Demo

Quality Management Coordinator

BAKERSFIELD FAMILY MEDICAL GROUP, INC.
Bakersfield, CA Full Time
POSTED ON 12/14/2024 CLOSED ON 2/7/2025

What are the responsibilities and job description for the Quality Management Coordinator position at BAKERSFIELD FAMILY MEDICAL GROUP, INC.?

Under the direction of the Manager of Quality, this position is responsible to assist with scanning records for health plan and internal audits, as well as assisting with day to day HEDIS and QM administrative duties. The QM Coordinator will interact with other departments, clinic personnel, and outside providers in a professional and friendly manner, to create and maintain a positive relationship with our internal and external customers.

  • Communicate effectively with Staff, IPA, and Specialty providers regarding medical record requests and scheduling of scanning.
  • Receive and load incoming Senior Wellness Visit notes into the tracker for the auditors in a timely manner.
  • Receive and upload supplemental data from HCC auditors & clinician reviewers into NextGen and/or onto the J Drive.
  • Assist with HEDIS administrative duties, such as pulling/providing records to health plans for HEDIS data collection, saving/naming/uploading records into q. HMO to close care gaps, and reviewing HCC summaries and boarding passes for quality measures that were closed during a visit.
  • Pull weekly A1c report from q. HMO. Request records and upload results once received.
  • Review weekly COA report. Pull any completed COAs from NextGen, save, and upload into q. HMO.
  • Work closely with the Pharmacy team and assist with getting hospital records, as needed, in order to complete Medication Reconciliations following a hospital discharge.
  • Process incoming HCC summaries and boarding passes. Distribute to auditors accordingly and pull and upload any completed quality measures.
  • Be familiar with all manuals (HEDIS, AMP, CMS) and have a firm understanding of all quality measures and their criteria.
  • Maintain patient confidentiality and follow HIPAA guidelines at all times.
  • Attend all staff meetings and complete in services and monthly trainings as required.
  • Cultural and Linguistics training required annually.
Requirements:
8.1 High school diploma/certificate required
8.2 Medical Assistant certification preferred
8.3 Working knowledge of HEDIS/AMP/CMS Star measures and requirements
8.4 Good organizational and time management skills
8.5 Computer skills: Microsoft Office, Excel, EMR systems

8.6 Clean DMV record, current CA driver's license, and current car insurance

The pay range for this position at commencement of employment is expected to be between $24.27 and $28.55 however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, skills, and experience.

If hired, employee will be in an “at-will position” and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.



Compensation: $23.61-$27.78

Salary : $24 - $29

Claims Coordinator
Dignity Health Management Services -
Bakersfield, CA
Quality Assurance Coordinator
BAKERSFIELD FAMILY MEDICAL GROUP, INC. -
Bakersfield, CA
System Director Population Health Quality Management
CommonSpirit Health -
BAKERSFIELD, CA

If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution. Compensation Planning
Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right. Surveys & Data Sets

What is the career path for a Quality Management Coordinator?

Sign up to receive alerts about other jobs on the Quality Management Coordinator career path by checking the boxes next to the positions that interest you.
Income Estimation: 
$152,877 - $196,788
Income Estimation: 
$409,039 - $592,033
Income Estimation: 
$103,834 - $132,004
Income Estimation: 
$133,601 - $190,698
Income Estimation: 
$80,350 - $103,771
Income Estimation: 
$85,233 - $106,862
Income Estimation: 
$98,205 - $115,680
Income Estimation: 
$56,514 - $75,682
Income Estimation: 
$80,350 - $103,771
Income Estimation: 
$85,158 - $98,800
Income Estimation: 
$85,233 - $106,862
Income Estimation: 
$103,834 - $132,004
This job has expired.
View Core, Job Family, and Industry Job Skills and Competency Data for more than 15,000 Job Titles Skills Library

Job openings at BAKERSFIELD FAMILY MEDICAL GROUP, INC.

BAKERSFIELD FAMILY MEDICAL GROUP, INC.
Hired Organization Address Bakersfield, CA Full Time
Under the direction of the Manager of Technology and Infrastructure, this position is responsible to oversee the entire ...
BAKERSFIELD FAMILY MEDICAL GROUP, INC.
Hired Organization Address Bakersfield, CA Full Time
Under the direction of the Claims Supervisor, this position is responsible to review claims for payment at the Adjudicat...
BAKERSFIELD FAMILY MEDICAL GROUP, INC.
Hired Organization Address Bakersfield, CA Full Time
Under the direction of the Clinic Supervisor, this position is responsible for patient care in the clinic or ambulatory ...
BAKERSFIELD FAMILY MEDICAL GROUP, INC.
Hired Organization Address Bakersfield, CA Full Time
Under the direction of the Clinic Supervisor, this position is responsible for registering patients, scheduling appointm...

Not the job you're looking for? Here are some other Quality Management Coordinator jobs in the Bakersfield, CA area that may be a better fit.

System Director Population Health Quality Management

Dignity Health Management Services, Bakersfield, CA

Claims Quality Specialist

Dignity Health Management Services, Bakersfield, CA

AI Assistant is available now!

Feel free to start your new journey!