Quality Coordinator I - Measurement Improvement & Data Operations
VALLEY HEALTH CARE INC
9 hours ago
Full-time
On-site
Elkins, West Virginia, United States
Social Worker
Job Details: Job Location: VHC Elkins - Elkins, WV, Position Type: Full Time, Education Level: 2 Year Degree, Salary Range: Undisclosed, Travel Percentage: Up to 25%, Job Shift: Day, Job Category: Health Care, Job Summary
Valley Health Care, Inc. (VHC) is committed to providing outstanding patient care. The Quality Coordinator I – Measurement Improvement & Data Operations supports this mission by assisting the Clinical Quality Manager in advancing organizational quality initiatives and ensuring the delivery of safe, effective, affordable, and patient-centered care.
This position focuses on quality data management, performance measurement, and care gap closure while supporting quality improvement initiatives across the organization. This position is responsible for accurate entry, extraction, analysis, and reporting of quality data, medical records, and related documentation. Through ongoing monitoring of quality metrics and performance outcomes, this role helps identify opportunities for improvement and supports VHC’s strategic quality and compliance goals.
Essential Duties and Responsibilities
Measurement Improvement & Outreach
Monitor UDS, HEDIS, HRSA, and payer quality measures for performance gaps
Generate patient lists for needed services and coordinate outreach
Collaborate with scheduling staff to arrange appointments
Conduct patient outreach and document attempts in the EHR
Track measure improvement progress and outcomes
Coordinates scheduling and logistics for mobile health units to ensure efficient service delivery
Data, Reports & EHR Extraction
Run routine and ad hoc quality reports from AZARA
Extract, validate, and reconcile EHR data for reporting
Identify documentation gaps and provide feedback to clinical teams
Maintain dashboards, spreadsheets, registries, and audit tools
Accurately uploads quality measure closure information and documentation into payer systems to ensure timely reporting and compliance
Projects & Submissions
Support HRSA, UDS, state, and payer submissions
Support NCQA standards and accreditation.
Contributes to ACO-related data collection, reporting, and care coordination.
Participate in chart audits, PDSA cycles, and quality improvement projects
Maintain documentation for compliance and audit readiness
Qualifications: Education and Experience
High school diploma or GED
2 years of healthcare experience preferred
Experience in quality reporting, data analysis, or EHR systems preferred
Strong organizational and analytical skills
Proficient in Excel and data management tools
Professional Standards
Leadership
Team building mentality is exemplified in all work done.
Positively influence and uplift members and other affiliates.
Employee Expectations
Follow all policies and procedures, including the Code of Conduct, which can be found in the Employee Handbook.
Follow the direction given by the supervisor to ensure site expectations are met.
Communication
Must be able to provide important and relevant site information in staff meetings and to members, co-workers, and supervisors.
Must be able to listen to co-workers and team members.
Must be able to present important and relevant site information to supervisors.
Must be able to write and compose clear, concise, accurate written documentation and data reports, as necessary.
Values
Upholds the Code of Ethics and mission of Valley Health Care, Inc. by conducting professional activities with Valley Health Care’s values of integrity, teamwork, compassion, excellence, and Here for Good.
Integrity
We act openly and truthfully in everything we do.
Teamwork
We work together to serve our patients.
Excellence
We create better ways of doing the things we do and provide the highest quality of care for each patient every time.
Compassion
We treat each other and our patients with concern, kindness, and respect.
Here for Good
We make decisions that will best serve our patients now and in the future.
Understanding of Health Care Laws and Regulations
Must have the ability to follow HIPAA guidelines as well as an understanding of policies and procedures regarding medical records put in place by the Federal Government, Medicaid, Medicare, and WV Behavioral Health Laws put forth by the WV Department of Health and Human Resources.
Customer Service
Must listen to the customer, understand the customer, do what needs to be done to meet the customer’s expectations, and take ownership of the customer experience.
Computer Literacy
Knowledge of basic computer software (MS Office – Word, Excel, and Outlook) and the willingness and ability to learn electronic medical records software.
Reasoning Ability
Must demonstrate the ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret various instructions furnished in written, oral, diagram, or schedule form.
Teamwork
An essential element is the ability to work and interact effectively and positively with other staff members to build and enhance teamwork in the VHC organization; team engagement is necessary to be successful in this position.
Work Record
A demonstrated work record showing good attendance, punctuality, dependability, and the ability to collaborate well with supervisors and coworkers as part of a team effort is essential. A medical office setting is an environment that requires the ability to relate to all types of people while always maintaining a professional demeanor.
Language Skills
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. The ability to write routine reports and correspondence. The ability to speak effectively to patients or employees of the organization.
Mathematical Skills
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
Additional Skills
Must be able to read and interpret medical and work environment-related documents involving patient care, program descriptions, government regulations, and VHC policy and procedures.
Sensitivity to Needs of Special Populations
Must be able to demonstrate an understanding and sensitivity to cultural differences and needs of VHC patients and be able to respond appropriately to all people regardless of race, ethnicity, language, age, sex or sexual orientation, religion, disability, economic standing, etc.
Physical Demands
The physical demands described here represent those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee may be required to drive, sit and stand for extended periods of time; handle papers, type and operate computer equipment; reach with hands and arms; talk in-person, on the telephone, and by electronic means; see and hear, and lift up to twenty-five pounds.
Work Environment
Work is performed in a typical outpatient clinic environment and at locations outside the office. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of the job.
Valley Health Care, Inc. (VHC) is committed to providing outstanding patient care. The Quality Coordinator I – Measurement Improvement & Data Operations supports this mission by assisting the Clinical Quality Manager in advancing organizational quality initiatives and ensuring the delivery of safe, effective, affordable, and patient-centered care.
This position focuses on quality data management, performance measurement, and care gap closure while supporting quality improvement initiatives across the organization. This position is responsible for accurate entry, extraction, analysis, and reporting of quality data, medical records, and related documentation. Through ongoing monitoring of quality metrics and performance outcomes, this role helps identify opportunities for improvement and supports VHC’s strategic quality and compliance goals.
Essential Duties and Responsibilities
Measurement Improvement & Outreach
Monitor UDS, HEDIS, HRSA, and payer quality measures for performance gaps
Generate patient lists for needed services and coordinate outreach
Collaborate with scheduling staff to arrange appointments
Conduct patient outreach and document attempts in the EHR
Track measure improvement progress and outcomes
Coordinates scheduling and logistics for mobile health units to ensure efficient service delivery
Data, Reports & EHR Extraction
Run routine and ad hoc quality reports from AZARA
Extract, validate, and reconcile EHR data for reporting
Identify documentation gaps and provide feedback to clinical teams
Maintain dashboards, spreadsheets, registries, and audit tools
Accurately uploads quality measure closure information and documentation into payer systems to ensure timely reporting and compliance
Projects & Submissions
Support HRSA, UDS, state, and payer submissions
Support NCQA standards and accreditation.
Contributes to ACO-related data collection, reporting, and care coordination.
Participate in chart audits, PDSA cycles, and quality improvement projects
Maintain documentation for compliance and audit readiness
Qualifications: Education and Experience
High school diploma or GED
2 years of healthcare experience preferred
Experience in quality reporting, data analysis, or EHR systems preferred
Strong organizational and analytical skills
Proficient in Excel and data management tools
Professional Standards
Leadership
Team building mentality is exemplified in all work done.
Positively influence and uplift members and other affiliates.
Employee Expectations
Follow all policies and procedures, including the Code of Conduct, which can be found in the Employee Handbook.
Follow the direction given by the supervisor to ensure site expectations are met.
Communication
Must be able to provide important and relevant site information in staff meetings and to members, co-workers, and supervisors.
Must be able to listen to co-workers and team members.
Must be able to present important and relevant site information to supervisors.
Must be able to write and compose clear, concise, accurate written documentation and data reports, as necessary.
Values
Upholds the Code of Ethics and mission of Valley Health Care, Inc. by conducting professional activities with Valley Health Care’s values of integrity, teamwork, compassion, excellence, and Here for Good.
Integrity
We act openly and truthfully in everything we do.
Teamwork
We work together to serve our patients.
Excellence
We create better ways of doing the things we do and provide the highest quality of care for each patient every time.
Compassion
We treat each other and our patients with concern, kindness, and respect.
Here for Good
We make decisions that will best serve our patients now and in the future.
Understanding of Health Care Laws and Regulations
Must have the ability to follow HIPAA guidelines as well as an understanding of policies and procedures regarding medical records put in place by the Federal Government, Medicaid, Medicare, and WV Behavioral Health Laws put forth by the WV Department of Health and Human Resources.
Customer Service
Must listen to the customer, understand the customer, do what needs to be done to meet the customer’s expectations, and take ownership of the customer experience.
Computer Literacy
Knowledge of basic computer software (MS Office – Word, Excel, and Outlook) and the willingness and ability to learn electronic medical records software.
Reasoning Ability
Must demonstrate the ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret various instructions furnished in written, oral, diagram, or schedule form.
Teamwork
An essential element is the ability to work and interact effectively and positively with other staff members to build and enhance teamwork in the VHC organization; team engagement is necessary to be successful in this position.
Work Record
A demonstrated work record showing good attendance, punctuality, dependability, and the ability to collaborate well with supervisors and coworkers as part of a team effort is essential. A medical office setting is an environment that requires the ability to relate to all types of people while always maintaining a professional demeanor.
Language Skills
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. The ability to write routine reports and correspondence. The ability to speak effectively to patients or employees of the organization.
Mathematical Skills
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
Additional Skills
Must be able to read and interpret medical and work environment-related documents involving patient care, program descriptions, government regulations, and VHC policy and procedures.
Sensitivity to Needs of Special Populations
Must be able to demonstrate an understanding and sensitivity to cultural differences and needs of VHC patients and be able to respond appropriately to all people regardless of race, ethnicity, language, age, sex or sexual orientation, religion, disability, economic standing, etc.
Physical Demands
The physical demands described here represent those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee may be required to drive, sit and stand for extended periods of time; handle papers, type and operate computer equipment; reach with hands and arms; talk in-person, on the telephone, and by electronic means; see and hear, and lift up to twenty-five pounds.
Work Environment
Work is performed in a typical outpatient clinic environment and at locations outside the office. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of the job.