Remote Quality Improvement Coordinator: HEDIS

Astiva Health; San Jose (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

Astiva Health, Inc. in Orange, CA, seeks a Quality Improvement Coordinator for remote work with occasional visits to the San Jose, CA area.

The role focuses on coordinating quality initiatives related to HEDIS measures and risk adjustments, ensuring data accuracy, reporting, and continuous improvement. Ideal candidates have 3+ years in quality improvement or healthcare, strong data analysis skills and proficiency with Excel, and excellent communication and teamwork abilities to work with IPA/MSO

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.

Responsibilities

• 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.

Skills

Quality improvement

Data analysis

Excel

Communication skills

Independent work

Team collaboration

Tools

Excel

Job description

Astiva Health, Inc. in Orange, CA, seeks a Quality Improvement Coordinator for remote work with occasional visits to the San Jose, CA area.

The role focuses on coordinating quality initiatives related to HEDIS measures and risk adjustments, ensuring data accuracy, reporting, and continuous improvement. Ideal candidates have 3+ years in quality improvement or healthcare, strong data analysis skills and proficiency with Excel, and excellent communication and teamwork abilities to work with IPA/MSO