Quality Improvement Coordinator

Description:

• 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.
• Regular and consistent attendance
• Other duties as assigned

Requirements:

• Bachelor’s Degree preferred.
• 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-oriented, organized, and problem-solving skills.