American Health Partners · 1 day ago
Medicare Advantage Quality Coordinator
Franklin, TN
Full-time
Onsite
Entry, Mid Level
2+ years expAmerican Health Partners is focused on improving health outcomes through quality initiatives. The Medicare Advantage Quality Coordinator supports quality improvement initiatives for Institutional Special Needs Plans and ensures compliance with CMS quality standards.
Elder CareHealth CareHome Health CareNursing and Residential Care
Responsibilities
Monitor and track ISNP quality performance measures, including HEDIS and Star Ratings
Assist in the development and implementation of quality improvement projects and initiatives
Collect, validate, and analyze data to identify trends and opportunities for improvement
Support compliance with CMS regulations and organizational policies related to ISNP quality programs
Prepare reports and presentations for internal stakeholders and leadership
Collaborate with clinical, operational, and compliance teams to ensure alignment on quality goals
Participate in audits and readiness reviews, providing documentation and responding to inquiries
Maintain accurate records and documentation for quality activities
Other duties as assigned
Qualification
Required
Bachelor's degree in healthcare administration, nursing, public health, or related field (or equivalent experience)
2+ years of experience in long-term care, Medicare Advantage, quality improvement, or managed care
Familiarity with CMS regulations, HEDIS measures, and Star Ratings
Strong analytical and problem-solving skills
Excellent written and verbal communication skills
Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint)
Ability to manage multiple priorities and meet deadlines
Preferred
Experience with ISNP programs or long-term care settings
Knowledge of quality reporting tools and data analysis software
Certification in healthcare quality (e.g. CPHQ) is a plus
Company
American Health Partners
American Health Partners provides home health care, senior living, and rehabilitation services.
1001-5000 employees
H1B Sponsorship
American Health Partners has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2022 (1)
Funding
Current Stage
Late StageLeadership Team
Jeff Bogle
CFO
Recent News
Modern Healthcare
2024-10-30
Company data provided by crunchbase