Quality and Population Health Coordinator I (ALD)

Lensa; Los Angeles (CA); On-site; USD 46,000 - 63,000; Full time

Job summary

A prominent health plan in Los Angeles seeks a Quality and Population Health Coordinator I to manage outreach efforts for members and providers. This role emphasizes improving health outcomes and requires effective communication skills. Full-time employment provides comprehensive benefits, including tuition reimbursement and paid time off, aiming to positively impact community health.

Benefits

Paid Time Off (PTO)

Tuition Reimbursement

Retirement Plans

Medical, Dental and Vision

Wellness Program

Volunteer Time Off (VTO)

Qualifications

• 3 months experience in patient/provider communication required.
• Experience in an office setting with basic office equipment necessary.
• Bilingual in one of L.A. Care's threshold languages preferred.

Responsibilities

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

Skills

Compassion

Communication

Organizational skills

Education

High School Diploma/or High School Equivalency Certificate

Associate's Degree

Tools

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Microsoft Outlook

Job description

Quality and Population Health Coordinator I (ALD)

Quality and Population Health Coordinator I (ALD)

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Lensa is the leading career site for job seekers at every stage of their career. Our client, L.A. Care Health Plan, is seeking professionals in Los Angeles, CA. Apply via Lensa today!

Quality and Population Health Coordinator I (ALD)

Job Category: Administrative, HR, Business Professionals

Department: Health Education

Location:

Los Angeles, CA, US, 90017

Position Type: Full Time

Requisition ID: 12025

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, we make sure our members get the right care at the right place 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. The QPHC also outreaches to providers for medical record pursuit and retrieval. This position supports the L.A. Care medical groups by assisting with scheduling member appointments. While this role is a combination of remote and in office work, this role is intended to support L.A. Care medical groups by being embedded in the provider offices and providing direct outreach to L.A. Care members. The QPHC is an important member of L.A. Care’s quality improvement team, helping to drive improvement in health outcomes, population health, and health equity, as well as member and provider experience.

Duties

Make outbound calls to members to assist with scheduling and coordinating services (e.g. appointments, lab tests, health screenings, other diagnostic studies, transportation, etc.). (25%) Educate members on missing gaps in care. Encourage them to close care gaps and pursue preventative health and health promotion activities such as health fairs. (25%) Outreach to providers to request medical reports by fax, electronic medical records, or on-site visits if needed. (15%) Review medical records, claims, and encounter data to identify key information to help close gaps in care. (15%) Provide support as needed for care gap closure campaigns and other quality improvement programs. (15%)

Perform other duties as assigned. (5%)

Duties Continued

Education Required

High School Diploma/or High School Equivalency Certificate

Education Preferred

Associate's Degree

Experience

Required:

At least 3 months of experience following basic workflows, procedures, and standards related to patient or provider communication and outreach.

Previous experience working in an office setting with basic office equipment such as telephones, fax machines, computers, etc.

Preferred:

Health Plan, provider practice, or health education experience.

Skills

Required:

Demonstrates deep compassion and sensitivity towards patient needs and community well-being.

Driven by strong motivation to positively impact people’s lives.

Excellent verbal and written communication skills.

Excellent interpersonal skills.

Proficient with Microsoft Word, Excel, PowerPoint, and Outlook.

Skills in utilizing various online platforms and search engines to efficiently gather accurate and relevant information.

Highly organized with ability to maintain accurate notes and records.

Demonstrates high efficiency in managing tasks and consistently delivering projects to successful and reliable completion.

Ability to communicate effectively with patients and health care providers.

Preferred:

Some knowledge of HEDIS and other quality measures.

Some knowledge of quality improvement processes.

Bilingual in one of L.A. Care Health Plan’s threshold languages is highly desirable. English, Spanish, Chinese, Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese

Licenses/Certifications Required

Active & Current Driver's License, with a clean record and Auto Insurance Required

Licenses/Certifications Preferred

Required Training

Physical Requirements

Light

Additional Information

Required:

Travel to offsite locations for work.

Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.

This position is a limited duration position. The term of this position is a minimum one year and maximum of two years from the start date unless terminated earlier by either party. Limited duration positions are full-time positions and are eligible to receive full benefits.

L.A. Care offers a wide range of benefits including

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

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Quality Assurance

• Industries

  IT Services and IT Consulting

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