Quality Coordinator

🔥 1 minute ago

🇺🇸 United States – Remote

💵 $51.6k - $64.5k / year

⏰ Full Time

🟠 Senior

🔴 Lead

👻 Ghost score 0%

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Valley Healthcare System, Inc.

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

💊 Pharmaceuticals

Healthcare • Pharmaceuticals

Valley Healthcare System, Inc. is a multi-specialty primary health care organization that aims to provide superior health services. Originally established as the Community Health Center of South Columbus in 1994, the organization has expanded significantly since its inception, offering a range of medical services including family practice, OB/GYN, pediatrics, vision care, pharmacy, behavioral health, patient transportation, dental services, lab services, and outreach programs. Valley Healthcare serves a diverse community in the Chattahoochee Valley region and beyond.

📋 Description

• Report to the Chief Medical Officer and provide leadership for Valley Healthcare System's organization-wide quality and performance improvement program • Develop and revise the annual Quality Improvement program, evaluation, and work plan • Integrate quality planning into organizational strategic and operating plans • Develop a data-driven culture supporting compliance and continuous quality improvement • Lead complex improvement initiatives and resolve strategically important quality issues • Design, plan, and implement performance improvement systems • Review processes, policies, and procedures; identify best practices and recommend changes • Conduct quality audits related to Uniform Data System reporting, Patient-Centered Medical Home standards, HEDIS measures, Meaningful Use requirements, and other applicable programs • Collect, prepare, trend, and analyze aggregate performance improvement and quality monitoring data • Present data and findings to executive leadership, committees, and departments • Review clinical documentation for completeness, accuracy, quality, and compliance • Identify audit outliers and quality concerns; develop and monitor corrective action plans • Research clinical standards, benchmarks, and evidence-based criteria • Assist with provider documentation and quality audits at least twice annually • Coordinate care-gap closure and payer quality initiatives for Medicaid and managed care patients • Distribute and track patient appointment agendas and quality documentation from contracted partners • Promote healthcare integration and Patient-Centered Medical Home principles • Coach and support staff in completing quality improvement deliverables • Provide consultation, technical assistance, and training on quality tools, methods, and measures • Coordinate and provide functional direction to Data Analysis, Medical Records, and Risk Management personnel • Consult with leadership, managers, providers, and staff on quality, compliance, risk, and performance matters • Monitor regulatory requirements, professional standards, accreditation expectations, and industry practices • Support compliance with federal, state, and local requirements, ethical standards, confidentiality guidelines, and HIPAA policies • Identify methods to reduce organizational, clinical, and operational risk • Serve on and lead meetings for the Quality Improvement Committee and Risk Management and Compliance Committee • Develop strategic partnerships and seek funding to strengthen quality management programs • Maintain quality management knowledge through continuing education and professional development • Lead or assist with special projects assigned by the Chief Executive Officer or Chief Medical Officer

🎯 Requirements

• Bachelor's degree in social work, healthcare administration, business administration, or a closely related field from an accredited institution • Master's degree preferred • Seven to ten years of progressively responsible managerial experience in a healthcare, social service, or business environment • At least five years of experience developing, implementing, and maintaining quality management systems encompassing quality assurance, performance improvement, and compliance activities • Experience with NCQA accreditation requirements and Medicaid quality programs preferred • Demonstrated experience in performance improvement, statistical analysis, information systems, data visualization, and outcome measurement strongly preferred • Working knowledge of continuous quality improvement, quality assurance, risk management, healthcare compliance, clinical documentation auditing, and corrective action planning • Knowledge of HIPAA, NCQA, PCMH, UDS, HEDIS, Medicaid managed care quality requirements, and other applicable healthcare standards • Ability to analyze complex quantitative and qualitative data, identify meaningful trends, and communicate findings through accurate reports, graphs, and presentations • Strong project management, facilitation, training, coaching, problem-solving, and organizational skills • Ability to collaborate across clinical, administrative, and executive teams while exercising sound independent judgment • Strong written and verbal communication skills, attention to detail, discretion, and commitment to patient privacy • Proficiency with electronic health records, spreadsheets, databases, presentation software, and other quality measurement and reporting tools • Ability to comply with company policies and Federal, State, and Local medical service requirements • Required to sign a Pledge of Confidentiality and comply with HIPAA Privacy & Security requirements • Requires prolonged sitting, standing, bending, stooping, stretching, eye-hand coordination, and manual dexterity • Requires corrected vision and hearing to normal range • Frequent exposure to communicable diseases, toxic substances, and other clinic-environment conditions • Occasional evening or weekend work

🏖️ Benefits

• 100% employer-paid Medical coverage (valued at $10,000/year) • Long-term Disability coverage • Free Dental and Vision services in our clinics • Additional Dental, Vision, and Short-term disability coverage available for purchase at a reduced cost • Full Benefits Package