SoNE HEALTH · 1 day ago
QUALITY DATA SERVICE COORDINATOR
SoNE HEALTH is a healthcare organization focused on improving patient outcomes, and they are seeking a Quality Data Service Coordinator. This role involves collaborating with physicians to enhance participation in quality metrics programs and facilitating patient care through data analysis and education.
EducationHealthcareHealth CareMedical
Responsibilities
Facilitates the identification of patients lacking early detection, regular prevention screening and managing chronic illness
Utilizes the payor and in-house resources reports, that identify potential patient gaps in care and goals for achieving maximum performance
Reviews and abstracts pertinent documentation to support the clinical physician efforts to complete all appropriate screening and tests for patients
Interprets and reviews medical data in various EMR systems
Collaborate with physicians and practice staff on the findings of the review and steps needed to fulfill the required screening/testing
Educates providers on various national quality benchmarks such as HEDIS and STAR measures
Develops written materials encompassing HEDIS Star Quality metrics as described by NCQA
Presents educational and marketing material to provider groups during events sponsored by SoNE HEALTH
Creates and performs presentations at various in-person and/or virtual meetings
Problem solves barriers to exceptional performance by formulating action plans to assist physician groups to close gaps in case
Reviews office work flows, shares Best Practices with the providers and office staff
Enhances the understanding of integrated care coordination through SoNE
Recognizes each patients’ rights by providing confidentiality of patient information according to established policy and accepted professional standards
Serves as a liaison and resource for the physician, payor, and healthcare team to facilitate appropriate quality standard-based care
Collaborates effectively and efficiently with all internal and external stakeholders i.e. physicians and their office staff, payors to maximize opportunities to improve outcomes for all of our patients
Seeks educational opportunities for on-going professional development with an emphasis in Stars/HEDIS Quality Improvement and other Process Improvement Methodologies
Has a solid understanding of value-based care models
Promotes a professional image with all interactions and functions
Qualification
Required
BA/BS in Business Administration or Healthcare Administration or equivalent experience
3+ years of healthcare related experience with HEDIS and Stars, CAHPs and HOS
3+ years of experience in quality improvement and/or population health management
5+ years of experience utilizing Excel and other data reporting tools
3+ years within a data driven, healthcare environment and/or healthcare-related field
This position requires highly developed communication and interpersonal skills, self-direction and problem-solving skills
Excellent organizational and interpersonal skills required, with the ability to communicate and work collaboratively with all levels of SoNE staff, payors, providers and office staff, and effectively utilizing all resources available
Must be adaptable to unpredictable situations in a patient care setting while effectively managing assigned duties with precise attention-to-detail, accuracy and excellent follow-up and follow-through, with minimal supervision
Maintains strict confidentiality with patient information in a professional manner
Current and valid Driver's License
Ability to work long hours – over eight in a work day, and over 40 in a work week as necessary
Regularly required to use hands to finger, handle or feel objects, tools, or controls; reach with hands and arms; and talk or hear
Frequently is required to walk and sit
Occasionally required to stand; climb or balance; and stoop, kneel, crouch or crawl
Ability to lift and/or move up to 20 pounds
Vision abilities required by this job include close vision, color vision, peripheral vision, depth perception and ability to adjust focus
The dexterity necessary to utilize a computer keyboard on a regular basis is essential
As a condition of employment at SoNE HEALTH, all employees must reside in New Hampshire, Rhode Island, Maine, Vermont, Connecticut, or Massachusetts
For the safety and well-being of our employees, all employees are required to be fully vaccinated for influenza
If you will be working in a remote or hybrid capacity, we require a stable internet connection. We recommend that you have an internet service provider with speeds of at least 30Mbps download/5Mbps upload
Preferred
Medical Assistant/LPN Certification or equivalent preferred
Athena experience preferred along with other EHR/EMR platform experience
Knowledge of quality improvement processes, data collection, Microsoft Office with an emphasis on spreadsheets, and project management tools and outcome analysis preferred
Previous telecommuting experience
Benefits
Medical, dental, and vision insurance
401(k) retirement plan with employer match
Short-Term Disability Insurance
Long-Term Disability Insurance
Basic Life & Accident Insurance
Flexible Spending Accounts
Voluntary Benefits
Earned time off, sick time, company holidays and one floating holiday
Paid Volunteer Time
Employee Assistance Program
Educational Assistance (Tuition Reimbursement) after one year of employment
Employee Discount Program for discounts on entertainment, travel, and shopping
Company
SoNE HEALTH
SoNE HEALTH is a clinically integrated network that focuses on population health.
Funding
Current Stage
Growth StageLeadership Team
Recent News
2025-09-23
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