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Quality Improvement Coordinator

WellCare

This is a Contract position in Ventura, CA posted January 12, 2020.

At WellCare, we are a passionate team with a strong mission and a focused purpose: to serve our members and communities in which they live while helping them live better, healthier lives. Our culture is one of empowerment, teamwork and commitment as we all work together to deliver cost-effective solutions that create positive outcomes for our members. Join us a career that inspires passion and purpose across all levels and disciplines within our award-winning organization.

Provide support and project coordination for the quality improvement functional area .

Department: Health Services

Location: Cypress, CA or Ventura, CA

Reports To: Director Quality Improvement

Essential Functions:

  • Provides support for the quality improvement functional area.
  • Maintains and updates department policies/procedures.
  • Completes special projects or assignments as needed to meet initiatives and/or objectives of department.
  • Assists and coordinates QI projects as needed.
  • Maintains all department files in an organized, accurate manner.
  • Assists with preparations for meetings by typing agendas, attachments and minutes.
  • Maintains supply levels, equipment maintenance, communications and records.
  • Maintains and secures files of QI activities.
  • Directs communication to the appropriate staff.
  • Coordinates provider profiling activities.
  • Organizes and may conduct Policy and Procedure Committee meetings.
  • Additional duties as assigned.

Additional Responsibilities:

  • I specified markets, may be required to travel to provider offices to collect charts in support of RAPS, HEDIS and other chart collection initiatives.

Candidate Education:

  • Required A High School or GED
  • Required or equivalent work experience

Candidate Experience:

  • Required 2 years of experience in medical office HMO or hospital environment performing adminstrative duties with a clinical focus
  • Required Other Experience with medical terminology

Candidate Skills:

  • Advanced Demonstrated written communication skills
  • Advanced Demonstrated interpersonal/verbal communication skills
  • Intermediate Ability to communicate and make recommendations to upper management
  • Intermediate Ability to multi-task
  • Intermediate Ability to work in a fast paced environment with changing priorities
  • Intermediate Other Ability to communicate effectively with people at all levels
  • Intermediate Other Ability to arrange their own work day

Licenses and Certifications:
A license in one of the following is required:

    Technical Skills:

    • Required Intermediate Microsoft Word
    • Required Intermediate Microsoft Excel
    • Required Intermediate Microsoft Access
    • Required Intermediate Microsoft PowerPoint
    • Required Intermediate Microsoft Outlook

    Languages:

      About us
      Headquartered in Tampa, Fla., WellCare Health Plans, Inc. (NYSE: WCG) focuses primarily on providing government-sponsored managed care services to families, children, seniors and individuals with complex medical needs primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans, as well as individuals in the Health Insurance Marketplace. WellCare serves approximately 5.5 million members nationwide as of September 30, 2018. WellCare is a Fortune 500 company that employs nearly 12,000 associates across the country and was ranked a “World’s Most Admired Company” in 2018 by Fortune magazine. For more information about WellCare, please visit the company’s website at www.wellcare.com. EOE: All qualified applicants shall receive consideration for employment without regard to race, color, religion, creed, age, sex, pregnancy, veteran status, marital status, sexual orientation, gender identity or expression, national origin, ancestry, disability, genetic information, childbirth or related medical condition or other legally protected basis protected by applicable federal or state law except where a bona fide occupational qualification applies. Comprehensive Health Management, Inc. is an equal opportunity employer, M/F/D/V/SO.