Quality and Population Health Coordinator I (ALD)

Job Summary

The Quality and Population Health Coordinator I (QPHC) is responsible for outreaching to members to close care gaps. The QPHC also outreaches to providers for medical record pursuit and retrieval. The QPHC is an important member of L.A. Care’s quality improvement team, helping to drive improvement in health outcomes, population health, and health equity, as well as member and provider experience.

Duties

Make outbound calls to members to assist with scheduling and coordinating services (e.g. appointments, lab tests, health screenings, other diagnostic studies, transportation, etc.). (25%)

Educate members on missing gaps in care. Encourage them to close care gaps and pursue preventative health and health promotion activities. (25%)

Outreach to providers to request medical reports by fax, electronic medical records, or on-site visits if needed. (15%)

Review medical records, claims, and encounter data to identify key information to help close gaps in care. (15%)

Provide support as needed for care gap closure campaigns and other quality improvement programs. (15%)

Perform other duties as assigned. (5%)

Duties Continued

Education Required

Education Preferred

Experience

Required:

At least 3 months of experience following basic workflows, procedures, and standards related to patient or provider communication and outreach.

Previous experience working in an office setting with basic office equipment such as telephones, fax machines, computers, etc.

Preferred:

Health Plan, provider practice, or health education experience.

Skills

Required:

Demonstrates deep compassion and sensitivity towards patient needs and community well-being.

Driven by strong motivation to positively impact people’s lives.

Excellent verbal and written communication skills.

Excellent interpersonal skills.

Proficient with Microsoft Word, Excel, PowerPoint, and Outlook.

Skills in utilizing various online platforms and search engines to efficiently gather accurate and relevant information.

Highly organized with ability to maintain accurate notes and records.

Demonstrates high efficiency in managing tasks and consistently delivering projects to successful and reliable completion.

Ability to communicate effectively with patients and health care providers.

Preferred:

Some knowledge of HEDIS and other quality measures.

Some knowledge of quality improvement processes.

Bilingual in one of L.A. Care Health Plan’s threshold languages is highly desirable. English, Spanish, Chinese, Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese  

Licenses/Certifications Required

Licenses/Certifications Preferred

Required Training

Physical Requirements

Additional Information