Quality Improvement Coordinator - Orange, United States - Astiva Health

    Astiva Health
    Astiva Health Orange, United States

    4 weeks ago

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    Description
    Job Description

    Job 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

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