Coordinator, Market Quality

ArchWell Health; Las Vegas (NV); On-site; USD 55,000 - 80,000; Full time

Job summary

ArchWell Health is seeking a Market Quality Coordinator to monitor CMS STARS and HEDIS measures, conduct patient outreach, and collaborate with center leadership to meet quality goals for seniors in a market setting.

The role requires medical records review, coordination with outpatient clinics, and adherence to HIPAA standards. Strong teamwork and independence are essential to drive initiatives across payors within the market.

Qualifications

• Must have a high school diploma or GED.
• Graduation from a nationally accredited Medical Assistant program or comparable healthcare training.
• BLS for Healthcare Providers required.
• Experience with EClinicalWorks or similar EMR is required.

Responsibilities

• Close CMS STARS gaps via enterprise and local strategies and initiatives.
• Review medical records to document and close Focus On Care measures.
• Conduct patient outreach calls to support quality gaps and assist scheduling and screenings.
• Schedule and perform ancillary visits to complete in-center screenings.
• Meet regularly with Market Leaders to discuss roadblocks and progress.
• Ensure OSHA safety compliance and maintain accurate, legal documentation.

Skills

Quality measures understanding

Primary care experience

Microsoft Office proficiency

Team building

Attention to detail

HIPAA confidentiality

Cultural sensitivity

Education

High school diploma or GED

Medical Assistant program or comparable training

BLS for Healthcare Providers

EClinicalWorks EMR experience

Tools

EClinicalWorks EMR

Microsoft Office

Job description

Market Quality Coordinator

Job Summary

The Market Quality Coordinator is responsible for the monitoring and pursuit of CMS STARS HEDIS measures, conducting patient outreach calls, and partnering with center leadership and teams to achieve STARS and HEDIS goals. This role serves as part of the market operations team, working across many payors within a single market in an outpatient senior-focused primary care setting.

Duties/Responsibilities

• Conduct enterprise and local strategies and initiatives for closing STARS gaps
• Medical record review to document and close Focus On Care measures
• Request medical records and upload documentation to electronic medical records systemPerform patient outreach calls to support quality gap closure, including assisting and encouraging members with scheduling and completing screenings.
• Schedule and perform ancillary visits to complete in-center screenings.
• Meet regularly with Market Leaders to discuss roadblocks, regular progress, and to strategize center and market focused initiatives.
• Ensure compliance with OSHA safety standards and conduct accurate, legal, and ethical documentation at all times.
• Additional responsibilities and duties as needed.

Required Skills/Abilities

• Working knowledge of quality measures and quality gap closure strategies.
• Experience working in a primary care setting.
• Proficient with Microsoft Office Suite products including Word, Excel, Power Point, Outlook, and Teams
• Demonstrated team building skills.
• Ability to work independently with a high level of attention to detail.
• Sensitivity to the needs of culturally diverse staff, patients, and communities.
• Maintains HIPAA standards and confidentiality of protected health information; reports critical incidents immediately.
• Embodies and serves as a role model of ArchWell Health’s Values:
  • Be compassionate
  • Strive for excellence
  • Earn trust
  • Stay resilient
  • Always do the right thing

Education and Experience

• • High school diploma or equivalent education (GED) required.
  • A minimum of 1 year work experience as a Medical Assistant
  • Graduation from a nationally accredited Medical Assistant program OR comparable healthcare vocational training (i.e, foreign-trained physician, paramedic, etc.) required
  • BLS for Healthcare Providers required
  • EClinicalWorks or similar EMR experience
  • Experience working with geriatric patients is a plus
  • Experience with the CMS STARS program (HEDIS) preferred
• Embodies and serves as a role model of ArchWell Health’s Values:
  • Be compassionate
  • Strive for excellence
  • Earn trust
  • Show respect
  • Stay resilient
  • Always do the right thing

About ArchWell Health

At ArchWell Health, we’re creating a community of caring designed to help our members stay healthy and engaged. By focusing on a strong provider-patient relationship, routine wellness, and staying active, our members enjoy a higher level of care and better quality of life after the age of 60. Everything we do is for seniors. We believe seniors should be heard, listened to, and given ample time by their physicians to live well later in life.

Our value-based care model is designed to prevent illnesses while keeping members healthy and happy in every aspect of their life. We deliver best-class primary care at comfortable, accessible neighborhood centers where older adults can feel at home and become part of a vibrant, wellness-focused community. We’re passionate about caring for older adults and united by the belief that caring has the power to change everything for our members.

ArchWell Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected classification.