Job detail

Shared Market Clinical - Coordinator, Market Quality

ArchWell Health

#EMR #HIPAA #BLS #OSHA #Primary Care #Medical Assistant #Patient Outreach #HEDIS #eClinicalWorks #Quality Measures #Geriatrics #Medical Record Review

Full Time On Site 0-2 yrsPosted 15 days ago

Location (2)

Phoenix, Arizona

Locations

2 listed locations

Phoenix, ArizonaMesa, Arizona

Quick overview

The Market Quality Coordinator monitors CMS STARS and HEDIS measures through patient outreach and medical record reviews. They partner with center leadership to implement strategies for closing quality gaps in a senior-focused primary care setting.

Requirements summary

Requires a high school diploma, graduation from an accredited Medical Assistant program, and at least one year of experience as a Medical Assistant. BLS certification and experience with EMR systems like eClinicalWorks are required.

high schoolprofessional certificateHIPAA ComplianceGeriatric CareMicrosoft Office SuiteTeam BuildingPatient OutreachHEDISMedical Record RevieweClinicalWorksQuality Gap ClosureCMS STARS

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.