Quality and Population Health Coordinator I (ALD)

L.A. Care Health Plan; Los Angeles (CA); Hybrid; USD 46,000 - 63,000; Full time

Job summary

An established industry player is seeking a Quality and Population Health Coordinator I to enhance health outcomes and promote equity in care. This role involves outreach to members and providers, ensuring timely appointments and closing care gaps. With a mix of remote and in-office work, you'll play a crucial part in quality improvement initiatives, making a real difference in the community. Join a team dedicated to providing accessible healthcare and enjoy a supportive environment with comprehensive benefits, including paid time off and tuition reimbursement. If you're passionate about health and community service, this opportunity is perfect for you.

Benefits

Paid Time Off (PTO)

Tuition Reimbursement

Retirement Plans

Medical, Dental, and Vision

Wellness Program

Volunteer Time Off (VTO)

Qualifications

• At least 3 months of experience with patient or provider communication.
• Experience in health plan or health education settings preferred.

Responsibilities

• Make outbound calls to members for scheduling and coordinating services.
• Educate members on missing care gaps and promote health activities.
• Outreach to providers for medical reports and support quality improvement.

Skills

Compassion

Excellent Communication

Interpersonal Skills

Proficiency in Microsoft Office

Organizational Skills

Knowledge of HEDIS

Bilingual Abilities

Education

High School Diploma

Associate's Degree

Tools

Microsoft Office

Job description

Quality and Population Health Coordinator I (ALD)

Join to apply for the Quality and Population Health Coordinator I (ALD) role at L.A. Care Health Plan.

Salary Range: $46,800.00 (Min.) - $52,597.00 (Mid.) - $62,270.00 (Max.)

Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan, serving more than 2 million members, ensuring they get the right care at the right time.

Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.

Job Summary

The Quality and Population Health Coordinator I (QPHC) is responsible for outreaching to members to close care gaps, outreach to providers for medical record pursuit and retrieval, and supporting L.A. Care medical groups by assisting with scheduling member appointments. This role combines remote and in-office work, primarily embedded in provider offices, providing direct outreach to members. The QPHC is vital to L.A. Care’s quality improvement efforts, aiming to improve health outcomes, population health, health equity, and member and provider experience.

Duties

• Make outbound calls to members to assist with scheduling and coordinating services (e.g., appointments, lab tests, health screenings, transportation). (25%)
• Educate members on missing care gaps, encourage closing gaps, and promote health activities like health fairs. (25%)
• Outreach to providers to request medical reports via fax, electronic records, or on-site visits if needed. (15%)
• Review medical records, claims, and encounter data to identify key information for closing care gaps. (15%)
• Support care gap closure campaigns and other quality improvement programs. (15%)
• Perform other duties as assigned. (5%)

Education

Required: High School Diploma or equivalency.

Preferred: Associate's Degree.

Experience

Required: At least 3 months of experience with workflows related to patient or provider communication and outreach, and experience working in an office setting with basic equipment.

Preferred: Experience in health plan, provider practice, or health education settings.

Skills

Required: Compassion, strong motivation, excellent communication, interpersonal skills, proficiency in Microsoft Office, organizational skills, effective communication with patients and providers. Knowledge of HEDIS and quality measures, bilingual abilities are highly desirable.

Licenses/Certifications

Active & current driver’s license, auto insurance.

Additional Information

Light physical requirements, travel to offsite locations, and a limited duration position of 1-2 years with full benefits.

Benefits

• Paid Time Off (PTO)
• Tuition Reimbursement
• Retirement Plans
• Medical, Dental, and Vision
• Wellness Program
• Volunteer Time Off (VTO)