Quality Improvement Coordinator (QI/HEDIS) jobs in United States
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Verda Healthcare · 3 months ago

Quality Improvement Coordinator (QI/HEDIS)

Verda Healthcare is committed to providing equitable access to healthcare services for underserved communities. The Quality Improvement Coordinator will support the development, implementation, and monitoring of healthcare quality initiatives, focusing on data analysis, project management, and compliance with regulatory standards.

Insurance

Responsibilities

Supporting Quality Improvement Initiatives: The QI Coordinator works with teams to develop, implement, and monitor quality improvement plans
Data Collection and Analysis: Gather, analyze, and interpret data related to quality metrics, using this information to identify areas for improvement
Project Management: Assist in managing quality improvement projects, ensuring they are completed on time and within budget
Reporting and Communication: Prepare reports on quality improvement activities, communicate findings to stakeholders, and facilitate communication between teams
Education and Training: May be involved in educating staff on quality improvement methodologies and best practices
Compliance: Ensure that quality improvement activities align with relevant regulations and standards
Maintaining Documentation: Create and update documentation related to quality improvement processes and policies
Interpersonal Skills: Collaborate with various departments, fostering positive relationships and promoting a culture of quality
Technical Skills: Proficient in using healthcare management software, data analysis tools, Microsoft office suite and other relevant technology

Qualification

Data analysisQuality Improvement methodologiesProject managementICD-10 codesHEDIS QualityCMS healthcare regulationsReport writingTechnical proficiencyCommunication skillsTeamworkPresentation skillsInterpersonal skills

Required

Bachelor's degree preferred, but not required
CPC preferred or other coding license a plus
Understanding of ICD-10 codes, HEDIS Quality and STARs
2 or more years in a similar role
Knowledge and understanding of QI methodologies
Ability to design and implement QI initiatives
Familiarity with healthcare quality standards and benchmarks
Clear and concise report writing for diverse audiences
Presentation skills for sharing findings with stakeholders
Ability to translate complex data into actionable insights
Understanding of CMS healthcare regulations
Ensuring QI activities meet legal and ethical standards
Ability to work across departments
Promote teamwork and shared accountability

Benefits

401(k)
Paid time off (vacation, holiday, sick leave)
Health insurance
Dental Insurance
Vision insurance
Life insurance

Company

Verda Healthcare

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VERDA Healthcare is a new Medicare Advantage Plan launched by a passionate, purpose-driven group of experienced healthcare professionals committed to the idea that healthcare should be easily and equitably accessed by all.

Funding

Current Stage
Early Stage

Leadership Team

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James Kim
Board Member, Co-Founder and Interim CMO
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Thinh Tran, MD, MBA
Co-Founder and Board Member
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Company data provided by crunchbase