Quality Management Coordinator II at Advanced Medical Management

Long Beach, California, United States -

Full Time

Start Date

Immediate

Expiry Date

21 Jul, 26

Salary

27.0

Posted On

22 Apr, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Quality management, Gap reporting, Medication adherence, Project management, Problem solving, Decision making, Data entry, Workflow coordination, Stakeholder management, Managed care, Healthcare administration, Organizational skills, Technical expertise, Operational knowledge

Industry

Hospitals and Health Care

Description

POSITION SUMMARY The Quality Management Coordinator II manages the health plan gap reports and work closely with the Quality Management Specialists to make sure the providers are getting the monthly gap reports with the PCP scorecard, and actively communicating with the providers to actively closing the gaps and achieve quality patient care. RESPONSIBILITIES-DUTIES * Perform medication adherence calls. * Responsible for running the reports and provide to the assigned providers. * Responsible for entering supplemental data in Patient Center * Assist in the annual wellness form workflow in Ezcap. * Participate in work groups and health plan meetings. * Assist in coordinating new enhancements, including system enhancements and report generation, to improve STARs quality outcomes. * Participate and/or coordinate projects with the interdepartmental team, building and maintain a good working relationship with internal and external stakeholders and key contacts. * Assist in coordinating new enhancements, including system enhancements and report generation to improve STARs quality outcomes. * Demonstrate and maintain current working knowledge of the required AMM systems. * Performs other duties as assigned. JOB REQUIREMENTS * Minimum of 1 year experience in managed care or health care * Experience in managing projects from start to finish * Ability to work on multiple projects simultaneously * Self-starter with excellent problem solving, decision making and follow through skills * Valid driver’s license * Knowledge of quality performance measures and requirements * Demonstrates technical and operational knowledge and expertise * Cultivates positive professional and interpersonal relationships with health plans * Effective organizational skills AMM BENEFITS When you join AMM, you’re not just getting a job—you’re getting a benefits package that puts YOU first: * Health Coverage You Can Count On: Full employer-paid HMO and the option for a flexible PPO plan. * Wellness Made Affordable: Discounted vision and dental premiums to help keep you healthy from head to toe. * Smart Spending: FSAs to manage healthcare and dependent care costs, plus a 401(k) to secure your future. * Work-Life Balance: Generous PTO, 40 hours of sick pay, and 13 paid holidays to enjoy life outside of work. * Career Development: Tuition reimbursement to support your education and growth.

Responsibilities

The Quality Management Coordinator II manages health plan gap reports and collaborates with specialists to ensure providers receive monthly scorecards. They also perform medication adherence calls, enter supplemental data, and assist in coordinating system enhancements to improve quality outcomes.