Quality Management Coordinator II

Advanced Medical Management, Inc.; Long Beach (CA); On-site; USD 60,000 - 80,000; Full time

Benefits offered by this job

Full employer-paid HMO

Tuition reimbursement

Generous PTO and paid holidays

Job summary

Advanced Medical Management, Inc. is seeking a Quality Management Coordinator II to manage health plan gap reports and work closely with Quality Management Specialists. This role involves ensuring providers receive gap reports, performing medication adherence calls, and managing multiple projects. The ideal candidate has at least 1 year of healthcare experience, excels in problem-solving, and possesses excellent organizational skills. AMM offers a benefits package focusing on health coverage, wellness, and career development.

Qualifications

• Minimum of 1 year 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 excellent problem-solving, decision-making and follow-through skills.
• Valid driver’s license.
• Knowledge of quality performance measures and requirements.

Responsibilities

• Perform medication adherence calls.
• Responsible for running the reports and providing them to the assigned providers.
• Assist in the annual wellness form workflow in Ezcap.
• Participate in work groups and health plan meetings.
• Assist in coordinating new enhancements to improve STARs quality outcomes.

Skills

Problem-solving

Project management

Organizational skills

Interpersonal relationships

Technical knowledge

Job description

The Quality Management Coordinator II manages the health plan gap reports and works closely with the Quality Management Specialists to ensure providers receive monthly gap reports with the PCP scorecard, actively communicate to close gaps, and achieve quality patient care.

RESPONSIBILITIES-DUTIES

• Perform medication adherence calls.
• Responsible for running the reports and providing them to the assigned providers.
• Responsible for entering supplemental data in Patient Center.
• Assist in the annual wellness form workflow in Ezcap.
• Participate in work groups and health plan meetings.
• Assist in coordinating new enhancements, including system enhancements and report generation, to improve STARs quality outcomes.
• Participate and/or coordinate projects with the interdepartmental team, building and maintaining a good working relationship with internal and external stakeholders and key contacts.
• Assist in coordinating new enhancements, including system enhancements and report generation to improve STARs quality outcomes.
• Demonstrate and maintain current working knowledge of the required AMM systems.
• Performs other duties as assigned.

JOB REQUIREMENTS

• Minimum of 1 year 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 excellent 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.

AMM BENEFITS

When you join AMM, you’re not just getting a job—you’re getting a benefits package that puts YOU first:

• Health Coverage You Can Count On: Full employer‑paid HMO and the option for a flexible PPO plan.
• Wellness Made Affordable: Discounted vision and dental premiums to help keep you healthy from head to toe.
• Smart Spending: FSAs to manage healthcare and dependent care costs, plus 401(k) to secure your future.
• Work‑Life Balance: Generous PTO, 40 hours of sick pay, and 13 paid holidays to enjoy life outside of work.
• Career Development: Tuition reimbursement to support your education and growth.