Shared Market Clinical - Coordinator, Market Quality

Job description

Market Quality Coordinator Job Summary: The Market Quality Coordinator is responsible for the monitoring and pursuit of CMS STARS HEDIS measures, conducting patient outreach calls, and partnering with center leadership and teams to achieve STARS and HEDIS goals. This role serves as part of the market operations team, working across many payors within a single market in an outpatient senior-focused primary care setting. Duties/Responsibilities: • Conduct enterprise and local strategies and initiatives for closing STARS gaps • Medical record review to document and close Focus On Care measures • Request medical records and upload documentation to electronic medical records system • Perform patient outreach calls to support quality gap closure, including assisting and encouraging members with scheduling and completing screenings. • Schedule and perform ancillary visits to complete in-center screenings. • Meet regularly with Market Leaders to discuss roadblocks, regular progress, and to strategize center and market focused initiatives. • Ensure compliance with OSHA safety standards and conduct accurate, legal, and ethical documentation at all times. • Additional responsibilities and duties as needed. Required Skills/Abilities • Working knowledge of quality measures and quality gap closure strategies. • Experience working in a primary care setting. • Proficient with Microsoft Office Suite products including Word, Excel, Power Point, Outlook, and Teams • Demonstrated team building skills. • Ability to work independently with a high level of attention to detail. • Sensitivity to the needs of culturally diverse staff, patients, and communities. • Maintains HIPAA standards and confidentiality of protected health information; reports critical incidents immediately. • Embodies and serves as a role model of ArchWell Health’s Values: ◦ Be compassionate ◦ Strive for excellence ◦ Earn trust ◦ Stay resilient ◦ Always do the right thing Education and Experience ◦ High school diploma or equivalent education (GED) required. ◦ A minimum of 1 year work experience as a Medical Assistant ◦ Graduation from a nationally accredited Medical Assistant program OR comparable healthcare vocational training (i.e, foreign-trained physician, paramedic, etc.) required ◦ BLS for Healthcare Providers required ◦ EClinicalWorks or similar EMR experience ◦ Experience working with geriatric patients is a plus ◦ Experience with the CMS STARS program (HEDIS) preferred • Embodies and serves as a role model of ArchWell Health’s Values: ◦ Be compassionate ◦ Strive for excellence ◦ Earn trust ◦ Show respect ◦ Stay resilient ◦ Always do the right thing About ArchWell Health: At ArchWell Health, we’re creating a community of caring designed to help our members stay healthy and engaged. By focusing on a strong provider-patient relationship, routine wellness, and staying active, our members enjoy a higher level of care and better quality of life after the age of 60. Everything we do is for seniors. We believe seniors should be heard, listened to, and given ample time by their physicians to live well later in life. Our value-based care model is designed to prevent illnesses while keeping members healthy and happy in every aspect of their life. We deliver best-in-class primary care at comfortable, accessible neighborhood centers where older adults can feel at home and become part of a vibrant, wellness-focused community. We’re passionate about caring for older adults and united by the belief that caring has the power to change everything for our members. ArchWell Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected classification.