Quality Coordinator

Where You’ll Work

With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.

Job Summary and Responsibilities

• Execute quality initiatives: Implement member-facing strategies aligned with National and Value Hub objectives to improve HEDIS, Stars, and overall quality performance.
• Conduct clinical outreach: Perform telephonic outreach to members to close care gaps, facilitate access to preventative services, and drive participation in Annual Wellness Visits (AWVs).
• Manage quality data and records: Collect, review, and organize medical records and quality data, utilizing EMR systems to analyze performance and identify critical gaps.
• Drive member engagement: Lead proactive communication efforts to increase program enrollment and assist members in accessing necessary care coordination services.
• Ensure documentation and compliance: Maintain accurate case files, track database information, and document resolution outcomes in compliance with all regulatory standards.
• Facilitate professional coordination: Serve as the primary point of contact for members, providers, and vendors, managing correspondence and re-prioritizing tasks to meet established performance standards.

Job Requirements

• Associate Degree or relevant clinical certification
• Medical Assistant certification or LPN licensure 
• Two (2) or more years experience in a clinical setting with administrative duties
• Experience in Google Workspace applications

• Experience in a healthcare setting and pay-for-performance or similar programs