Quality and Population Health Coordinator I (ALD)
Job Category: Administrative, HR, Business Professionals
Department: Health Education
Location: Los Angeles, CA, US, 90017
Position Type: Full Time
Requisition ID: 11725
Salary Range: $46,800.00 (Min.) - $52,597.00 (Mid.) - $62,270.00 (Max.)
Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan, serving more than 2 million members, ensuring they receive the right care at the right place at the right time.
Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.
Job Summary
The Quality and Population Health Coordinator I (QPHC) is responsible for outreaching to members to close care gaps. The QPHC also outreaches to providers for medical record pursuit and retrieval, playing a vital role in L.A. Care’s quality improvement team to drive improvement in health outcomes, population health, and health equity, as well as member and provider experience.
Duties
- Make outbound calls to members to assist with scheduling and coordinating services (e.g. appointments, lab tests, health screenings, other diagnostic studies, transportation, etc.). (25%)
- Educate members on missing gaps in care. Encourage them to close care gaps and pursue preventative health and health promotion activities. (25%)
- Outreach to providers to request medical reports by fax, electronic medical records, or on-site visits if needed. (15%)
- Review medical records, claims, and encounter data to identify key information to help close gaps in care. (15%)
- Provide support as needed for care gap closure campaigns and other quality improvement programs. (15%)
- Perform other duties as assigned. (5%)
Education Required
Associate's Degree
Experience
Required:
- At least 3 months of experience following basic workflows, procedures, and standards related to patient or provider communication and outreach.
- Previous experience working in an office setting with basic office equipment such as telephones, fax machines, computers, etc.
Preferred:
- Health Plan, provider practice, or health education experience.
Skills
Required:
- Demonstrates deep compassion and sensitivity towards patient needs and community well-being.
- Driven by strong motivation to positively impact people’s lives.
- Excellent verbal and written communication skills.
- Excellent interpersonal skills.
- Proficient with Microsoft Word, Excel, PowerPoint, and Outlook.
- Skills in utilizing various online platforms and search engines to efficiently gather accurate and relevant information.
- Highly organized with the ability to maintain accurate notes and records.
- Demonstrates high efficiency in managing tasks and consistently delivering projects to successful and reliable completion.
- Ability to communicate effectively with patients and health care providers.
Preferred:
- Some knowledge of HEDIS and other quality measures.
- Some knowledge of quality improvement processes.
- Bilingual in one of L.A. Care Health Plan’s threshold languages is highly desirable (English, Spanish, Chinese, Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese).
Licenses/Certifications Required
Licenses/Certifications Preferred
Required Training
Physical Requirements
Light
Additional Information
Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.
L.A. Care offers a wide range of benefits including:
- Paid Time Off (PTO)
- Tuition Reimbursement
- Retirement Plans
- Medical, Dental and Vision
- Wellness Program