Ambulatory Quality & Care Coordination Specialist (Remote)

Silvercross; New Lenox, Northern (IL, KY); Hybrid; USD 74,000 - 95,000; Full time

Benefits offered by this job

Medical, Dental, Vision plans

Life Insurance

401(k) with match

PTO and Sick time

Tuition Reimbursement

Job summary

Silver Cross Hospital is seeking a Quality Specialist Ambulatory – Managed Care to develop and implement a vision for improving quality clinical outcomes in ambulatory settings. You will work with senior leadership to close care gaps, coordinate patient plans, and align clinical operations with quality goals.

The role emphasizes collaboration with CMO, Director Value Based Care, and Innovista, while driving policy creation and training across clinical offices.

Qualifications

• Bachelor's degree in Business, Healthcare Administration, or related field.
• 3-5 years clinical practice experience or experience improving clinical quality outcomes.
• ICD-10-CM/PCS coding training and certification is a plus.
• 2-3 years CM, discharge planning and/or home health care coordination experience.

Responsibilities

• Subject matter expert regarding the HEDIS product line.
• Represent the Clinical Integration product for client and internal meetings.
• Collaborate with affiliate service lines to impact HEDIS and Star ratings.
• Oversee clinical training activities and impact on practice transformation.

Skills

Clinical quality

HEDIS knowledge

Analytical skills

Communication

Education

Bachelor's degree in Business/Healthcare Administration

Tools

MS Word

Excel

Outlook

PowerPoint

Job description

Silver Cross Hospital is seeking a Quality Specialist Ambulatory – Managed Care to develop and implement a vision for improving quality clinical outcomes in ambulatory settings. You will work with senior leadership to close care gaps, coordinate patient plans, and align clinical operations with quality goals.

The role emphasizes collaboration with CMO, Director Value Based Care, and Innovista, while driving policy creation and training across clinical offices.