Healthcare Quality Compliance Coordinator | Remote CA

E2E Alignment Healthcare USA, LLC; California; Hybrid; USD 53.000 - 80.000; Vollzeit

Zusammenfassung

Alignment Health is seeking a Quality Management Coordinator in California to support the Quality Management department with data collection, outreach to Providers, and data-driven reporting efforts. This role emphasizes collaboration with providers, vendors, and internal teams to ensure regulatory compliance and high-quality patient care.

Responsibilities include data aggregation, charting, and maintaining databases, while supporting medical record retrieval and patient safety initiatives.

Qualifikationen

• Experience: 1+ year in a medical office, health plan or hospital environment performing clerical duties.
• MS Office proficiency: Word, Outlook, Excel, Access.
• Strong written and verbal communication; ability to work independently and in a team.

Aufgaben

• Collect data for QM initiatives and maintain databases and logs.
• Coordinate outreach with Providers, External Vendors or Internal Departments to ensure compliance.
• Aggregate data, analyze results, and generate charts, graphs and reports.
• Assist in obtaining medical records to support quality reviews and patient safety efforts.
• Perform related duties and special projects as assigned.

Kenntnisse

MS Office Suite

Project coordination

Communication skills

Healthcare / medical office experience

Ausbildung

High School Diploma or GED

Associate degree (preferred)

Jobbeschreibung

Company Overview

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.

Job Title: Quality Management Coordinator

The Quality Management Coordinator provides administrative and clerical support as well as project coordination within the quality management department.

Job Duties/Responsibilities

• Responsible for data collection related to QM initiatives.
• Performs outreach to Providers to ensure regulatory required compliance is maintained.
• Coordinates and conducts activities with Providers, External Vendors or Internal Departments as needed.
• Aggregates data and initial analysis of results on assigned projects.
• Produces charts, graphs, and reports to demonstrate results and outcomes.
• Maintains up-to-date databases and tracking logs.
• Requests medical records to support quality review activities, conducts phone and fax follow-up, troubleshoots, investigates, follows up on retrieval of missing information and collaborates with clinical staff on patient safety issues.
• Other duties and special projects as assigned.

Job Requirements

• Experience: Required: 1+ year of experience in a medical office, health plan or hospital environment performing clerical supportive duties Managed care experience 2+ years' professional experience with MS Office Suite- Word, Outlook, Excel, Access.
• Education: Required: High School Diploma or GED Six months+ related experience and/or training.
• Preferred: Associate degree.
• Specialized Skills: Required: Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others. Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors.
• Mathematical Skills: Ability to perform mathematical calculations and calculate simple statistics correctly.
• Reasoning Skills: Ability to prioritize multiple tasks; advanced problem-solving; ability to use advanced reasoning to define problems, collect data, establish facts, draw valid conclusions, and design, implement and manage appropriate resolution.
• Problem-Solving Skills: Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment.
• Report Analysis Skills: Comprehend and analyze statistical reports.
• Other: Required: Work independently and as a part of an integrated team Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).

Essential Physical Functions

1. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.
2. The employee frequently lifts and/or moves up to 10 pounds.

Specific vision abilities required by this job include close vision and the ability to adjust focus.

Pay Range

Pay Range: $53,210.00 - $79,815.00 Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.

Equal Employment Opportunity

Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.

About Alignment Health

Alignment Health is championing a new path in senior care that empowers members to age well and live their most vibrant lives. Our mission-focused team makes high-quality, low-cost care a reality for members every day. Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most.

We believe that great work comes from people who are inspired to be their best. We've built a team of people who want to make a difference in the lives of the seniors we serve. Come join the team that is changing health care - one person at a time.