Job Title: Quality Improvement Coordinator I

Job Description

• Analyze, develop, implement, and monitor clinical quality improvement initiatives to achieve healthy outcomes.

• Perform duties and functions to comply with quality improvement programs according to state requirements.

• Support Quality Assurance Performance Improvement work plan/initiatives.

• Schedule and assist with committee and sub-committee preparation.

• Assist in investigation and resolution of member quality of care complaints.

• Audit medical records and monitor performance measures for health care risk management sentinel events and trends.

• Communicate with provider practices to ensure that TRC (transitions of care)/MRP (medication reconciliation post discharge) have been completed and uploaded to the EMR.

• Audit medical records to confirm TRC/MRP included.

• Administrative tasks include requesting and processing medical records, as well as daily performance tracking.

Requirements:

• Education Requirement: must have Associate's Degree or LPN; Ideally has Bachelor's Degree in healthcare, nursing, etc.

• Must have prior HEDIS expereince working as a quality coordinator, quality specialist, RN, auditor, etc.

• Medical Records experience

Work Site

This is a fully remote position, eastern or central time zones.

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.

Diversity, Equity & Inclusion

At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:

• Hiring diverse talent

• Maintaining an inclusive environment through persistent self-reflection

• Building a culture of care, engagement, and recognition with clear outcomes

• Ensuring growth opportunities for our people

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com (%20actalentaccommodation@actalentservices.com) for other accommodation options.