Quality Assurance Coordinator

Brief Description

$1000 Sign On Bonus!

Responsibilities

The Clinical Quality Assurance Coordinator plays a pivotal role in ensuring the organization meets clinical quality goals, regulatory requirements, and performance metrics tied to value-based care contracts. This role supports the implementation and monitoring of quality improvement initiatives and serves as a liaison between clinical teams, health plans, and data analysts. Key responsibilities include:

• Support quality improvement initiatives aimed at achieving VBC program targets (e.g., HEDIS, Stars, ACO, CMS measures).
• Coordinate chart reviews, clinical documentation audits, and data validation processes.
• Partner with providers and care teams to improve performance on preventative care, chronic disease management, and care gap closure.
• Assist in delivery of provider and staff education on clinical quality standards and documentation best practices.
• Manage submissions of quality data to payers and regulatory bodies in accordance with contract and compliance timelines.
• Maintain knowledge of evolving value-based care models, clinical quality metrics, and regulatory requirements.
• Serve as a resource for clinical teams on quality improvement strategies and evidence-based practices.
• Support patient engagement efforts tied to quality goals, such as outreach for screenings, immunizations, and wellness visits.
• An expert in value based primary care measures, care gap outreach and closure guidelines.
• Phone outreach to patients for care gap management, medication adherence, suspect condition assessment, and communicating critical information to stakeholders.
• All other duties as assigned.
  
  

Requirements

• Must be available for in-office work M-F
• Certification in Medical Assisting, Healthcare Administration, Public Health, or related field
• 2 years of experience in healthcare quality improvement, preferably in a value-based care or managed care environment
• Strong knowledge of HEDIS, Stars, CMS, NCQA, and other quality performance programs
• Experience working with EMRs, data analytics tools, and clinical workflows
• Athena EMR experience preferred
• Excellent communication, organization, and problem-solving skills
• Ability to work independently and collaboratively in a fast-paced environment
• The ideal candidate must be very comfortable with outbound phone communication
• Experience with population health management tools and care coordination programs
• Familiarity with ACO, PCMH, MSSP, or Medicare Advantage quality programs
• Bilingual in English and Spanish preferred
  
  

Summary

HealthyU is a value-based healthcare organization committed to delivering high-quality, patient-centered care across multiple states and specialties. We prioritize primary care while offering a broad range of services designed to improve outcomes and reduce overall healthcare costs. Our culture is built on collaboration, compassion, and continuous growth—ensuring both our patients and employees are supported and set up for success.

We offer a comprehensive and competitive benefits package designed to support your health, and work-life balance:

• Medical Coverage: Employer contributions toward medical insurance
• Additional Employer-Paid Benefits: GAP coverage, Employee Assistance Program (EAP), and life insurance
• Voluntary Benefits: Dental, vision, HSA, short-term and long-term disability, hospital indemnity, and more
• Paid Time Off: 2 weeks of paid vacation / 10 paid holidays annually / Separate paid sick
• Family Support: Maternity leave benefits
• Growth Opportunities: As a rapidly expanding organization, we offer ongoing career advancement and internal mobility opportunities
  
  

Join a team where your work makes a meaningful impact and your career can grow alongside the organization.