Actalent is in search of a Quality Improvement Coordinator to support our HEDIS case review program. This is a fully remote role for any applicant that is living on the Big Island of Hawaii. Position Summary: The Clinical Quality Improvement Coordinator I is responsible for analyzing, developing, implementing, and monitoring clinical quality improvement initiatives aimed at achieving optimal health outcomes. This role collaborates with cross-functional teams to support quality assurance programs, conduct audits, investigate care complaints, and ensure compliance with state and healthcare regulations. Key Responsibilities:
- Lead quality improvement initiatives to enhance clinical outcomes and healthcare services.
- Support the implementation of the Quality Assurance Performance Improvement (QAPI) work plan and related projects.
- Assist in the preparation and coordination of committee and subcommittee meetings.
- Investigate and resolve member quality of care concerns and complaints.
- Audit medical records to track performance metrics, monitor trends, and identify risk management issues, including sentinel events.
- Ensure adherence to state and federal quality improvement requirements.
Education/Experience:
- Minimum of 2 years in clinical, quality management, or healthcare-related roles.
- At least 1 year of experience in a quality function within a healthcare setting.
- AS, BS or accredited certifications in program(s) related to Nursing
- Background in healthcare office settings (doctor's office, dentist office, hospitals, labs)
- Medical billing/coding
- Health insurance
- Medical records department knowledge
Pay and Benefits The pay range for this position is $25.00 - $28.00 •Medical, dental & vision •Critical Illness, Accident, and Hospital •401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available •Life Insurance (Voluntary Life & AD&D for the employee and dependents) •Short and long-term disability •Health Spending Account (HSA) •Transportation benefits •Employee Assistance Program •Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully onsite position in Hilo,HI. Application Deadline This position will be accepting applications until Dec 12, 2024.
About Actalent Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.
Diversity, Equity & Inclusion At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:
- Hiring diverse talent
- Maintaining an inclusive environment through persistent self-reflection
- Building a culture of care, engagement, and recognition with clear outcomes
- Ensuring growth opportunities for our people
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email ...@actalentservices.com for other accommodation options.