Quality Improvement Coordinator
Astiva Health
10 hours ago
Full-time
On-site
San Jose, California, United States
Registered Nurse
Description
About Us:
Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize accessibility, affordability, and quality in all aspects of our services. Join us in our mission to transform healthcare delivery and make a meaningful difference in the lives of our members.
The candidate must reside in the San Jose, CA area for occasional provider office visits.
Summary:
The Quality Improvement Coordinator will be responsible for coordinating and implementing quality improvement initiatives related to HEDIS measures and risk adjustments/HCC. This individual will work with internal and external stakeholders to ensure compliance with HEDIS specifications, data collection, reporting, and improvement strategies.
ESSENTIAL DUTIES AND RESPONSIBILITIES: include the following. Other duties may be assigned.
Regular and consistent attendance. In office attendance is requested 5 days a week.
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
Benefits:
401(k)
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance
Free lunches on site
Requirements
EDUATION and/or EXPERIENCE:
3+ years of quality improvement or healthcare related experience
Familiarity of 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.
Detail-orientated, organized, and problem-solving skills.
About Us:
Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize accessibility, affordability, and quality in all aspects of our services. Join us in our mission to transform healthcare delivery and make a meaningful difference in the lives of our members.
The candidate must reside in the San Jose, CA area for occasional provider office visits.
Summary:
The Quality Improvement Coordinator will be responsible for coordinating and implementing quality improvement initiatives related to HEDIS measures and risk adjustments/HCC. This individual will work with internal and external stakeholders to ensure compliance with HEDIS specifications, data collection, reporting, and improvement strategies.
ESSENTIAL DUTIES AND RESPONSIBILITIES: include the following. Other duties may be assigned.
Regular and consistent attendance. In office attendance is requested 5 days a week.
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
Benefits:
401(k)
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance
Free lunches on site
Requirements
EDUATION and/or EXPERIENCE:
3+ years of quality improvement or healthcare related experience
Familiarity of 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.
Detail-orientated, organized, and problem-solving skills.