Managed Care Coordinator

Overview

Our mission is Better Health. Our passion is helping others.

What's Your Why?

• Are you looking for a career opportunity that will help you grow personally and professionally?
• Do you have a passion for helping others achieve Better Health?
• Are you ready to join a growing team that shares your mission?

Why Join Our Team:At Better Health Group, it's our commitment, our passion, and our culture that sets us apart. Our Team Members make a difference each and every day! They support our providers and payors, ensuring they have the necessary tools and resources to always deliver best-in-class healthcare experiences for our patients. We don't just talk the talk - we believe in it and live by it.

Be part of a team that shares your passion and drive, and start living your purpose at Better Health Group.

Reports To: Quality Operations Leader

The Quality Analyst is responsible for supporting operational excellence across Quality Operations by analyzing performance, identifying opportunities, improving workflows, and driving execution of key initiatives. This role partners closely with clinical, operational, analytics, technology, and compliance teams to improve quality performance while ensuring data accuracy, operational efficiency, and regulatory compliance.

The ideal candidate is analytical, detail-oriented, and naturally curious. They demonstrate ownership of their work, proactively solve problems, communicate effectively with stakeholders, and continuously seek opportunities to improve processes. They are self-directed, exercise sound judgment, and consistently deliver high-quality work in a fast-paced environment.

Responsibilities:

• Data Analysis & Performance Monitoring:

  • Analyze operational and quality performance data to identify trends, risks, and opportunities for improvement.

  • Develop and maintain dashboards, reports, and scorecards that support operational decision-making.

  • Validate data accuracy and investigate discrepancies across multiple systems.

  • Perform root cause analysis and summarize findings into actionable recommendations.

  • Monitor key performance indicators and communicate notable trends to leadership.

• Operational Execution:

  • Execute assigned Quality Operations initiatives by coordinating deliverables, monitoring progress, and ensuring operational objectives remain on track.

  • Coordinate assigned deliverables across stakeholders while ensuring work is completed accurately, on schedule, and aligned with operational priorities.

  • Monitor operational performance, identify emerging risks, and recommend appropriate actions to support successful outcomes.

  • Identify operational risks early, recommend mitigation strategies, and escalates issues before they impact performance.

  • Implement approved workflow enhancements and operational improvements while monitoring adoption and effectiveness.

• Process Improvement:

  • Evaluate existing workflows and recommend opportunities to improve efficiency, quality, and consistency.

  • Document operational processes and maintain standard operating procedures.

  • Participate in process improvement initiatives and assist with implementation of approved changes.

  • Support automation and technology enhancements designed to improve operational effectiveness.

  • Promote standardization and best practices across Quality Operations.

• Collaboration & Stakeholder Support:

  • Partner with Clinic Operations, Pharmacy, Analytics, Technology, Compliance, and other internal teams to support Quality initiatives.

  • Facilitate meetings, document key decisions and action items, and drive timely follow-up to support successful execution of operational initiatives.

  • Serve as a reliable operational resource by providing analytical support and responding to stakeholder inquiries.

  • Build positive working relationships across departments while supporting shared organizational goals.

• Quality & Regulatory Compliance:

  • Support compliance with CMS, NCQA, HEDIS, Medicare Advantage, and organizational quality standards.

  • Participate in quality audits and assist with corrective action planning.

  • Maintain accurate documentation supporting operational activities and regulatory requirements.

  • Stay informed of regulatory and operational changes impacting Quality Operations.

• Communication & Reporting:

  • Prepare professional reports, presentations, and summaries for leadership.

  • Clearly communicate analytical findings and operational recommendations to stakeholders.

  • Tailor communications to executive, operational, and technical audiences to ensure information is clear,…