Remote Clinical Quality Improvement Specialist

Guidehealth

Chicago (IL)

Remote

USD 38,572 - 41,328

Full time

14 days+

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Benefits offered by this job

Work from Home

401(k) matching

Medical, Dental, Vision

Job summary

Guidehealth, a remote-first healthcare company, is hiring a Remote Clinical Quality Improvement Coordinator to drive quality initiatives and patient outreach across payers and providers. You will access EMR data, claims, and outreach to close quality gaps while collaborating with a diverse team.

The role requires 1–3 years of healthcare experience, proficiency in Excel and PowerPoint, and strong communication with attention to detail.

Qualifications

Associate degree or greater in related field or certified/licensed professional-CMA, LPN.
1-3 years of experience in healthcare; EMR/data abstraction; medical terminology; quality measures; billing/coding.
2 years’ experience in Medicare Advantage Quality data abstraction and patient outreach.
Tech savvy with health data, Excel and PowerPoint, multiple systems.
Strong verbal and written communication; detail-oriented; able to meet deadlines.

Responsibilities

Work in a fully remote environment and engage with team daily.
Be SME on quality improvement measures, services, and payer initiatives.
Conduct proactive patient outreach to address quality gaps and educate on preventive care.
Collect quality data from EMR, claims, and provider outreach.
Manage daily work using EMR systems, payer portals, vendor platforms, and Guidehealth apps.
Collaborate with customers, payers, and staff to meet deadlines and improve outcomes.