Associate Program Coordinator - Quality Outcomes
Summa Health Medical Group / CPC Plus Program
Summa Health System is recognized as one of the region’s top employers by a number of third party organizations, including NorthCoast 99. Exceptional candidates gravitate to Summa because of its culture, passion for delivering excellent service to our patients and families commitment to our philosophy of servant leadership, collegial working relationships at every level of the organization and competitive pay and benefits.
Summary:
Provides project management support to improve quality outcomes reporting for the Summa Health Medical Group value based care programs. Works collaboratively with internal and external resources to achieve maximum financial returns yearly. Completes medical record reviews with a focus on HEDIS and risk adjustment coding gaps information for value-based payers in the ambulatory environment.
Formal Education Required:
a. Associates degree in a health or social services related field or equivalent combination of education and/or experience
Experience & Training Required:
a. Two (2) year experience in medical or health services field to include:
i. Medical record review for HEDIS
ii. Experience with EPIC Electronic Medical Record
iii. Project Management
b. Knowledge of NCQA, HEDIS, CMS and Health Plan standards and delegation requirements as they relate to quality management.
Other Skills, Competencies and Qualifications:
a. Able to navigate complex situations independently and complete tasks with minimum direction.
b. Able to set priorities and manage workload to maximize outcomes.
c. Proficient in Microsoft Office programs.
d. Maintain confidentiality and HIPAA standards use appropriate documentation requirements.
e. Knowledge of Social Determinants of Health for reporting purposes.
Level of Physical Demands:
Sedentary: Exerts up to ten pounds of force occasionally and/or a negligible amount of force frequently.
Equal Opportunity Employer/Veterans/Disabled
$22.39/hr - $26.87/hr
The salary range on this job posting/advertising is base salary exclusive of any bonuses or differentials. Many factors, such as years of relevant experience and geographical location are considered when determining the starting rate of pay. We believe in the importance of pay equity and consider internal equity of our current team members when determining offers. Please keep in mind that the range that is listed is the full base salary range. Hiring at the maximum of the range would not be typical.
Summa Health offers a competitive and comprehensive benefits program to include medical, dental, vision, life, paid time off as well as many other benefits.