Guidehealth

Healthcare

RemoteClinicalQualityImprovementCoordinator

$52–75k ~AI est. Dallas, Texas, United States FULL TIME Remote Friendly
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for mid candidates.

The Brief

“Remote Clinical Quality Improvement Coordinator at Guidehealth. Skills: Quality Improvement, Data Abstraction, Patient Outreach, Medicare Advantage. Engage with company and team. Act as SME on QI measures”

What You'll Achieve.

Improve health outcomes; Close quality gaps

Industry & Context.

Healthcare
Problems you'll solve

Quality gap analysis

What They're Looking For.

Must Have

Associate degree or greater, Certified/licensed professional, 1-3 years healthcare experience, Experience via EMR system/s, Knowledge of medical terminology, Knowledge of quality measures, Knowledge of medical billing/coding, 2 years Medicare Advantage Quality data abstraction, 2 years patient outreach, Tech savvy in managing health data, Working in Excel and PowerPoint, Navigating multiple systems and applications, Highly skilled in verbal communication, Highly skilled in written communication, Ability to meet hard deadlines, Ability to collaborate with others, Ability to work with management, Ability to work with co-workers, Ability to work with customers

Nice to Have

Knowledge in quality improvement initiatives, Experience in data submissions, Extensive experience with quality database entries, Extensive experience with reporting, Experience interpreting quality information, Experience reporting quality information, Experience training staff, Proficiency in Electronic Medical Record (EMR) software, Proficiency in cloud platforms

What You'll Do.

Engage with company and team

Act as SME on QI measures

Act as SME on QI services

Act as SME on QI customers

Act as SME on quality initiatives

Conduct proactive patient outreach

Identify quality gaps

Educate patients on preventive care

Schedule necessary screenings

Schedule necessary appointments

Facilitate adherence to treatment plans

Source data from claims

Source data from provider outreach

Manage daily work using systems

Work with patient lists

Work with sourced health data

Work with medical records

Leverage quality resources

Ensure accuracy of work

Ensure completeness of work

Prioritize daily work

Meet quality reporting deadlines

Meet quality reporting requirements

Communicate quality performances

Communicate improvement strategies

Follow established policies

Follow established procedures

Collaborate with customers

Collaborate with payers

Collaborate with co-workers

Participate in webinars

Participate in trainings

Participate in support calls

Communicate professionally

Develop positive relationships

How You'll Work.

Team & Collaboration

Cross-functional initiatives; Departmental webinars; Payer sponsored calls; Customer collaboration; Co-worker collaboration

Communication Scope

Verbal communication; Written communication; Customer communication

Full Job Description

WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers. Driven by empathy and powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections with patients and providers. Physician-led, Guidehealth empowers our partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients. As a growing and innovative organization, we operate with a high degree of agility. Employees are expected to adapt to evolving business needs, step in to support cross-functional initiatives, and contribute beyond traditional role boundaries when needed. This collaborative and flexible mindset is essential to our success. We encourage cross-training, ongoing development, and a commitment to learning across all areas of the business—ensuring we continue to grow and you continue to thrive as a high-performing, mission-driven team. Join us as we put healthcare on a better path!! WHAT YOU’LL BE DOING * Work in a fully remote environment and virtually engage with company and team in your daily work. * Subject Matter Expert (SME) on entire scope of QI measures, services, customers and quality initiatives under various commercial and governmental payers. * Conduct proactive patient outreach initiatives to identify and address quality gaps, engaging with patients to educate them on preventive care measures, schedule necessary screenings or appointments, and facilitate adherence to treatment plans, thereby contributing to improved health outcomes and closing quality gaps. * Collect quality data using various methods of data sourcing-EMR, claims, provider outreach. * Manage daily work using multiple systems and applications-EMR

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