State Licensed Clinical Quality Coordinator

Job Summary

To enhance healthcare quality and patient outcomes, the full-time Remote Clinical Quality Improvement Coordinator will engage in proactive patient outreach, manage quality data collection, and collaborate with various stakeholders in a fully remote environment.

Key responsibilities

• Serve as a Subject Matter Expert on quality improvement measures and initiatives across commercial and governmental payers
• Conduct patient outreach to educate on preventive care and facilitate adherence to treatment plans
• Manage and analyze quality data using multiple systems, ensuring accuracy and compliance with reporting deadlines

Required qualifications

• Associate degree or greater in a related field, or certification as a CMA or LPN
• 1-3 years of experience in a healthcare setting, with knowledge of EMR systems and quality measures
• At least 2 years of experience in Medicare Advantage quality data abstraction and patient outreach
• Proficiency in using Microsoft 365 applications and navigating various healthcare data systems
• Experience in quality improvement initiatives and data submissions for health insurance payers is preferred