Remote Quality Reporting & Data Specialist

Arizona Complete Health; Arizona; Remote; USD 27,000 - 45,000; Full time

Job summary

Arizona Complete Health is seeking a Quality Data Coordinator to organize and assemble quality indicators for QM/Risk committees. You will coordinate QOC tracking and ensure timely submission to payors, with remote work and optional monthly on-site presence at the Tempe, AZ office.

The role requires a high school diploma and 2+ years in healthcare coordination, plus knowledge of medical terminology. Pay ranges from $19.43 to $32.98 per hour with Centene benefits.

Qualifications

• High school diploma or equivalent.
• 2+ years in a health care setting coordinating member care.
• In-depth knowledge of medical/mental health terminology.

Responsibilities

• Prepare Quality Improvement (QI) reports and submit for review prior to submission.
• Track incident, accident, and death (IAD) reports and correspond to QOC investigations to ensure resolution meets the timeliness standards and ensure appropriate information is provided the payor.
• Organize and assemble IAD and QOC data for the QM Committee, the Credentialing Committee, and other entities.
• Ensure that all departments submit reports timely to the Payors.
• Participate in the Risk Committee or other appropriate committees as designated.
• Conduct audits of the State IAD-QOC database to ensure data integrity and timeliness of portal submissions.
• Prepare provider financial sanctions for review prior to submission.
• Serve as primary point of contact to resolve provider issues regarding IADs and QOCs.

Skills

QI reporting

IAD/QOC coordination

Data organization

Provider issue resolution

Risk committee participation

Education

High school diploma or equivalent

Job description

Arizona Complete Health is seeking a Quality Data Coordinator to organize and assemble quality indicators for QM/Risk committees. You will coordinate QOC tracking and ensure timely submission to payors, with remote work and optional monthly on-site presence at the Tempe, AZ office.

The role requires a high school diploma and 2+ years in healthcare coordination, plus knowledge of medical terminology. Pay ranges from $19.43 to $32.98 per hour with Centene benefits.