Quality Coordinator Job Vacancy in P3 Health Group Management,LLC Henderson, NV 89074 – Latest Jobs in Henderson, NV 89074
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Company Name : P3 Health Group Management,LLC
Location : Henderson, NV 89074
Position : Quality Coordinator
Job Description : P3 Health Partners is committed to ensuring the health and safety of our team members, patients and communities we serve. As a part of this commitment, all candidates must receive their COVID-19 vaccine prior to joining the team. If you have any questions about our interview and hiring procedures, please contact PeopleServices@p3hp.org.
People. Passion. Purpose.
At P3 Health Partners, our promise is to guide our communities to better health, unburden clinicians, align incentives and engage patients.
We are a physician-led organization relentless in our mission to overcome all obstacles by positively disrupting the business of health care, transforming it from sickness care into wellness guidance.
We are looking for a Quality Coordinator. If you are passionate about your work; eager to have fun; and motivated to be part of a fast-growing organization in Las Vegas, NV or remote, then you should consider joining our team.
Quality Coordinator
Overall Purpose:
The Quality Coordinator supports the Medical Management team under the guidance of the Director of Quality Delegation. Through internal, health plan, provider, and patient engagement, the Quality Coordinator assists the organization and members in alignment with clinic-based care, ensuring members have the health care experience they deserve. This position also assists in data mining as well as planning, implementing, and executing quality improvement projects.
The Medical Management Department encompasses Utilization Management, Quality Management, and Care Management. The Quality Management department ensures compliance with the Star Rating and policies and procedures as dictated by but not limited to the following: Centers for Medicare and Medicaid Services (CMS), the National Committee on Quality Assurance (NCQA), and respective health plans.
Education and Experience:
Associate degree in related field or equivalent experience required
3+ years health care related experience required, managed care experience preferred
Medical Assistant certification preferred
Knowledge, Skills and Abilities:
Knowledge of federal, national, state, and health plan regulatory requirements, as well as managed care and health plan standards
Knowledge of the CMS Star Rating or MIPS, MACRA, or a federal incentive-based program
Strong analytical and critical thinking skills
Data mining experience
Effective communication
Project management
Essential Functions:
Provides support to the Quality Management Department by working with internal data teams, members, and network providers to improve quality of care through quality activities such as HEDIS, CMS Star Rating, and other quality performance reporting
Understands the principles of CMS, HEDIS, NCQA, Health Plan Quality Standards and HIPAA
Assists in planning, implementing, and executing projects to improve quality and delivery of care services
Assist with policy and standard operating procedure development
Participates in Quality Management meetings and other initiatives
Documentation (Agenda, Meeting Minutes, Action Items), PowerPoint, timelines
Monitors and tracks Quality-related materials
Help coordinate quality grievances and patient experience processes
Helps to realign members with clinic-based care on a population-based level, improve patient experience and transition to reimbursement for better healthcare outcomes through quality care
Participates in data collecting through medical record and claims surveillance
Responds to health plan, provider, and interdepartmental calls in accordance with exceptional customer service
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