Quality Improvement Coordinator: Accreditation & Data

UPMC; Pittsburgh (Allegheny County); Hybrid; USD 52,000 - 76,000; Full time

Job summary

UPMC Health Plan is hiring a full-time Coordinator, Quality Improvement for a hybrid role based in downtown Pittsburgh. The position emphasizes data collection, abstraction, and project management to advance accreditation efforts across NCQA Health Plan Accreditation, LTSS Distinction, and related programs.

The role requires collaboration with multiple departments and stakeholders to monitor performance, implement improvement plans, and ensure compliant documentation while supporting health plan

Qualifications

• Experience in network management and/or member services.
• Familiar with NCQA accreditation processes is a plus.
• Ability to analyze data and support quality improvement initiatives.

Responsibilities

• Support NCQA accreditation activities through data collection and reporting.
• Coordinate with multiple departments to ensure documentation meets standards.
• Assist with responses to information requests for business development.
• Meet HIPAA guidelines and maintain data privacy and security.
• Support committee functions and ensure meetings are well documented.

Skills

Network management

Member services

Job description

UPMC Health Plan is hiring a full-time Coordinator, Quality Improvement for a hybrid role based in downtown Pittsburgh. The position emphasizes data collection, abstraction, and project management to advance accreditation efforts across NCQA Health Plan Accreditation, LTSS Distinction, and related programs.

The role requires collaboration with multiple departments and stakeholders to monitor performance, implement improvement plans, and ensure compliant documentation while supporting health plan