Quality Management Coordinator: Gap Analysis & Provider Outreach

ADP, Inc.; Long Beach (CA); On-site; USD 28,000 - 37,000; Full time

Benefits offered by this job

Health coverage: employer-paid HMO and

Flexible PPO option

Discounted vision premiums

Dental premiums

FSAs for healthcare and dependent care

401(k) plan

Generous PTO and sick pay

13 paid holidays

Tuition reimbursement

Company outings

Job summary

ADP, Inc. is seeking a Quality Management Coordinator I or II in Long Beach, CA to support the Quality team in closing care gaps and improving STARs outcomes. Responsibilities include gap analysis, data submission, and coordinating with health plans and providers.

The role emphasizes cross-functional collaboration, system knowledge (AMM tools), and project management to ensure timely, accurate reports and adherence to quality standards.

Qualifications

• AA degree or 2 years of experience or a combination of education and experience.
• Coordinator II requires at least 1 year of experience in managed care or health care.
• Experience in managing projects from start to finish.
• Ability to work on multiple projects simultaneously.
• Self-starter with problem solving, decision making and follow through skills.
• Valid driver’s license.
• Knowledge of quality performance measures and requirements.
• Demonstrates technical and operational knowledge and expertise.
• Cultivates positive professional and interpersonal relationships with health plans.
• Effective organizational skills.

Responsibilities

• Perform health plan gap analysis and manage health plan gap reports.
• Submit supplemental data to health plans and enter supplemental data in Patient Center.
• Process pharmacy and lab data.
• Assist in the annual wellness form workflow in OnBase and Ezcap.
• Participate in work groups and health plan meetings.
• Demonstrate and maintain current working knowledge of the required AMM systems.
• Reports to the Director of Provider Network.
• Perform other duties as assigned.
• Coordinator II: Perform medication adherence calls.
• Run gap reports and PCP scorecards and provide them to assigned providers.
• Communicate with providers to actively close gaps in care.
• Assist in coordinating system enhancements and report generation to improve STARs quality outcomes.
• Participate in and/or coordinate interdepartmental projects, building strong working relationships with internal and external stakeholders.

Skills

Project management

Multitasking

Problem solving

Driver's license

Quality measures

Technical knowledge

Relationship building

Organizational skills

Education

AA degree or 2 years experience

Coordinator II: 1 year managed care/health care

Tools

OnBase

Ezcap

Job description

ADP, Inc. is seeking a Quality Management Coordinator I or II in Long Beach, CA to support the Quality team in closing care gaps and improving STARs outcomes. Responsibilities include gap analysis, data submission, and coordinating with health plans and providers.

The role emphasizes cross-functional collaboration, system knowledge (AMM tools), and project management to ensure timely, accurate reports and adherence to quality standards.