Performance Improvement Coordinator - Quality Revenue Enhancement

Providence; Anaheim (CA); On-site; USD 70,000 - 100,000; Full time

Job summary

Providence Medical Foundation is seeking a Quality Incentive Programs Coordinator under the Director of Operational Excellence to manage daily duties related to government and health plan Quality Incentive Programs, ensuring provider attestation, and serving as the point of contact for inquiries.

This role collaborates with Decision Support to analyze performance trends and with Performance Improvement to communicate opportunities in performance, contributing to patient-focused care.

Qualifications

• 1 year of experience in a health care setting or medical claims/insurance operations.
• PMI Project Management Professional certification upon hire.
• 5 years of experience in a health care or managed care system.
• Project management experience in an ambulatory care environment.
• Experience with Six Sigma Quality Improvement and Lean Production/Manufacturing processes and tools.

Responsibilities

• Coordinate day-to-day quality incentive programs ensuring attestation requirements are met.
• Serve as primary contact for internal and external inquiries on payment or performance status.
• Partner with Decision Support to obtain data and analyze performance trends.
• Support Performance Improvement teams to communicate opportunities in performance.

Skills

Healthcare experience

Project management

Ambulatory care PM

Six Sigma/Lean

Leadership

Education

PMI Project Management Professional certification

Job description

Under the supervision of the Director of Operational Excellence the Quality Incentive Programs Coordinator will be accountable for the daily duties related to achieving deliverables for government and health plan Quality Incentive Programs. The Quality Incentive Programs Coordinator will have responsibility for ensuring all requirements are met by SJHH providers for attestation, serves as the point of contact for internal and external inquiries on payment or performance status. This position will partner with Decision Support teams to obtain data and perform high level analysis on SJHH's performance trends. In addition, this position will support Performance Improvement teams to communicate opportunities in performance.

Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Required Qualifications:

• 1 year of experience in a health care setting or medical claims/insurance operations.

Preferred Qualifications:

• PMI Project Management Professional certification upon hire.
• 5 years of experience in a health care or managed care system.
• Project management experience in an ambulatory care environment.
• Experience with Six Sigma Quality Improvement and Lean Production/Manufacturing processes and tools.

Why Join Providence?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.