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alignment healthcare
quality management coordinator
Posted
1 week 3 days ago

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Job Description

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Overview of the Role: Alignment Health is seeking a self-starting, and organized remote Quality Management (QM) coordinator to join the Quality Management team. As a QM coordinator, you get to provide administrative and clerical support as well as project coordination within the QM department. The QM coordinator supports the QM team and reports to the director of quality management. If you are looking for an opportunity to be a part of a growing healthcare organization, we are looking for you! Schedule: * Monday - Friday * 8:00am - 5:00pm Pacific Time * 9:00am - 6:00pm Mountain Time * 10:00am - 7:00pm Central Time * 11:00am - 8:00pm Eastern Time Responsibilities: * Responsible for data collection related to QM initiatives * Perform outreach to Providers to ensure regulatory required project compliance is maintained * Coordinate and conduct activities with Providers, External Vendors or Internal Departments as needed. * Aggregate data and initial analysis of results on assigned projects * Produce charts, graphs, and reports to demonstrate results and outcomes * Maintain up-to-date databases and tracking logs * Request medical records to support quality review activities, conduct phone and fax follow-up, troubleshoot, investigate, follow up on retrieval of missing information and collaborate with clinical staff on patient safety issues * Complete special projects or assignments as needed Required Skills and Experience: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and / or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Minimum (1) year of experience in a medical office, health plan or hospital environment performing clerical supportive duties * Managed care experience * Minimum (2) years' experience with MS Office Suite- Word, Outlook, Excel, Access * High school diploma or GED equivalent required * Associates degree preferred * Minimum (6) months related experience and / or training; or equivalent combination of education and experience * Organizational skills with the ability to manage multiple priorities. * Able to work in a demanding environment with changing priorities * Work independently and as a part of an integrated team. * Able to take initiative and see tasks to completion. * Computer skills and experience with Microsoft Office suite. * Excellent written and verbal communication skills * Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA) * Problem solving skill sets and analytical ability * Able to establish and maintain positive and effective work relationships with coworkers, clients, members, providers, and customers Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Essential Physical Functions: The physical demands described here are representative of 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 is regularly required to talk or listen. * The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. * The employee frequently lifts and / or moves up to 10 pounds. * Specific vision abilities required by this job include close vision and the ability to adjust focus.

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