Senior Patient Care Coordinator - Quality Improvement - Irvine, CA - Full-time / Part-time

We’re Monarch HealthCare, Orange County’s largest association of independent physicians, and a part of Optum and the growing family of UnitedHealth Group companies. We are changing health care for the better by improving access to affordable, high quality care, and working together to improve the patient experience. With the talent, resources and can-do culture of a Fortune 6 company behind us, there’s no telling how far we can go. Join us in creating a better future and you’ll soon find you’re doing your life’s best work.(sm)
 
Position Summary: Quality Improvement professional possesses a working knowledge of managed care business operations; responsible for providing operational support for reporting clinical outcomes including: ensuring data integrity, analyzing improvement opportunities, participating in oversight audits and working collaboratively with departmental team members to develop / implement programs to improve clinical quality. Maintains a current knowledge of all quality-related Quality Incentive Programs (QIP) as they relate to individual health plan and government incentive programs; solid understanding and ability to translate Quality Measurement Specifications; serves as a liaison for internal and external customers in matters affecting members, providers, plans and other customers related to the interpretation and implementation of PI programs, activities, goals and policies.
 
Primary Responsibilities:

Coordinates member education on evidence-based guidelines through educational mailings, community-based events and direct outreach calls
Coordinates physician education through in-service trainings and transparency of data
Coordinates meetings, prepares agendas, assembles presentation materials, and other supportive duties as assigned
Supports continuous quality improvement initiatives through research and testing of initiatives to assess success and scalability
Manages data entry into the quality reporting database, analyzes data integrity and works with provider offices to provide support / education on correct use of the application
Helps prepare and coordinate data validation audits
Attends conferences and meetings related to HEDIS/ Pay-for-Performance / CMS Stars/ ACO Quality Reporting as required

Required Qualifications:

High school diploma or GED
1 year of experience in healthcare setting
Experience with project coordination
Experience with reporting and analysis
Working knowledge of medical terminology
Proficient in MS Office: Word, Outlook, Excel
Ability to travel locally up to 25%
Preferred Requirements:

Bachelor’s degree
Experience in quality improvement
Bilingual Spanish / Vietnamese
What's the first thing that happens when one of the most successful physician groups in Orange County comes together with a global leader in health care? Opportunity. With Monarch HealthCare joining OptumCare and the UnitedHealth Group family of companies, people like you will find increasing levels of challenge, impact and professional success. With a vibrant network of hospitals and urgent care centers, we're changing health care for the better by improving access to affordable, high quality care, and working together to improve the patient experience. That takes passion, commitment, intense focus and the ability to contribute effectively in a highly collaborative team environment. Are you with us? Learn more about this exciting opportunity to do your life's best work.(sm)
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
 
 
Job Keywords: Managed care, HEDIS, quality improvement, HMO, data analysis, medical terminology, bilingual, Spanish, Vietnamese, Irvine, CA, California