Quality Improvement Coordinator

Duly Health and Care; Downers Grove (IL); On-site; USD 80,000 - 100,000; Full time

Job summary

Ein innovatives Unternehmen im Gesundheitswesen sucht einen Quality Improvement Coordinator, der eine Schlüsselrolle bei der Koordination von Qualitätsverbesserungsaktivitäten spielt. In dieser spannenden Position werden Sie mit verschiedenen Stakeholdern zusammenarbeiten, um sicherzustellen, dass alle Qualitätsanforderungen erfüllt werden. Sie werden auch für die Erstellung von Berichten und die Analyse von Daten verantwortlich sein, um die Qualität der Dienstleistungen zu verbessern. Wenn Sie eine Leidenschaft für das Gesundheitswesen haben und einen positiven Einfluss auf die Patientenversorgung ausüben möchten, ist dies die perfekte Gelegenheit für Sie.

Benefits

Umfassende medizinische, zahnärztliche und visuelle Leistungen

Lebens- und Invaliditätsversicherung

$5,250 Studiengebührenrückerstattung pro Jahr

Sofortige 401(k)-Übereinstimmung

12 Wochen Elternzeit bei 100% Gehalt

Qualifications

• 5 Jahre Erfahrung im Gesundheitswesen erforderlich.
• Ausgezeichnete Kommunikations- und Organisationsfähigkeiten.

Responsibilities

• Koordiniert alle obligatorischen QI-Aktivitäten zwischen Trägern und Boncura-Kunden.
• Erstellt monatliche Berichte über Versorgungslücken.

Skills

Kommunikationsfähigkeiten

Organisationsfähigkeiten

Microsoft Office

Datenmanipulation

Epic Formatting

Education

High School Diploma

Tools

Microsoft Office

Job description

Join to apply for the Quality Improvement Coordinator role at Duly Health and Care.

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Join to apply for the Quality Improvement Coordinator role at Duly Health and Care.

• Comprehensive medical, dental, and vision benefits, including healthcare navigation assistance and medical coverage at 100% (after deductible) when utilizing a Duly provider.
• Employer-provided life and disability insurance.
• $5,250 Tuition Reimbursement per year.
• Immediate 401(k) match.
• A culture committed to Diversity, Equity, and Inclusion (DEI) and Social Impact.
• Up to 12 weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for eligible non-physician team members.

Overview

Position Highlights:

• Full-Time, 40 hours per week
• Monday - Friday
• Primary Location: Downers Grove, IL.

Benefits:

• Same as above.

Responsibilities

The Coordinator of Quality Improvement, reporting to the Manager of Quality Improvement, coordinates all mandatory QI activities between carriers and Boncura Clients. The role aims to help clients achieve maximum quality incentives through gap reporting, sharing best practices, and ensuring timely completion of required reports. This person will also serve as a key liaison between the quality nurse and reporting teams to ensure accurate and actionable reports.

• Project manages submission of QI project documentation, including GPRO, 5 Star, and HEDIS, to carriers.
• Coordinates reporting requests, creates monthly reports on gaps in care, and confirms data accuracy through quality checks and audits.
• Provides prospective outreach to patients for upcoming projects.
• Creates executive summaries of QI project progress.
• Performs data entry for quality data submissions.
• Tracks and resolves customer complaints.
• Monitors health plan portals for report releases and updates team.
• Evaluates changes to the BCBS MSA plan and updates incentive impact assessments.
• Reviews updates to NCQA, AGDIS, and 5 Star metrics, recommends adjustments, and updates reference guides.
• Performs other duties as assigned.

Qualifications

Minimum Education and Experience:

• High School Diploma required.
• 5 years healthcare experience.

Knowledge, Skills, and Abilities:

• Excellent communication, organizational skills, and attention to detail.
• Proficiency in Microsoft Office, including data manipulation, formulas, graphs, and pivot tables.
• Ability to prioritize, organize, and multitask.
• Experience with Epic formatting and content.
• Ability to make independent decisions.

The compensation range is $20.59-$30.89 hourly, with actual pay based on skills, experience, and other factors. Additional incentives may apply.