Healthcare Quality Coordinator – Provider Outreach, Compliance

🔥 3 minutes ago

🇺🇸 United States – Remote

💵 $53.2k - $79.8k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚔 Compliance

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Alignment Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2013

⚕️ Healthcare Insurance

🛡️ Insurance

🏥 Healthcare

💰 $135M Series C on 2020-03

Healthcare Insurance • Insurance • Healthcare

Alignment Health is dedicated to providing comprehensive care for Medicare members, emphasizing the needs of seniors, the chronically ill, and those who are frail. With a mission to transform senior healthcare, Alignment Health leverages a tailored care model and advanced technology to deliver high-quality, low-cost healthcare services. Their 24/7 concierge care team collaborates with trusted local providers to ensure that every member receives personalized care, reflecting the company's commitment to treating all members as valued family members.

📋 Description

• Provide administrative and clerical support and project coordination within the quality management department • Collect data related to quality management initiatives • Conduct provider outreach to ensure regulatory-required compliance • Coordinate and conduct activities with providers, external vendors, and internal departments • Aggregate data and perform initial analysis of assigned project results • Produce charts, graphs, and reports demonstrating results and outcomes • Maintain up-to-date databases and tracking logs • Request medical records for quality review activities • Conduct phone and fax follow-up; troubleshoot, investigate, and follow up on missing information • Collaborate with clinical staff on patient safety issues • Perform other duties and special projects as assigned

🎯 Requirements

• 1+ year of experience in a medical office, health plan or hospital environment performing clerical supportive duties • Managed care experience • 2+ years’ professional experience with MS Office Suite—Word, Outlook, Excel, Access • High School Diploma or GED • Six months+ related experience and/or training • Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others • Effective written and oral communication skills; ability to establish and maintain constructive relationships with diverse members, management, employees and vendors • Ability to perform mathematical calculations and calculate simple statistics correctly • Ability to prioritize multiple tasks; advanced problem-solving; ability to use advanced reasoning to define problems, collect data, establish facts, draw valid conclusions, and design, implement and manage appropriate resolution • Effective problem-solving, organizational and time-management skills and ability to work in a fast-paced environment • Ability to comprehend and analyze statistical reports • Ability to work independently and as part of an integrated team • Ability to maintain confidentiality and comply with HIPAA • Ability to meet the stated essential physical functions, including standing, walking, sitting, hand and finger use, reaching, talking, hearing, and frequently lifting or moving up to 10 pounds • Associate degree preferred