1 Quality Coordinator Job in Kapolei, HI
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HMSA is Hiring a Quality Coordinator Near Kapolei, HI
- Serves as NCQA subject matter expert, ensures health plan compliance and support as it relates to department programs and activities.
- Initiate, facilitate and coordinate quality improvement activities and metrics to support assigned NCQA standards and requirements.
- Proactively keep all staff updated on NCQA standards and application, through notifications of change, workflow and documentation updates, and training.
- Analyze, promote, and implement updates to department operations to effectively support health plan accreditation.
- Conduct quality monitoring and auditing of system documentation to include member records.
- Partner with Quality Management team to support health plan NCQA accreditation.
- Complies with timelines and deadlines.
- Create, revise, and maintain all supporting documentation, including program descriptions, reports, work instructions, workflows and policies.
- Provides quality update at Quality Improvement committees to include Case Management Committee.
- Support staff training with the assistance of department trainer.
- Performs case management delegation oversight activities of providers in collaboration with Delegation & Quality Coordinator.
- Member satisfaction survey administrator.
- Oversee administration of department member satisfaction surveys for multiple clinical programs by ensuring survey workflow consistently continues, barriers are removed, and deadlines are met.
- Facilitate print/mail workflow with administrative and IT services.
- Validate data and process flow.
- Prepare file for mail merge by administrative support team.
- Maintain master data collection file.
- Quality assurance monitoring through system documentation.
- Prepare monthly report to managers.
- Share member feedback with staff.
- Research negative comments and low scored responses.
- Partner with Corporate Analytics for data analysis.
- Support staff training with the assistance of department trainer.
- Identify opportunities for improvement, facilitate & implement interventions.
- Reporting, Data, and Analytics
- Prepares reports and presentations to educate and communicate information and results related to metrics, requirements, operation & audit trends, project and quality improvement activities. Duties include, but are not limited to:
- Program evaluations
- Outcome summaries
- Identifies, coordinates and participates in quality monitoring and improvement opportunities to improve program performance, facilitate change, and take action to implement ideas.
- Takes initiative to research issues, conduct root cause analysis, documents
- Prepares reports and presentations to educate and communicate information and results related to metrics, requirements, operation & audit trends, project and quality improvement activities. Duties include, but are not limited to:
- Program Operations
- Targeted member communications: Identify target population and develop & maintain communication material for initiative and program communication via mailing and alternative communication channels.
- Create, update, and maintain: Program descriptions, Policies & procedures, workflows, work instructions, reference documents and, operational manuals.
- Oversee maintenance and accuracy of online material related to department programs.
- Delegation
- Serves as additional support and back-up to delegation point and activities such as:
- Host & facilitate meetings with provider organizations.
- Chart audit activities
- Program evaluations
- General program support such as material/correspondence reviews, billing/invoice workflow, report development & presentations.
- Serves as additional support and back-up to delegation point and activities such as:
- Performs all other miscellaneous responsibilities and duties as assigned or directed.
- Assists with special projects and department priorities/initiatives.
- Support staff & operations to ensure daily operations continue.
Job Summary
Full Time
Ambulatory Healthcare Services
$68k-84k (estimate)
02/26/2024
05/10/2024
hmsa.com
LIHUE, HI
1,000 - 3,000
1938
NGO/NPO/NFP/Organization/Association
BENNETT JACOBY
$1B - $3B
Ambulatory Healthcare Services
Related Companies
About HMSA
Hawaii Medical Service is a health insurer service provider.
If you are interested in becoming a Quality Coordinator, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Quality Coordinator for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Quality Coordinator job description and responsibilities
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Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Quality Coordinator jobs
They are primarily responsible for devising priorities and standards, managing schedules to abide by the production timeline, monitoring activities, coordinating with production and quality control personnel, assessing employee performance, and thoroughly
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Step 3: View the best colleges and universities for Quality Coordinator.
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