QI Data Coordinator

WHO IS GUIDEHEALTH?

At Guidehealth, our mission is to enhance healthcare affordability for patients and restore the fulfillment of practicing medicine for providers. As a physician-led company, we recognize that streamlining administrative tasks and harnessing the power of predictive analytics and AI enable our partner physician practices to prioritize delivering high-quality healthcare focused on outcomes and value.

Driven by empathy, we empower physicians to anticipate the needs of patients requiring more attention, strengthen connections between patients and physicians with virtually-embedded Healthguides, and leverage AI and analytics to proactively avoid preventable events. This approach results in increased levels of patient and practice engagement, ultimately leading to more significant positive impacts on patients.

Join us as we put healthcare on a better path!!

This position is responsible for assisting the Population Health Case Management Team on reporting services, communications, and coordination for one or more of the day-to-day functions. (e.g., customer service, reporting, medical record lookup, email, report reviews and distribution, and data entry.)

WHAT YOU WILL BE DOING:

• Working in a fully remote environment and virtually engage with company and team in your daily work.
• Acting as a subject Matter Expert (SME) on entire scope of QI services, customers and quality initiatives under various commercial and governmental payers.
• Collecting quality data using various methods of data sourcing-EMR, claims, provider outreach.
• Managing daily work using multiple systems and applications-EMR systems, payer portals, vendor platforms, Guidehealth applications, Microsoft 365 for Excel, Word and PowerPoint and Teams for messaging and meetings.
• Working with patient lists, gap lists, sourced health data and medical records in your daily work.
• Leveraging all quality related resources to ensure accuracy and completeness of work-measure/project instructions, NCQA/HEDIS specifications, coding documents, cheat sheets, quick reference guides.
• Prioritizing daily work to meet various quality reporting deadlines and requirements.
• Communicating quality performances, barriers and improvement strategies both internally and with customers.
• Following all established policies and procedures for various QI workflows to ensure overall success.
• Collaborating w/ customers, payers, co-workers to accomplish daily work.
• Participating in all departmental and payer sponsored webinars/trainings/support calls throughout the year.
• Communicating professionally and develop positive relationships with co-workers, customers, providers and providers’ support staff.
  

WHAT YOU'LL NEED TO HAVE

• Associate degree or greater in related field or certified/licensed professional-CMA, LPN
• Minimum 1-3 years of experience in healthcare setting; time spent working/charting/data abstraction via EMR system/s, knowledge of medical terminology, quality measures, medical billing/coding.
• Tech savvy in managing the technical side of this position-working with health data and formulations for earnings, working in excel and PowerPoint, navigating multiple systems and applications.
• Highly skilled in verbal and written communications.
• Strong attention to detail, organized and ability to meet hard deadlines.
• Ability to collaborate w/ others and work effectively with management, co-workers, and customers.

WE WOULD LOVE FOR YOU TO HAVE:

• Knowledge or experience in quality improvement initiatives and data submissions required by various health insurance payers. 

WHAT YOU GET

• Use your skills to make a meaningful impact in healthcare 
• Work with a great team in an awesome work environment  

COMPENSATION

Guidehealth’s compensation structure includes more than just base salary. We believe in providing world-class benefits including comprehensive medical, dental, and vision plans, long and short-term disability, life insurance, and a 401k plan with a generous match. Our paid time off program includes paid holidays and flexible time that focuses on meeting the demands of the position and our clients, while providing the balance that our employees need.

The base pay range for this role is between $23 to $26 per hour paid bi-weekly per our standard payroll practices. Final base pay decisions are dependent upon a variety of factors which may include, but are not limited to: skill set, years of relevant experience, education, location, and licensure/certifications.

OUR COMMITMENT TO EQUAL OPPORTUNITY EMPLOYMENT

Diversity, inclusion, and belonging is at the core of Guidehealth’s values. We are an equal opportunity employer. We enthusiastically accept our responsibility to make employment decisions without regard to race, religious creed, color, age, sex, sexual orientation and identity, national origin, citizenship, religion, marital status, familial status, disability, Family and Medical Leave, military or veteran status, pregnancy, childbirth or other related medical conditions, or any other classification protected by federal, state, and local laws and ordinances. Our management is fully dedicated to ensuring the fulfillment of this policy with respect to hiring, placement, promotion, transfer, demotion, layoff, termination, recruitment advertising, pay, and other forms of compensation, training, and general treatment during employment. 

This position is responsible for following all Security policies and procedures in order to protect all PHI under Guidehealth’s custodianship as well as Guidehealth Intellectual Properties.  For any security-specific roles, the responsibilities would be further defined by the hiring manager. 

Salary : $23 - $26