Quality Coordinator

Summary of Position:

We are looking for a Quality Coordinator (QI) to join our team. With minimal supervision, coordinate projects and assist with clerical and administrative services as assigned by the Manager of QI.

Essential Duties and Responsibilities include the following:

• Maintain confidentiality at all times.
• Coordinate projects for QI and RMG/ADOC/GCMG as assigned by the Manager of QI.
• Endorse and practice proactively the RMG/ADOC/GCMG values in all interactions.
• Actively participate in QI department activities.
• Maintain records of projects and produce graphs, charts, etc. to demonstrate results and outcomes.
• Assist with HEDIS to achieve HEDIS objectives as established by Manager of QI.
• Maintain P & P, Committee Meeting, Work Plan, and other binders as assigned by the Manager of QI.
• Assist in obtaining records and contacting provider offices for Appeals & Grievances.
• Interfaces with physicians, vendors, members, and other internal department staff telephonically or by email.
• Coordinate meetings, trainings, and presentations.
• Produce/provide various reports as requested for internal customers such as, but not limited to, UM, Network Management, Appeals & Grievances.
• Proofread documents as needed.
• Filing, faxing, copying, and purging files.
• Prepares and maintains records and files which are neat, organized, thorough and readily accessed.
• Maintains strict turnaround times for various QI-related activities.
• Assists in health plan audits and any corrective actions, as necessary.
• Travels to physician offices or meetings, as may be necessary, to perform QI Department activities.
• Perform additional duties as assigned.

The pay range for this position at commencement of employment is expected to be between $25 and $27hour; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience.

The total compensation package for this position may also include other elements, including a sign-on bonus and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered.

Details of participation in these benefit plans will be provided if an employee receives an offer of employment.

If hired, employee will be in an “at-will position” and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.

As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.

Full Time Position Benefits:

The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life.

Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options.

Health and Wellness:

• Employer-paid comprehensive medical, pharmacy, and dental for employees
• Vision insurance
• Zero co-payments for employed physician office visits
• Flexible Spending Account (FSA)
• Employer-Paid Life Insurance
• Employee Assistance Program (EAP)
• Behavioral Health Services

Savings and Retirement:

• 401k Retirement Savings Plan
• Income Protection Insurance

Other Benefits:

• Vacation Time
• Company celebrations
• Employee Assistance Program
• Employee Referral Bonus
• Tuition Reimbursement
• License Renewal CEU Cost Reimbursement Program
• Business-casual working environment
• Sick days
• Paid holidays
• Mileage

Employer will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the LA City Fair Chance Initiative for Hiring Ordinance.

Salary : $25 - $27