Quality Management Coordinator II

Advanced Medical Management

Posted 2 months ago

Full Time

Long Beach, California

In Person

Smart Summary

Responsibilities

The Quality Management Coordinator II manages health plan gap reports and collaborates with specialists to ensure providers receive monthly scorecards. They also perform medication adherence calls, enter supplemental data, and assist in coordinating system enhancements to improve quality outcomes.

Qualifications

This role requires at least one year of experience in managed care or healthcare, with a strong ability to manage multiple projects simultaneously and a proven track record in project management from initiation to completion. Candidates should possess excellent problem-solving, decision-making, and follow-through skills, along with knowledge of quality performance measures and effective organizational abilities.

Job Description

POSITION SUMMARY 

The Quality Management Coordinator II manages the health plan gap reports and work closely with the Quality Management Specialists to make sure the providers are getting the monthly gap reports with the PCP scorecard, and actively communicating with the providers to actively closing the gaps and achieve quality patient care. 

RESPONSIBILITIES-DUTIES 

  • Perform medication adherence calls.
  • Responsible for running the reports and provide to the assigned providers. 
  • Responsible for entering supplemental data in Patient Center
  • Assist in the annual wellness form workflow in Ezcap.
  • Participate in work groups and health plan meetings.
  • Assist in coordinating new enhancements, including system enhancements and report generation, to improve STARs quality outcomes.
  • Participate and/or coordinate projects with the interdepartmental team, building and maintain a good working relationship with internal and external stakeholders and key contacts. 
  • Assist in coordinating new enhancements, including system enhancements and report generation to improve STARs quality outcomes. 
  • Demonstrate and maintain current working knowledge of the required AMM systems.
  • Performs other duties as assigned. 

JOB REQUIREMENTS

  • Minimum of 1  year experience  in managed care or health care
  • Experience in managing projects from start to finish
  • Ability to work on multiple projects simultaneously
  • Self-starter with excellent problem solving, decision making and follow through skills 
  • Valid driver’s license
  • Knowledge of quality performance measures and requirements
  • Demonstrates technical and operational knowledge and expertise
  • Cultivates positive professional and interpersonal relationships with health plans
  • Effective organizational skills

AMM BENEFITS

When you join AMM, you’re not just getting a job—you’re getting a benefits package that puts YOU first:

  • Health Coverage You Can Count On: Full employer-paid HMO and the option for a flexible PPO plan.
  • Wellness Made Affordable: Discounted vision and dental premiums to help keep you healthy from head to toe.
  • Smart SpendingFSAs to manage healthcare and dependent care costs, plus a 401(k) to secure your future.
  • Work-Life Balance: Generous PTO40 hours of sick pay, and 13 paid holidays to enjoy life outside of work.
  • Career DevelopmentTuition reimbursement to support your education and growth.

Advanced Medical Management

Advanced Medical Management, Inc. (“AMM”) is a full-service management services organization providing healthcare business management and consulting services since 1995. We are an IPA management company and fiscal intermediary administrating and servicing a variety of commercial and government agency clients with additional experience and success providing strategic planning, project development, and health system development services. We are focused on nurturing our physician client relationships with openness and trust providing answers to client needs that are customized yet consistent with industry standards. Visit our site to learn more about our experience successfully handling thousands of managed care lives for IPA clients throughout California.
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