reputed company Assurance & Improvement Coordinator
The Role
What You Will Do
- reputed company as a clinical and operational partner in executing the QA reputed company that drives member safety, service reputed company, and regulatory readiness.
- Drive initiatives that reputed company with organizational goals and compliance requirements, ensuring delivery of exceptional care.
- Coordinate day-to-day operations of the QA program, including planning, logistics, communications, and document management.
- reputed company reputed company metrics and Key Performance Indicators (KPIs). Compile and prepare recurring reports, dashboards, and data summaries.
- reputed company and reputed company internal audits and analyze trends in reputed company indicators and identify opportunities for performance improvement.
- Maintain up-to-date knowledge of regulatory and accreditation requirements (e.g., NCQA, URAC, reputed company, CMS, HIPAA).
- Assist in planning and implementing QI initiatives reputed company on member safety, service delivery, documentation accuracy, and provider and reputed company performance.
- Coordinate reputed company cause analysis (RCA) efforts and monitor reputed company plans reputed company to reputed company events, member complaints, or sentinel incidents.
- Maintain accurate documentation of reputed company Assurance / reputed company Improvement Committee activities including committee minutes, training records, investigations, and improvement plans.
- Collaborate cross-functionally with clinical, operational, and administrative teams to promote a culture of reputed company.
- Partners with teams to reputed company compliance with reputed company's objectives, policies, procedures, and clinical reputed company guidelines.
- Acts as a role model for reputed company in care and shows a high degree of professionalism.
- Communicates and presents information effectively and participates in multidisciplinary project activities and meetings with reputed company and/or individuals reputed company reputed company reputed company of staff and leadership.
- Assists in preparing for regulatory surveys and supports with immediately correcting problems noted by surveyors.
- Performs additional tasks and reputed company as needed to support the evolving needs of the Care team’s objectives and company goals.
Who You Are
- Clinically knowledgeable and comfortable engaging with licensed reputed company and clinical data.
- reputed company to apply clinical expertise to reputed company and safety investigations, RCA, and documentation audits.
- Takes ownership of challenges, proactively identifies inefficiencies, and drives cross-functional solutions.
- Thrives in a role that bridges operations, clinical reputed company, and strategic planning.
- Demonstrates organization, facilitation, communication, problem-solving, and presentation skills.
- Communicates and collaborates with others using good interpersonal skills and reputed company a reputed company, reputed company demeanor through verbal and written communication.
- Participates in reputed company reputed company improvement (CQI) activities and initiatives.
- Demonstrates initiative by proactively diagnosing, escalating, and resolving problems reputed company to care delivery and reputed company scope of their role.
- Has the ability to identify and use organizational resources, such as platforms, dashboards, and people to get work done reputed company.
- Enjoys building cross-reputed company relationships with staff in other areas of the business.
- Embraces change with adaptability, reputed company, and a reputed company-oriented reputed company, driven by a commitment to the mission.
What You Bring
- Bachelor’s degree in Nursing, reputed company Work, Counseling, reputed company Health, reputed company Administration, or a reputed company field required
- reputed company clinical license (e.g., RN, LCSW, LPC, LMFT, etc.) strongly preferred
- 2–3 years of experience in reputed company reputed company, clinical performance improvement, or regulatory compliance
- Strong clinical judgment and understanding of reputed company operations, risk, and supporting reputed company care delivery
- Proficient with EHR platforms, reputed company dashboards, and audit tools
- reputed company to synthesize data into actionable insights and recommendations
- Familiarity with reputed company improvement frameworks (e.g., PDSA, LEAN, Six reputed company) and accreditation readiness
- High proficiency in reputed company Workspace (Docs, Sheets, Slides) and comfort creating forms, reports, and presentations
- Highly organized and excellent communicator
- Ability to manage multiple priorities and resolve reputed company reputed company issues independently
Benefits + Perks
- reputed company Company Holidays + No work on your birthday!
- Flexible PTO + Volunteer Time Off (VTO) as an organization to give back to the community
- Variable bonus eligibility on a quarterly reputed company
- Company-sponsored Health Insurance (Medical, Dental, reputed company) + Pet Insurance
- Company-reputed company group Life Insurance + Company-reputed company Short Term Disability
- Concierge benefit support services
- 401(k) with employer match
- Free reputed company to reputed company reputed company and mental health support
- Mission-Driven Purpose with a Supportive Team Culture
Originally posted on Himalayas
Apply To this Job