quality coordinator

The Pavilion Behavioral Health System

<b>Responsibilities:</b><br>
The Quality Assurance Coordinator is responsible for coordinating along with the Director of Risk Management, all performance improvement related processes within the hospital to include internal audits, reviews, investigations and other quality related items as necessary.
<br><br>
description
<br><br>
<b>Qualifications:</b><br>
Thorough knowledge of regulatory requirements, performance improvement and emergency management. Knowledge of quality management concepts and techniques. Knowledge of statistical tools and displays. Knowledge of external review organizations (i.e. Joint Commission, Public Health, etc.) Ability to work with all levels of staff. Ability to develop and maintain a professional, customer service-related profile with outside liaisons. Ability to use computers and software programs and have familiarity with Microsoft Office.

BH QUALITY COORDINATOR

Blue Shield of California

<div><p><b>Your Role<br>
</b></p><p><br>
The Clinical Quality team oversees and is responsible of HEDIS medical record review, pursuit, and overall HEDIS submission. The Clinical Quality Coordinator, Entry will report to the Supervisor of the HEDIS Outreach Team. In this role you will be responsible for conducting provider outreach during the HEDIS season for medical record pursuit and retrieval. Also, participation in Quality initiatives involving member outreach for care gap closure. Responsible for maintaining high productivity and standard work.<br>
</p><p><br>
Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow &ndash; personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.</p></div>
<br><div><p><b>Your Work
</b></p><p><b>In this role, you will:
</b></p><ul><li>Initiate outbound calls to members and providers to collect information and provide care coordination assistance in obtaining services (schedule appointments, provider appointment reminders, coordinate transportation, etc.)
</li><li>Educate members on missing care gaps and provide encouragement to obtain missing service.
</li><li>Request medical records from PCP/Specialists by fax, remote EMR access or scheduled site visits as needed
</li><li>Manage and maintain HEDIS files and medical records
</li><li>Provide administrative support, including generating correspondence, organize mass mailings, coordinator schedules and training
</li><li>Continued development of understanding of HEDIS hybrid measures and medical record requirements for HEDIS compliance
</li><li>Research member claims and encounters to identify accurate pursuit information for medical record retrieval
</li><li>Review medical records and identify elements for compliance
</li><li>Create and maintain detailed logs of member and provider interactions
</li><li>Ability to de-escalate situations
</li><li>Assist in onboarding contingent workforce for HEDIS and outreach projects
</li><li>EMR and vendor portal medical record retrieval
</li><li>Developing understanding of HEDIS pursuit processes relative to pursuit systems and tracking processes
</li><li>Developing understanding of outreach and pursuit project intake procedures, schedules, and reporting requirements
</li><li>Ability to work independently in a fast-paced environment with minimal errors</li></ul></div>
<br><div><p><b>Your Knowledge and Experience
</b></p><ul><li>Requires a high school diploma or equivalent
</li><li>Requires limited knowledge of systems and procedures
</li><li>Typically, has limited or no prior experience
</li><li>Communication and interpersonal skills
</li><li>Must be organized with the ability to keep accurate notes and records
</li><li>Customer service experience is preferred
</li><li>HEDIS knowledge strongly preferred
</li><li>Critical thinking skills
</li>Knowledge of computer applications including Microsoft Word, PowerPoint and Excel. Internet knowledge with the ability to complete searches<br>
<li>
</li></ul><p></p><p><b>Hybrid Virtual Work
</b><br>
This role allows employees to work virtually full-time, however employees will be expected to come to the office based on business need.</p></div>
<br><p></p><div><p><b>ABOUT THE TEAM<br>
About Blue Shield of California
</b></p><p>As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies.
</p><p>At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.
</p><p>To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.
</p><p>Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities &ndash; join us!
</p><p><b>Our Values:
</b></p><p></p><ul><li><b>Honest. </b>We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.
</li><li><b>Human. </b>We strive to listen and communicate effectively, showing empathy by understanding others' perspectives.
</li><li><b>Courageous. </b>We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.
</li></ul><div><p><b>Our Workplace Model
</b></p><p>We believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility - providing clear expectations while respecting the diverse needs of our workforce. Our workplace model is designed around intentional in-person interaction, collaboration, connection, creativity and flexibility:
</p><ul><li><p>For most teams, this means coming into the office two days per week.
</p></li><li><p>Employees living more than 50 miles from an office location, out of state employees, and employees in certain member-facing roles should work with their manager to determine in-office time based on business need.
</p></li><li><p>For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.
</p></li></ul><p>The Company reserves the right to require more presence in the office based on business needs, and requirements are subject to change with periodic reviews.
</p></div><p></p><p><b>Physical Requirements:
</b></p><p>Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.</p><p><br>
</p><p><b>Equal Employment Opportunity:
</b></p><p>External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.</p></div>

Clinical Quality Coordinator, Entry

Summit Health

<div><h1 class="jobSectionHeader"><b>About Our Company</b></h1><p>
We&rsquo;re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care.</p><p></p><p>
Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians.</p><p></p><p>
When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care.</p><p></p><p><b>
Please Note: </b>We will only contact candidates regarding your applications from one of the following domains: @summithealth.com, @citymd.net, @villagemd.com, @villagemedical.com, @westmedgroup.com, @starlingphysicians.com, or @bmctotalcare.com.</p><p></p><h1 class="jobSectionHeader"><b>
Job Description</b></h1><div><div><p>
Summit Health is seeking a Clinical Quality Coordinator, Licensed Practical Nurse (LPN) to join the <b>Internal Medicine</b><b> </b>department.</p></div><p></p><div><p><b><br>
Overview:</b></p></div><div><ul><li><p>
Coordinates compliance with Clinical Quality Requirements required for ACO/PCMH at Summit Health in conjunction with the Director of Clinical Operations.</p></li></ul></div><div><ul><li><p>
Actively participates in concurrent and retrospective case review to assure that evidence based best practices are implemented timely for patients.</p></li></ul></div><div><ul><li><p>
Tracks compliance of quality measures and provides physician and staff education relating to the externally reported measurements.</p></li></ul></div><div><ul><li><p>
Assists in the planning and implementation of interventions to ensure evidence-based practices are followed (i.e. Preventive Measures for colorectal and breast screening, vaccinations, Disease Management for Diabetes, Hypertension and Hyperlipidemia, and any other identified Gap in care).</p></li></ul></div><div><ul><li><p>
Works closely with providers, support staff and other members of the organization by demonstrating effective communications, teaching and negotiating skills.</p></li></ul></div><div><ul><li><p>
Is accountable for quality assessment and efficient coordinated care.</p></li></ul></div><div><ul><li><p>
Coordinates the day-to-day review of patient flow as part of a healthcare team by assisting in planning and implementing care interventions while promoting high quality patient care in a professional, efficient and safe manner.</p></li></ul></div><div><ul><li><p>
Directs the team member as needed in order to support and maintain high-quality patient care. Leads team huddles regarding patient care.</p></li></ul></div><div><ul><li><p>
Provides assistance with referrals to Palliative Medicine and Case Management as well as site specific injection schedules.</p></li></ul></div><div><ul><li><p>
Expected to keep relevant knowledge up-to-date and apply it to everyday practice.</p></li></ul></div><div><ul><li><p>
Effectively communicates with all team members to support a cohesive work environment.</p></li></ul></div><p></p><div><p><b><br>
Essential Functions and Job Responsibilities:</b></p></div><div><ul><li><p>
Based on Dashboard Metrics, reviews each patient's plan of care to ensure that all quality metrics are being met, including those related to Preventive Measures, Disease Management, Gaps in care, medications, diagnostic testing, education, and other areas.</p></li></ul></div><div><ul><li><p>
Routinely coordinates interdisciplinary care rounds with physicians, mid-level providers, support staff, case managers, respiratory therapists, pharmacists, dietitians, and other appropriate Summit Health personnel.</p></li></ul></div><div><ul><li><p>
Serve as liaison to physician: Serves as the &quot;point person&quot; who communicates and assists with understanding of dashboard metrics and opportunities to improve patient care, internal processes and work flows to the physician and also rounds with physicians to discuss the patient's clinical status and ensure that critical information is shared.</p></li></ul></div><div><ul><li><p>
Facilitate quality improvement, including identification and dissemination of best practices: Reviews data and trends from reports generated by Summit Health to determine system performance related to patient outcomes and then suggest areas for improvement. For example, review adherence with ACO, NCQA and contractual reporting requirements compared with the EMR. Identifies education, workflow, process or documentation/template enhancements. The coordinator meets with RN Clinical Manager, and/or Director of Clinical Operations to discuss individual nurse performance issues and/or determine whether a system-wide performance improvement initiative is warranted. Clinical Coordinator also identifies best practices for implementation.</p></li></ul></div></div><div><div><ul><li><p>
Mentor and coach support staff: Clinical coordinator orients all new clinical staff to ACO, PCMH requirements, provides ongoing mentoring, coaching, and education to all clinical support staff members. They also conduct site-wide training and education related to topics such as Medicare Wellness, Disease Specific Competencies, Emmi, peak flow, Asthma Action plans and all other department wide performance improvement initiatives.</p></li></ul></div><div><ul><li><p>
Communicate with patient/family: to review outlier metrics and assist the facilitation of scheduling follow-up as appropriate, convey any patient and family concerns to physicians.</p></li></ul></div><div><ul><li><p>
Office Visit &ndash; Provides routine office visit care, follow up, charting, desktop management, clerical support, care coordination and patient satisfaction as needed in order to maintain optimal patient care and throughput.</p></li></ul></div><div><ul><li><p>
Other &ndash; duties as assigned.</p></li></ul></div><p></p><div><p><b><br>
GENERAL QUALIFICATION STANDARDS &amp; JOB REQUIREMENTS:</b>
</p></div><div><ul><li><p>LPN NYS license</p></li></ul></div><div><ul><li><p>
BLS certified upon hire</p></li></ul></div><div><ul><li><p>
Strong computer skills</p></li></ul></div><div><ul><li><p>
Strong organizational skills, able to multitask in fast paced environment</p></li></ul></div><div><ul><li><p>
Excellent communication skills; both written and verbal</p></li></ul></div><div><ul><li><p>
Excellent time management skills</p></li></ul></div><div><ul><li><p>
Able to identify knowledge deficits of staff/physicians regarding Dashboards and Metrics</p></li></ul></div><div><ul><li><p>
Ability to prioritize, organize and manage multiple activities with limited supervision</p></li></ul></div><div><ul><li><p>
Ability to work both independently and as part of a team</p></li></ul></div><div><ul><li><p>
Ability to think critically, motivate staff to meet department quality goals, and work with minimal supervision in a stressful environment</p></li></ul></div><div><ul><li><p>
Experience with EMR preferred</p></li></ul></div></div><br>
<p></p>
Pay Range: $33.99 - $42.50 Hourly
<p>The provided compensation range is based on industry standards and salary determinations will be made based on numerous factors including but not limited to years of experience and location of position.</p><p></p><h1 class="jobSectionHeader"><b><br>
About Our Commitment</b></h1><h2 class="jobSectionHeader"><b>
Total Rewards at VillageMD</b></h2><p>
Our team members are essential to our mission to reshape healthcare through the power of connection. VillageMD highly values the critical role that health and wellness play in the lives of our team members and their families. Participation in VillageMD&rsquo;s benefit platform includes Medical, Dental, Life, Disability, Vision, FSA coverages and a 401k savings plan.</p><p></p><h2 class="jobSectionHeader"><b>
Equal Opportunity Employer</b></h2><p>
Our Company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws.</p><p></p><h2 class="jobSectionHeader"><b>
Safety Disclaimer</b></h2><p>
Our Company cares about the safety of our employees and applicants. Our Company does not use chat rooms for job searches or communications. Our Company will never request personal information via informal chat platforms or unsecure email. Our Company will never ask for money or an exchange of money, banking or other personal information prior to the in-person interview. Be aware of potential scams while job seeking. Interviews are conducted at select Our Company locations during regular business hours only. For information on job scams, visit, https://www.consumer.ftc.gov/JobScams or file a complaint at https://www.ftccomplaintassistant.gov/.</p></div>

Clinical Quality Coordinator - LPN

<div>
 <strong>
  Job Description
  <br/>
  <br/>
 </strong>
 <strong>
  Your Role
  <br/>
  <br/>
 </strong>
 The Clinical Quality team oversees and is responsible of HEDIS medical record review, pursuit, and overall HEDIS submission. The Clinical Quality Coordinator, Entry will report to the Supervisor of the HEDIS Outreach Team. In this role you will be responsible for conducting provider outreach during the HEDIS season for medical record pursuit and retrieval. Also, participation in Quality initiatives involving member outreach for care gap closure. Responsible for maintaining high productivity and standard work.
 <br/>
 <br/>
 Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow &ndash; personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.
 <br/>
 <br/>
 <strong>
  Responsibilities
  <br/>
  <br/>
 </strong>
 <strong>
  Your Work
  <br/>
  <br/>
 </strong>
 <strong>
  In this role, you will:
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Initiate outbound calls to members and providers to collect information and provide care coordination assistance in obtaining services (schedule appointments, provider appointment reminders, coordinate transportation, etc.)
  </li>
  <li>
   Educate members on missing care gaps and provide encouragement to obtain missing service.
  </li>
  <li>
   Request medical records from PCP/Specialists by fax, remote EMR access or scheduled site visits as needed
  </li>
  <li>
   Manage and maintain HEDIS files and medical records
  </li>
  <li>
   Provide administrative support, including generating correspondence, organize mass mailings, coordinator schedules and training
  </li>
  <li>
   Continued development of understanding of HEDIS hybrid measures and medical record requirements for HEDIS compliance
  </li>
  <li>
   Research member claims and encounters to identify accurate pursuit information for medical record retrieval
  </li>
  <li>
   Review medical records and identify elements for compliance
  </li>
  <li>
   Create and maintain detailed logs of member and provider interactions
  </li>
  <li>
   Ability to de-escalate situations
  </li>
  <li>
   Assist in onboarding contingent workforce for HEDIS and outreach projects
  </li>
  <li>
   EMR and vendor portal medical record retrieval
  </li>
  <li>
   Developing understanding of HEDIS pursuit processes relative to pursuit systems and tracking processes
  </li>
  <li>
   Developing understanding of outreach and pursuit project intake procedures, schedules, and reporting requirements
  </li>
  <li>
   Ability to work independently in a fast-paced environment with minimal errors
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Qualifications
  <br/>
  <br/>
 </strong>
 <strong>
  Your Knowledge and Experience
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Requires a high school diploma or equivalent
  </li>
  <li>
   Requires limited knowledge of systems and procedures
  </li>
  <li>
   Typically, has limited or no prior experience
  </li>
  <li>
   Communication and interpersonal skills
  </li>
  <li>
   Must be organized with the ability to keep accurate notes and records
  </li>
  <li>
   Customer service experience is preferred
  </li>
  <li>
   HEDIS knowledge strongly preferred
  </li>
  <li>
   Critical thinking skills
  </li>
  <li>
   Knowledge of computer applications including Microsoft Word, PowerPoint and Excel. Internet knowledge with the ability to complete searches
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Hybrid Virtual Work
  <br/>
  <br/>
 </strong>
 This role allows employees to work virtually full-time, however employees will be expected to come to the office based on business need.
 <br/>
 <br/>
 <strong>
  About The Team
  <br/>
  <br/>
 </strong>
 <strong>
  About Blue Shield of California
  <br/>
  <br/>
 </strong>
 As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies.
 <br/>
 <br/>
 At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.
 <br/>
 <br/>
 To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.
 <br/>
 <br/>
 Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities &ndash; join us!
 <br/>
 <br/>
 <strong>
  Our Values:
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.
  </li>
  <li>
   Human. We strive to listen and communicate effectively, showing empathy by understanding others' perspectives.
  </li>
  <li>
   Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Our Workplace Model
  <br/>
  <br/>
 </strong>
 We believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility - providing clear expectations while respecting the diverse needs of our workforce. Our workplace model is designed around intentional in-person interaction, collaboration, connection, creativity and flexibility:
 <br/>
 <br/>
 <ul>
  <li>
   For most teams, this means coming into the office two days per week.
  </li>
  <li>
   Employees living more than 50 miles from an office location, out of state employees, and employees in certain member-facing roles should work with their manager to determine in-office time based on business need.
  </li>
  <li>
   For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.
   <br/>
   <br/>
  </li>
 </ul>
 The Company reserves the right to require more presence in the office based on business needs, and requirements are subject to change with periodic reviews.
 <br/>
 <br/>
 <strong>
  Physical Requirements:
  <br/>
  <br/>
 </strong>
 Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.
 <br/>
 <br/>
 Please click here for further physical requirement detail.
 <br/>
 <br/>
 <strong>
  Equal Employment Opportunity:
  <br/>
  <br/>
 </strong>
 External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.
</div>


MarketSource Inc.

<div>
 <p>
  <strong>
   Quality Assurance Coordinator - Healthcare
  </strong>
 </p>
 <p>
  <br/>
 </p>
 <p>
  MarketSource is a sales acceleration company focused on delivering better outcomes for many of the world&rsquo;s most iconic brands. We design, operationalize, and execute managed sales and customer experience solutions for companies in B2B and B2C environments.
 </p>
 <p>
  <br/>
 </p>
 <p>
  Our solutions are purpose-built and tech-enabled to deliver measurable improvements in business outcomes. We live by a set of people-focused values that guide our relationships with each other and with our clients. By putting people first, working together to make others successful, and establishing a rich and empowered work culture, we create opportunities for our people and the businesses we serve to be successful.
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   Summary
  </strong>
 </p>
 <p>
  <br/>
 </p>
 <p>
  As a Quality Assurance Coordinator servicing health insurance industry clients, you will ensure best-in-class quality assurance in a highly regulated environment. Working closely with the Quality Assurance Supervisor, this role is responsible for ensuring that agent-member interactions, program documentation and processes, meet client requirements and compliance standards with respect to applicable regulations (e.g. HIPAA, CMS). By evaluating performance against program requirements and compliance standards, this position plays a critical role in identifying initiatives related to automation, coaching, auditing, data reporting and training.
 </p>
 <p>
  <br/>
 </p>
 <p>
  More specifically, you will monitor agent/customer interactions, conduct audits, and participate in continuous improvement initiatives to meet or exceed client contractual quality commitments and enhance customer satisfaction. In this role, you will collaborate with team members across the organization to uphold high performance standards and implement innovative quality solutions.
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   Essential Job Functions
  </strong>
  :
 </p>
 <p>
  <br/>
 </p>
 <p>
  &bull; Call Monitoring &amp; Evaluation: Monitor and evaluate inbound and outbound calls to assess compliance, service quality, accuracy, and adherence to scripts and policies. Use standard scorecards to rate communication skills, compliance, and resolution effectiveness for each interaction.
 </p>
 <p>
  &bull; Compliance Audits: Conduct regular QA audits of customer service interactions, documents, and processes to ensure adherence to health insurance regulations and client requirements (e.g. verify HIPAA privacy compliance, Medicare/CMS guidelines).
 </p>
 <p>
  &bull; Feedback &amp; Coaching: Identify constructive feedback and coaching opportunities for call center agents focused on improving customer service skills and compliance. Partner with relevant internal stakeholders to develop refresher training or new learning modules for recurring issues.
 </p>
 <p>
  &bull; Quality Reporting &amp; Analysis: Analyze QA data and metrics (quality scores, error trends, customer feedback) to identify trends, root causes, and areas for improvement. Prepare and present detailed quality reports for Supervisors, highlighting performance against KPIs and recommending actions. Ensure all reporting is timely, accurate, and aligned with client SLAs.
 </p>
 <p>
  &bull; Customer Service &amp; Continuous Improvement: Champion a customer-centric approach in quality programs, ensuring that QA standards align with exceptional customer service and positive member experiences. Promote a culture of continuous improvement and innovation, introducing initiatives (e.g. process automation, updated QA scorecards, new monitoring techniques) that elevate quality and efficiency.
 </p>
 <p>
  &bull; Contractual &amp; SLA Adherence: Maintain QA schedules (e.g. call sampling rates) and partner with applicable stakeholders to ensure quality targets are met or exceeded.
 </p>
 <p>
  &bull; Regulatory Compliance Assurance: Stay up-to-date on all relevant health insurance industry regulations and client compliance standards. Ensure quality processes and agent evaluations incorporate checks for regulatory requirements (e.g. proper call disclosures, data privacy and security protocols, documentation accuracy). Conduct focused compliance monitoring (such as verifying HIPAA procedures on calls) and support any external audits or quality assessments by providing necessary documentation and reports.
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   Required Knowledge, Skills, and Abilities:
  </strong>
 </p>
 <p>
  <br/>
 </p>
 <p>
  &bull; Analytical &amp; Reporting Skills: Strong analytical abilities with experience in data analysis and QA metrics interpretation. Proficiency in creating and sharing quality reports, presentations, and dashboards for stakeholders. Able to identify trends and root causes from data and drive actionable insights for process improvements.
 </p>
 <p>
  &bull; Communication &amp; Coaching: Excellent verbal and written communication skills. Ability to deliver clear, constructive feedback and training to frontline employees to improve performance. Strong interpersonal skills with a collaborative approach to work effectively with agents, trainers, managers, and clients.
 </p>
 <p>
  &bull; Knowledge of Compliance Standards: In-depth knowledge of health insurance regulations and compliance requirements, including HIPAA privacy/security rules and Medicare/Medicaid guidelines for call centers. Demonstrated commitment to maintaining confidentiality and data security in handling Protected Health Information.
 </p>
 <p>
  &bull; Organizational Skills: Detail-oriented and highly organized, with the ability to manage QA review schedules, multitask across different client programs, and meet strict deadlines for reports and audits. Capable of maintaining documentation and records with a strong attention to detail for auditing purposes.
 </p>
 <p>
  &bull; Problem-Solving &amp; Improvement Mindset: A proactive mindset focused on continuous improvement and innovation in quality processes. Ability to troubleshoot quality issues, facilitate root cause analysis, and implement process or policy enhancements that improve service outcomes. Adaptable to change and able to update QA criteria as business needs and industry standards evolve.
 </p>
 <p>
  &bull; Technical Proficiency: Proficient with standard office software (e.g. MS Excel, Word, PowerPoint) and experienced in using call center QA monitoring tools. Hands-on experience with quality management systems or call recording software is preferred. Comfortable working with Customer Relationship Management (CRM) systems and contact center telephony platforms; able to quickly learn new software and analytics tools related to quality monitoring.
 </p>
 <p>
  <br/>
 </p>
 <p>
  <strong>
   Job Requirements:
  </strong>
 </p>
 <p>
  <br/>
 </p>
 <p>
  &bull; High school diploma or GED required.
 </p>
 <p>
  &bull; Experience: 2+ years of experience in call center quality assurance, with prior QA experience in the health insurance or healthcare industry strongly preferred. Familiarity with health insurance products, terminology, and member services processes is essential. Experience in a BPO/outsourcing environment or high-volume contact center is highly valued.
 </p>
 <p>
  &bull; Compliance Training: HIPAA compliance certification or formal training in privacy and security of healthcare information is strongly preferred. Any additional certifications in healthcare compliance or call center compliance (e.g., CMS training) would be beneficial.
 </p>
 <p>
  &bull; QA/Customer Service Certifications: Certifications in call center quality or customer service (for example, COPC or other contact center excellence certifications) are an advantage, as they demonstrate knowledge of industry best practices in quality assurance and customer experience.
 </p>
 <p>
  &bull; Quality Monitoring Software: Proficiency with call recording and quality management systems for evaluating interactions and tracking QA data. Experience leveraging these tools to create scorecards, record evaluations, and generate QA reports.
 </p>
 <p>
  &bull; Contact Center Technologies: Working knowledge of call center telephony systems, CRM software, and workforce management tools. Ability to navigate systems commonly used in health insurance BPO operations to verify information during QA reviews.
 </p>
 <p>
  &bull; E-Learning/Training Tools: Experience with e-learning platforms or Learning Management Systems (LMS) is a plus, to coordinate agent training and track the effectiveness of coaching interventions related to quality improvement.
 </p>
</div>


Quality Assurance Coordinator - Healthcare

University of Oklahoma

<div></div><div><div><b>Job no:</b> 492838<br>
<b>Work type:</b> Professional<br>
<b>Location:</b> Oklahoma City<br>
<b>Categories:</b> Technology/Research<br>
</div>
<div><p><b>Pay Range: </b>Targeted salary up to $60,500 based on experience and education.</p>
<p><b>
Benefits Eligible: </b>Yes</p>
<p><b>
Work Schedule: </b>Monday &ndash; Friday, 8:00 a.m. to 5:00 p.m. (may include some weekends)</p>
<p><b>
Travel: </b>Required</p>
<p><b>
For Best Consideration Date: </b>June 1, 2026</p>
<div>
<div><div><div><p><b>Position Introduction:</b></p>
<p>
Established in 2013, the Oklahoma Clinical and Translational Science Institute (OCTSI) serves as a catalyst for clinical and translational research that improves health and healthcare for Oklahomans. As a quality improvement coordinator, you will play a vital role in advancing quality, safety, and continuous improvement in patient care. This position supports quality improvement initiatives through medical record reviews, data collection and analysis, and coordination of surveys. Working closely with clinical staff and leadership, this role helps identify opportunities, improve clinical workflow, and implement quality improvement strategies to enhance patient outcomes and support a culture of excellence in primary care delivery.</p>
<p>
View full job description.</p></div></div><div><br>
<div>
<p><b>Required Education and Experience:</b></p>
<ul>
<li>Bachelor's Degree in Nursing or other Allied Health program.</li>
<li>24 months clinical health care experience in any of the following: direct patient care, medical record and clinic/site reviews, patient complaint investigator, clinical guidelines, and quality of care/risk management/patient safety issues.</li>
</ul>
<p><b>Required Certifications and Licenses:</b></p>
<p>
None</p>
</div>
</div><br>
</div></div><p><b>Hiring Contingent Upon a Background Check:</b> Yes</p>
</div>
<p><b>Advertised:</b> 06 May 2026 Central Daylight Time<br>
<b>Applications close:</b> 05 Aug 2026 Central Daylight Time</p></div><p></p>

Clinical Quality Improvement Coordinator

Centimark Corporation

<div><div><b>Quality Control Coordinator (Roofing)</b><div>
CentiMark Corporation, the National leader in the commercial/industrial roofing industry, has an exceptional opportunity for a full time <b>Quality Control Coordinator </b>to support sale reps in the <b>Kalamazoo MI </b>area.<br>
</div><b>
Summary of Job Description:</b><div>
The QA Rep will be responsible for overseeing daily production of roofing projects. Monitor safety, quality of installation&rsquo;s, and daily customer communication. QA Rep will report directly to the field supervisor, customer and management.</div><div><br>
They will be responsible for paperwork, timesheets and ensuring that CentiMark Safety policies are followed. The QA Rep should be able to take their team and install a quality CentiMark roof with hours provided and in a safe and orderly manner</div><div><b>
Job Requirements:</b></div><ul><li>
The successful candidate must show a positive work history and the ability to work within a team environment.</li><li>
Minimum experience in general roofing.</li><li>
Working knowledge of commercial/industrial roofing procedures and safety.</li><li>
Excellent communication, analytical, leadership, interpersonal, problem solving and organizational skills.</li><li>
Experience with: Single Ply, EPDM, PVC &amp; TPO a plus. Previous Roofing and sales experience preferred.</li><li>
A valid driver&rsquo;s license (in good standing).</li><li>
Able to work Saturday and/or Sunday, if needed</li></ul><div><b>
Premier Benefits:</b></div><ul><li>
Health Insurance Plans:<ul><li>
Free &ldquo;Core Plan&rdquo; &ndash; Free Medical &amp; Dental</li><li>
&ldquo;Buy Up Plan&rdquo; &ndash; Features a lower deductible for Medical</li></ul></li><li>
Vision Plan</li><li>
Free Life Insurance</li><li>
Traditional 401K with Company Match</li><li>
Roth IRA with Company Match</li><li>
Free Employee Stock Ownership Program (ESOP)</li><li>
Company Vehicle</li><li>
Flexible Spending Account (FSA)</li><li>
Paid Holidays and Vacation
</li></ul><br>
<b>WHY WORK FOR CENTIMARK? &gt;&gt;&gt;&gt; CLICK HERE TO WATCH VIDEO!</b><br>
<br>
CentiMark provides a great work environment with challenging career opportunities.<br>
<b>Drug Free Workplace - EOE (M/F/V/D) - E-Verify Employer</b><br>
For more information, please visit our website - www.CentiMark.com/jobs<br>
<b>Quality Control Coordinator (Roofing)</b><br>
CentiMark Corporation, the National leader in the commercial/industrial roofing industry, has an exceptional opportunity for a full time <b>Quality Control Coordinator </b>to support sale reps in the <b>Kalamazoo MI </b>area.<br>
<b>Summary of Job Description:</b><br>
The QA Rep will be responsible for overseeing daily production of roofing projects. Monitor safety, quality of installation&rsquo;s, and daily customer communication. QA Rep will report directly to the field supervisor, customer and management.<br>
<br>
They will be responsible for paperwork, timesheets and ensuring that CentiMark Safety policies are followed. The QA Rep should be able to take their team and install a quality CentiMark roof with hours provided and in a safe and orderly manner<br>
<br>
<b>Job Requirements:</b><ul><li>
The successful candidate must show a positive work history and the ability to work within a team environment.</li><li>
Minimum experience in general roofing.</li><li>
Working knowledge of commercial/industrial roofing procedures and safety.</li><li>
Excellent communication, analytical, leadership, interpersonal, problem solving and organizational skills.</li><li>
Experience with: Single Ply, EPDM, PVC &amp; TPO a plus. Previous Roofing and sales experience preferred.</li><li>
A valid driver&rsquo;s license (in good standing).</li><li>
Able to work Saturday and/or Sunday, if needed</li></ul><br>
<b>
Premier Benefits:</b><br>
<ul><li>
Health Insurance Plans:<ul><li>
Free &ldquo;Core Plan&rdquo; &ndash; Free Medical &amp; Dental</li><li>
&ldquo;Buy Up Plan&rdquo; &ndash; Features a lower deductible for Medical</li></ul></li><li>
Vision Plan</li><li>
Free Life Insurance</li><li>
Traditional 401K with Company Match</li><li>
Roth IRA with Company Match</li><li>
Free Employee Stock Ownership Program (ESOP)</li><li>
Company Vehicle</li><li>
Flexible Spending Account (FSA)</li><li>
Paid Holidays and Vacation
</li></ul><br>
<b>WHY WORK FOR CENTIMARK? &gt;&gt;&gt;&gt; CLICK HERE TO WATCH VIDEO!</b><br>
<br>
CentiMark provides a great work environment with challenging career opportunities.<br>
<b>Drug Free Workplace - EOE (M/F/V/D) - E-Verify Employer</b><br>
For more information, please visit our website - www.CentiMark.com/jobs<br>
</div><p>
</p><p>uBf7Fan6xq</p></div>

Quality Control Coordinator

Search 10000+ Quality coordinator jobs near you this May. New roles added regularly across leading industries. Apply today.

10000 quality coordinator jobs Near Me

BH QUALITY COORDINATOR

Clinical Quality Coordinator, Entry

Clinical Quality Coordinator - LPN

Clinical Quality Coordinator, Entry

Quality Assurance Coordinator - Healthcare

Clinical Quality Improvement Coordinator

Quality Control Coordinator