Shared Market Clinical - Coordinator, Market Quality
ArchWell Health, Saint Louis, MO, United States
Job Summary
The Market Quality Coordinator is responsible for the monitoring and pursuit of CMS STARS HEDIS measures, conducting patient outreach calls, and partnering with center leadership and teams to achieve STARS and HEDIS goals. This role serves as part of the market operations team, working across many payors within a single market in an outpatient senior-focused primary care setting.
Duties/Responsibilities
Conduct enterprise and local strategies and initiatives for closing STARS gaps
Medical record review to document and close Focus On Care measures
Request medical records and upload documentation to electronic medical records system
Perform patient outreach calls to support quality gap closure, including assisting and encouraging members with scheduling and completing screenings
Schedule and perform ancillary visits to complete in-center screenings
Meet regularly with Market Leaders to discuss roadblocks, regular progress, and to strategize center and market focused initiatives
Ensure compliance with OSHA safety standards and conduct accurate, legal, and ethical documentation at all times
Additional responsibilities and duties as needed
Required Skills/Abilities
Working knowledge of quality measures and quality gap closure strategies
Experience working in a primary care setting
Proficient with Microsoft Office Suite products including Word, Excel, Power Point, Outlook, and Teams
Demonstrated team building skills
Ability to work independently with a high level of attention to detail
Sensitivity to the needs of culturally diverse staff, patients, and communities
Maintains HIPAA standards and confidentiality of protected health information; reports critical incidents immediately
Embodies and serves as a role model of ArchWell Health’s Values:
Be compassionate
Strive for excellence
Earn trust
Show respect
Stay resilient
Always do the right thing
Education And Experience
High school diploma or equivalent education (GED) required
A minimum of 1 year work experience as a Medical Assistant
Graduation from a nationally accredited Medical Assistant program or comparable healthcare vocational training (e.g., foreign-trained physician, paramedic, etc.) required
BLS for Healthcare Providers required
EClinicalWorks or similar EMR experience
Experience working with geriatric patients is a plus
Experience with the CMS STARS program (HEDIS) preferred
Equal Opportunity Statement
ArchWell Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected classification.
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The Market Quality Coordinator is responsible for the monitoring and pursuit of CMS STARS HEDIS measures, conducting patient outreach calls, and partnering with center leadership and teams to achieve STARS and HEDIS goals. This role serves as part of the market operations team, working across many payors within a single market in an outpatient senior-focused primary care setting.
Duties/Responsibilities
Conduct enterprise and local strategies and initiatives for closing STARS gaps
Medical record review to document and close Focus On Care measures
Request medical records and upload documentation to electronic medical records system
Perform patient outreach calls to support quality gap closure, including assisting and encouraging members with scheduling and completing screenings
Schedule and perform ancillary visits to complete in-center screenings
Meet regularly with Market Leaders to discuss roadblocks, regular progress, and to strategize center and market focused initiatives
Ensure compliance with OSHA safety standards and conduct accurate, legal, and ethical documentation at all times
Additional responsibilities and duties as needed
Required Skills/Abilities
Working knowledge of quality measures and quality gap closure strategies
Experience working in a primary care setting
Proficient with Microsoft Office Suite products including Word, Excel, Power Point, Outlook, and Teams
Demonstrated team building skills
Ability to work independently with a high level of attention to detail
Sensitivity to the needs of culturally diverse staff, patients, and communities
Maintains HIPAA standards and confidentiality of protected health information; reports critical incidents immediately
Embodies and serves as a role model of ArchWell Health’s Values:
Be compassionate
Strive for excellence
Earn trust
Show respect
Stay resilient
Always do the right thing
Education And Experience
High school diploma or equivalent education (GED) required
A minimum of 1 year work experience as a Medical Assistant
Graduation from a nationally accredited Medical Assistant program or comparable healthcare vocational training (e.g., foreign-trained physician, paramedic, etc.) required
BLS for Healthcare Providers required
EClinicalWorks or similar EMR experience
Experience working with geriatric patients is a plus
Experience with the CMS STARS program (HEDIS) preferred
Equal Opportunity Statement
ArchWell Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected classification.
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