Remote Quality Management Coordinator

By leveraging our world-class technology platform, innovative care delivery models, deep physician partnerships and our serving heart culture, Alignment Health is revolutionizing health care for seniors! From member experience professionals and clinicians, to data scientists and operations leaders, we have built a talented and passionate team that is deeply committed to our mission of transforming health care for the seniors we serve. Ready to join us?

At Alignment, delivering exceptional care to seniors starts with ensuring an exceptional experience for our over 1,300 employees. At the center of our employee experience is a culture where employees at all levels and across all teams are encouraged to share their unique ideas and perspectives. After all, when you can bring your authentic self to work, whether that’s in a clinical setting, our corporate office or a home office, creativity and innovation flourish! Another important part of the Alignment culture is a belief in continuous learning and growth. As a result, in this fast-growing company, you will find ample support to grow your skills and your career – with us.

Overview of the Role:

Alignment Health is seeking an organized, detail oriented, and thorough Remote Quality Management (QM) coordinator to join the Quality Management team. As a QM coordinator, you will provide administrative and clerical support, and project coordination to support accreditation activities. The QM coordinator reports to the senior manager of Quality Management. If you are looking for an opportunity to be a part of a growing healthcare organization, we are looking for you!

Responsibilities:

• Develop and oversee completion of detailed accreditation project plans in alignment with accreditation standards, required quality studies, prioritized interventions and other requirements.
• Collect data related to accreditation and QM initiatives.
• Coordinate and conduct activities with internal departments to ensure accreditation compliance is maintained.
• Coordinate the development and revision of policies and procedures to comply with accreditation guidelines and regulatory standards.
• Assist with training and coaching to support understanding of accreditation standards and requirements.
• Coordinate mock file reviews as required by assigned accreditation standards
• Develop, implement, maintain, and oversee appropriate reports, policies, records, materials, and files related to accreditation.
• Aggregate data and initial analysis of results on assigned projects.
• Produce charts, graphs, and reports to demonstrate results and outcomes.
• Complete special projects and / or assignments.
• Ensure compliance of projects and meeting target dates.

Required Skills and Experience:

• Minimum (2) years' experience with accreditation or regulatory survey processes in a managed care organization, health plan or hospital environment.
• Experience coordinating accreditation plans in a healthcare environment is preferred.
• Experience implementing accreditation standards for a Managed Care Organization (MCO) is preferred
• Computer proficient.
• Proficient in Microsoft Office (Word, Outlook, Excel, Access)
• Bachelors or Associates degree or a combination of education and work experience may be considered in lieu of degree.
• High School Diploma or GED required.
• Minimum (6) months related experience and / or training; or equivalent combination of education and experience
• Organized and able to manage multiple priorities.
• Adaptable and able to work in a demanding environment with changing priorities
• Able to independently while also working collaboratively with a team.
• Self-motivated and able to take initiative to complete tasks.
• Excellent written and verbal communication skills
• Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)
• Possess analytical ability to problem solve.
• Solid interpersonal skills to build and maintain positive and effective work relationships with coworkers, clients, members, providers, and customers.

Please note: All clinical positions are contingent upon successful engagement with Alignment Health’s COVID-19 Vaccination program (fully vaccinated with documented proof or approved exception/deferral).

Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.

• DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email careers@ahcusa.com.