Guidehealth - Houston, TX

posted 5 days ago

Full-time - Entry Level
Remote - Houston, TX

About the position

The Bilingual (Korean/English) QI Data Coordinator at Guidehealth is a full-time remote position focused on quality improvement in healthcare. The role involves engaging with patients and healthcare providers to collect and analyze quality measure data, manage patient outreach initiatives, and ensure adherence to treatment plans. The coordinator will work with various electronic medical record (EMR) systems and collaborate with team members to meet quality reporting deadlines and improve health outcomes.

Responsibilities

  • Act as a Subject Matter Expert (SME) on MA Part C & D quality measures and Stars rating.
  • Collect quality measure data using various EMR systems.
  • Conduct proactive patient outreach initiatives to identify and address quality gaps.
  • Engage with patients to educate them on preventive care measures and facilitate adherence to treatment plans.
  • Manage daily work using multiple systems and applications including EMR systems and Microsoft 365.
  • Work with patient lists, gap lists, sourced health data, and medical records.
  • Prioritize daily work to meet various quality reporting deadlines and requirements.
  • Communicate quality performances, barriers, and improvement strategies internally and with customers.
  • Follow established policies and procedures for various QI workflows.
  • Collaborate with customers, payers, and co-workers to accomplish daily work.

Requirements

  • Bilingual in Korean and English.
  • Associate degree or greater in a related field or certified/licensed professional (CMA, LPN).
  • Minimum 1-3 years of experience in a healthcare setting, including working/charting/data abstraction via EMR systems.
  • Knowledge of medical terminology and MA quality measures.
  • Minimum 2 years' experience in Medicare Advantage Quality data abstraction and patient outreach.

Nice-to-haves

  • Experience in quality improvement initiatives and data submissions.
  • Proficiency in Electronic Medical Record (EMR) software and cloud platforms.

Benefits

  • 401(k) with 3% match
  • Dental insurance
  • Disability insurance
  • Employee assistance program
  • Health insurance
  • Paid parental leave
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