Quality Improvement Coordinator

Florida Health Care Plans, Inc.; Daytona Beach (FL); Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a Quality Improvement Coordinator to enhance the quality and safety of healthcare services for its members. This pivotal role involves creating project plans and collaborating with various stakeholders to identify and implement improvement opportunities. The ideal candidate will have a strong background in healthcare quality, critical thinking abilities, and proficiency in data analysis tools. Join a forward-thinking company dedicated to making a positive impact on the lives of its members and enjoy the flexibility of working remotely within the coverage area.

Qualifications

• 5+ years in healthcare with a focus on quality improvement.
• Bachelor's degree in public health or nursing required.

Responsibilities

• Improve quality and safety of healthcare for members.
• Create project plans and collaborate with resources.

Skills

Healthcare quality improvement

Critical thinking

Data analysis

Effective communication

Project management

Education

Bachelor’s degree in public health or related field

Graduate of accredited nursing program (RN or LPN)

Tools

MS Word

MS Excel

MS PowerPoint

MS Access

SQL

Zoom

Job description

Remote 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 health care our FHCP members receive. This position will have the opportunity and responsibility to create project plans as well as collaborate with many other resources to improve processes. This role will be encouraged to research opportunities for improvement. Tools utilized will include the electronic health record, claims system, clinical informatics reports, national guidelines, NCQA standards, HEDIS specifications, CMS regulations and other applicable resources.

QUALIFICATIONS:

Education, skills and experience:

• A Bachelor’s degree in public health, health care management, healthcare informatics or health education with five years of experience in a health care 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 preferred.
• Knowledge of HEDIS, CMS Star measures, and health plan accreditation standards.
• Interest in improving the quality and safety of the FHCP health care system and making a difference in the lives of our members.
• Critical thinking required.
• Ability to demonstrate proficiency in MS Word, Excel, PowerPoint, and Access.
• Ability to analyze data and prepare reports including but not limited to, the creation and manipulation of Excel pivot tables. SQL coding experience preferred.
• Able to proficiently and effectively handle multiple priorities, projects and deliverables.
• Ability to effectively communicate with physicians and other clinical and non-clinical staff to support and achieve long-term performance improvement goals and objectives.
• Possesses flexibility and the ability to work independently.
• Ability to work remotely and utilize platforms such as Zoom.