Location: San Diego,CA, USA
Description Position at Metis Practice Solutions Job Title: Quality Management CoordinatorLocation: San Diego Salary Range: $25.00 - $35.00Position Overview:The Quality Management Coordinator is responsible for supporting the quality and performance improvement efforts within a large multi-specialty medical group. The coordinator will intake and manage patient complaints, prepare grievance responses in collaboration with health plans, and assist in collecting and reviewing necessary clinical documentation. Additionally, this role will provide support for peer review processes, prepare materials for quality committee meetings, manage compliance reporting, and oversee special projects related to population health. The Quality Management Coordinator will work closely with physicians, advanced practice providers (APPs), and other clinical and administrative staff to ensure efficient and effective quality management and improvement.Key Responsibilities:Patient Complaints & Grievances:Intake and log patient complaints received through various channels.Collaborate with health plans to prepare formal grievance responses.Research and review patient medical records to collect supporting documentation.Communicate with physicians and APPs to gather input and clinical perspectives needed for grievance resolution.Peer Review Process:Prepare and organize peer review cases for the monthly Quality Committee meeting.Collect relevant clinical information and documentation for case review.Ensure that peer review findings and follow-ups are communicated and tracked effectively.Quality Committee Support:Prepare and distribute documents, reports, and presentations for the monthly quality meeting.Assist in the coordination and scheduling of quality committee activities.Distribute staff appointment packets to committee members and track completion for signatures.Compliance & Reporting:Manage and analyze data related to compliance trends across the medical group.Generate and distribute reports to identify areas of concern and improvement.Ensure that quality and compliance trends are communicated effectively to leadership and relevant committees.Track and support follow-up actions to address compliance issues.Project Management:Participate in and support special projects aimed at improving population health outcomes.Assist in the development and implementation of quality improvement initiatives.Track progress on quality improvement projects and provide updates to leadership as required.Qualifications:Bachelor's degree in healthcare administration, or a related field preferred.Experience in quality management, healthcare administration, or related field within a medical group or healthcare setting.Familiarity with health plan grievance processes, compliance reporting, and population health initiatives is a plus.Skills & Competencies:Strong organizational and project management skills, with an ability to prioritize tasks effectively.Excellent written and verbal communication skills, with experience preparing professional documents and presentations.Ability to review and interpret clinical documentation and medical records.Proficient in Microsoft Office Suite (Word, Excel, PowerPoint) and electronic health record (EHR) systems.Strong interpersonal skills, with the ability to work collaboratively with diverse teams of clinical and administrative staff.Preferred Qualifications:Certified Professional in Healthcare Quality (CPHQ) or other relevant quality certification.Experience with quality improvement methodologies (e.g., Lean, Six Sigma).Knowledge of healthcare regulations and standards related to quality management, compliance, and patient safety.