Quality Programs Coordinator

US-CA-Alameda
3 weeks ago
Job ID
2017-1705
# of Openings Remaining
1
Experience (Years)
1

Overview

Under the general direction of the Quality Director or Accreditation Director, this position is responsible for helping to plan, organize, and implement Alliance Quality programs.

Responsibilities

Principal responsibilities include:

 

· Facilitate quality initiatives and programs, including member outreach, provider outreach and interdepartmental communications.

· Maintain resource directory of network and delegate provider and office staff contact information and hours of operation in order to provide best geographic, resource, and physical accessibility information.

· Conduct reminder calls and reminder mailings to members or providers targeted in Quality initiatives or programs.

· Coordinate Quality projects.

· Conduct follow-up to members who have participated in Quality programs to determine program effectiveness.

· Represent the Alliance at community meetings and events.

· Create and run periodic departmental reports.

· Maintain departmental worksheets or limited data sets.

· Assist with development of Quality Department materials.

· Assist with review, tracking, and annotating of medical records, program policies, reports and materials.

· Coordinate collection of medical records, including but not limited to: copying, printing, and coordination with the mail house/mail room.

· Arrange logistics for Quality projects including scheduling medical record review and medical record collection. Complete other duties and special projects as assigned.

 

ESSENTIAL FUNCTIONS OF THE JOB

· Telephone contact with members and providers, providing assistance in accessing Health Education services.

· Coordinate logistics for Quality programs.

· Assist with development, implementation, and evaluation of programs.

· Attend meetings with other department staff to identify on-going concerns and lessons learned for future outreach programs.

· Assist with development and production of Quality department materials.

· Contact with community providers and organizations.

· Comply with the organization’s Code of Conduct, all regulatory and contractual requirements, organizational policies, procedures, and internal controls.

 

PHYSICAL REQUIREMENTS

· Constant and close visual work at desk or computer.

· Constant sitting and working at desk.

· Constant data entry using keyboard and/or mouse.

· Frequent use of telephone headset.

· Constant verbal and written communication with staff and other business associates by telephone, correspondence, or in person.

· Frequent lifting of folders and other objects weighing between 0 and 30 lbs.

· Frequent walking and standing.

· Occasional driving of automobiles.

Qualifications

EDUCATION OR TRAINING EQUIVALENT TO:

 

· Bachelor’s degree or equivalent work experience required. Academic major in health services or related field preferred.

 

SUBSTITUTION FOR ACADEMIC MAJOR:

 

· Year over year full time experience may be substituted for the academic major (up to 4 years) when administrative duties are performed in a health service agency or program.

· Minimum one year managed care experience preferred.

 

SPECIAL QUALIFICATIONS (SKILLS, ABILITIES, LICENSE):

 

· Proficiency in correct English usage, grammar, and punctuation required.

· Excellent problem solving skills.

· Ability to manage multiple tasks simultaneously.

· Ability to work with members in a professional, respectful and responsive manner.

· Ability to work with diverse groups including low-income populations and health care providers.

· Knowledge of Medi-Cal desirable.

· Knowledge of Alameda County communities desirable.

· Ability to maintain cooperative relations with community and professional groups.

· Ability to communicate effectively, both verbally and in writing.

· Must be organized, detail oriented, and have the ability to work in cooperation with others.

· Strongly proficient in Microsoft Word, Excel and Adobe Acrobat Pro preferred.

· Possession of valid California driver’s license and proof of California auto liability are required.

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