Quality Improvement Coordinator

Astiva Health, Inc.; Orange (CA); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

401(k)

Dental insurance

Health insurance

Life insurance

Paid time off

Vision insurance

Free lunches on site

Job summary

A premier healthcare provider in California is seeking a Quality Improvement Coordinator responsible for implementing quality improvement initiatives related to HEDIS measures. The role includes collaborating with internal and external stakeholders to ensure compliance and improve services. Ideal candidates will have over three years of relevant experience and strong data analysis skills. The position offers benefits such as health insurance, 401(k), and paid time off, requiring attendance in the office five days a week.

Qualifications

• 3+ years of quality improvement or healthcare related experience.
• Familiarity with HEDIS measures, specifications, and reporting requirements.
• Detail-oriented, organized, and possessing problem-solving skills.

Responsibilities

• Coordinate and partner with IPA/MSO delegates for data reporting.
• Identify gaps and opportunities for quality improvement.
• Review and implement projects to enhance service delivery.

Skills

Quality improvement experience

Data analysis

Communication skills

Excel proficiency

Problem-solving skills

Job description

About Us

Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize accessibility, affordability, and quality in all aspects of our services. Join us in our mission to transform healthcare delivery and make a meaningful difference in the lives of our members.

Summary

The Quality Improvement Coordinator will be responsible for coordinating and implementing quality improvement initiatives related to HEDIS measures and risk adjustments/HCC. This individual will work with internal and external stakeholders to ensure compliance with HEDIS specifications, data collection, reporting, and improvement strategies.

Responsibilities

• Regular and consistent attendance. In office attendance is requested 5 days a week.
• Coordinate and partner with IPA/MSO delegates for HEDIS and risk adjustment data reporting.
• Identify gaps and opportunities for improvement.
• Collaborate with internal departments to review and implement projects and interventions to improve delivery of services and quality of care.
• Assist with audits and reviews to ensure data accuracy and validity.
• Review and summarize collected data with trend analysis for additional provider educational opportunities.
• Attend health plan meetings as requested by department leadership.
• Stay updated on HEDIS and risk adjustment specifications, guidelines, and industry trends.

Benefits

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance
• Free lunches on site

Qualifications

• 3+ years of quality improvement or healthcare related experience.
• Familiarity with HEDIS measures, specifications, and reporting requirements.
• Proficient in data analysis, Excel, and quality improvement methodologies.
• Excellent communication, presentation, and interpersonal skills.
• Ability to work independently and collaboratively in a fast‑paced environment.
• Detail‑orientated, organized, and problem‑solving skills.