Quality Improvement Coordinator
Job in
Orange, Orange County, California, 92613, USA
Listed on 2026-06-06
Listing for:
Astiva Health
Full Time
position Listed on 2026-06-06
Job specializations:
-
Quality Assurance - QA/QC
Job Description & How to Apply Below
Summary
The Quality Improvement Coordinator will be responsible for coordinating and implementing quality improvement initiatives related to HEDIS measures and risk adjustments/HCC. This individual will work with internal and external stakeholders to ensure compliance with HEDIS specifications, data collection, reporting, and improvement strategies.
ESSENTIAL DUTIES AND RESPONSIBILITIES- Regular and consistent attendance. In office attendance is requested 5 days a week.
- Coordinate and partner with IPA/MSO delegates for HEDIS and risk adjustment data reporting
- Identify gaps and opportunities for improvement
- Collaborate with internal departments to review and implement projects and interventions to improve delivery of services and quality of care.
- Assist with audits and reviews to ensure data accuracy and validity
- Review and summarize collected data with trend analysis for additional provider educational opportunities.
- Attend health plan meetings as requested by department leadership.
- Stay updated on HEDIS and risk adjustment specifications, guidelines, and industry trends
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
- Free lunches on site
- 3+ years of quality improvement or healthcare related experience
- Familiarity of HEDIS measures, specifications, and reporting requirements
- Proficient in data analysis, Excel, and quality improvement methodologies
- Excellent communication, presentation, and interpersonal skills
- Ability to work independently and collaboratively in a fast-paced environment.
- Detail-orientated, organized, and problem-solving skills.
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