HCC opportunities, and RAF score improvement
- Validate and ensure data submission, including but not limited to visit note documentation and coding
- Prepare regular KPI and KAI reports and presentations on work function activities for management
- Incorporate Provider and patient feedback into improvement strategies for development of education materials and tools
- Audit and monitor operations ensuring effective performance with Quality measures such as correct template usage, Blood Pressure recheck, point-of-care testing, attestation completion, etc.
- Partner in the development and updates of Standardized Operating Procedures and guidelines
- Facilitate outreach to meet Annual Wellness Visit, Annual Physical Exam, and Transition of Care visit goals
- Partner on Patient Experience initiatives and monitoring
- Complete additional tasks and duties as assigned
- Bachelor's degree in healthcare administration, or a related field
- 2+ years of experience in HEDIS, quality, Pharmacy Quality Alliance (PQA) or a related field
- Excellent interpersonal skills
- Manage competing priorities and needs
- Knowledge of healthcare regulations and best practices
- Strong critical thinking and problem-solving skills
- Ability to analyze, develop and present high level analysis and metrics
- Foster a healthy work culture and ability to work alone or in a team
- Capability to work in a fast-paced environment and adapt to new policies or workflows
- Ability to maintain patient confidentiality
- Ability to motivate others, individual, and groups
- Proficiency in Microsoft Office (Excel, Word, Outlook) and electronic medical records
- 2+ years of experience in Primary Care/Medical Group
Valley Oaks Medical Group is now Astrana Care of Nevada.
At Valley Oaks, we strive to redefine the way healthcare is administered through community driven preventative care and proactive treatment. By centering care around the patient, we can improve health and wellbeing instead of treating symptoms. Our passionate providers prioritize the wellness of each of our patients with the necessary tools and resources to improve the quality of life for all of our patients.
Astrana Health (NASDAQ: ASTH) is a physician-centric, technology-powered healthcare company accelerating the path towards a future where high-quality, coordinated healthcare is available to all. We are building and operating an 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, especially patients who are traditionally underserved and those most vulnerable.
Our platform currently empowers over 10,000 physicians to provide care for ~1 million patients nationwide and is growing revenue over 40% a year. We have demonstrably improved patient outcomes: seniors on our platform spend 54% fewer days in the hospital than the national average and are readmitted 63% less often, and serve an extremely diverse community, with over 75% of our patients identifying as BIPOC and over 80% enrolled in Medicare or Medicaid.
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
- Be Innovative
- Operate With Integrity & Excellence
- Work As One Team
- This position is based in our corporate office in the Las Vegas Metropolitan Area.
- The annual total compensation target pay range for this role is: $20/hr-$24/hr. This salary range represents our national target range for this role.
Additional Information:
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 accommodation.
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.
