Quality Improvement Coordinator

Florida Health Care Plans; Daytona Beach (FL); Remote; USD 50,000 - 80,000; Full time

Job summary

Join a forward-thinking healthcare organization as a Quality Improvement Coordinator, where your expertise will play a pivotal role in enhancing the quality and safety of healthcare services. In this dynamic position, you will collaborate with diverse teams to develop project plans aimed at improving processes and outcomes for members. Your analytical skills will be crucial as you utilize various tools, including electronic health records and clinical informatics reports, to identify areas for improvement. If you're passionate about making a difference in healthcare and possess strong communication and critical thinking skills, this is the perfect opportunity for you.

Qualifications

• 5+ years of experience in a healthcare environment.
• Strong written and verbal communication skills are essential.
• Ability to analyze data and prepare reports effectively.

Responsibilities

• Enhance healthcare quality and safety for FHCP members.
• Create project plans and collaborate with various resources.
• Research opportunities for improvement based on national guidelines.

Skills

Healthcare quality improvement

Critical thinking

Data analysis

Communication skills

Proficiency in MS Office

Education

Bachelor's degree in public health or related field

CPHQ certification

Tools

Electronic health records

Claims systems

SQL

Job description

Quality Improvement Coordinator

Department: Quality Management

Position Type: Full-time, 1st shift

Working Hours: Monday - Friday, 8am - 5pm

Remote Work: Within Our Coverage Area of Volusia, Flagler, Seminole, Brevard, and St. Johns Counties

Position Summary

The role of the Quality Improvement Coordinator is to improve the quality and safety of healthcare our FHCP members receive. This position involves creating project plans, collaborating with various resources to enhance processes, and researching opportunities for improvement. Tools utilized include electronic health records, claims systems, clinical informatics reports, national guidelines, NCQA standards, HEDIS specifications, CMS regulations, and other relevant resources.

Qualifications

• Bachelor's degree in public health, healthcare management, healthcare informatics, or health education with five years of experience in a healthcare environment, or a graduate of an accredited nursing program (RN or LPN) with a current valid Florida license.
• Healthcare quality and performance improvement experience required; CPHQ certification preferred.
• Knowledge of HEDIS, CMS Star measures, and health plan accreditation standards.
• Interest in improving the quality and safety of the FHCP healthcare system and making a difference in members' lives.
• Critical thinking skills.
• Proficiency in MS Word, Excel, PowerPoint, and Access.
• Ability to analyze data and prepare reports, including creating and manipulating Excel pivot tables; SQL coding experience is a plus.
• Ability to handle multiple priorities, projects, and deliverables effectively.
• Strong written communication skills.
• Effective communication with physicians and clinical/non-clinical staff to support performance improvement goals.
• Flexibility and ability to work independently.
• Ability to work remotely using platforms such as Zoom.