Apply on line at http://www.alohacare.org/Careers/Default.aspx
AlohaCare is a local, non-profit health plan serving the Medicaid and Medicare dual eligible population. We provide comprehensive managed care to qualifying health plan members through well-established partnerships with quality health care providers and community-governed health centers. Our mission is to serve individuals and communities in the true spirit of aloha by ensuring and advocating access to quality health care for all. This is accomplished with emphasis on prevention and primary care through community health centers that founded us and continue to guide us as well as with others that share our commitment. As Hawaii’s third-largest health plan, AlohaCare offers comprehensive prevention, primary and specialty care coverage in order to successfully build a healthy Hawaii.
AlohaCare employees share a passion for helping Hawaii’s most underserved communities. This passion for helping and caring for others is internalized and applied to our employees through a supportive and positive work environment, healthy work/life balance, continuous communication and a generous benefits package.
AlohaCare’s leadership empowers and engages its employees through frequent diversity, recognition, community, and educational events and programs. AlohaCare has a strong commitment to support Hawaii’s families and reinforces a healthy work/home balance for its employees. Because AlohaCare values honesty, respect and trust with both our internal and external customers, we encourage open-door, two-way communication through daily interactions, employee events and quarterly all-staff meetings. AlohaCare’s comprehensive benefits package includes low cost medical, dental, drug and vision insurance, PTO program, 401k employer contribution, referral bonus and pretax transportation and parking program.
These employee-focused efforts contribute to a friendly, team-oriented culture which is positively reflected into the communities we serve.
The Quality Project Coordinator provides administrative support to the Quality Improvement Department: plans, implements, manages and completes assigned projects with established timelines; performs related work as required or assigned by the Director of Quality Improvement. Requirements include broad technical knowledge, strong computer skills, and administrative skills specific to the health care industry.
Primary Duties & Responsibilities:
Provides administrative support to the QI/HEDIS team for the QI/HEDIS projects, P4P incentive programs, VBP programs and other quality improvement projects.
Provides support to the Quality Improvement Department via the coordination and organization of activities and meetings in partnership with both internal and external resources.
Assists with maintenance of departmental databases and preparation of special projects: mailings, reports, and presentations.
Assists with the development of projects assigned, and ensures effective communication to project team/staff members to fully understand the goals and expectations of the project, and or assignments given. Meets deadlines, timelines, and commitments to ensure completion of projects and or assignments.
Assists with the tracking of specific projects by sending out reminders to staff, as determined by the QI Managers or Director, e.g., PIPs/QIPs/CCIPs and NCQA Standards.
Assist Quality Reporting Manager in retrieving medical records, providing deliverables to vendors, preparing quality reports, and communication with contractors.
Assist Quality Managers in receiving/tracking and distributing correspondence, mailings or phone calls from providers regarding all Quality programs.
Assists Quality Reporting Manager in coordinating elements of the HEDIS roadmap, and audit processes; to include administrative support of contacts, provision of data and information to contracted vendors and/or auditors on request, and related assignments.
Learns to use reporting tools and platforms to produce canned and custom reports as needed, to support the various activities of the department.
Provides basic data analysis; synthesizes and summarizes information and communicates result to team members to support the various activities of the department.
Perform other duties as assigned.
Responsible to maintain AlohaCare’s confidential information in accordance with AlohaCare policies, and state and federal laws, rules and regulations regarding confidentiality. Employees have access to AlohaCare data based on the data classification assigned to this job title.
Required Competencies & Qualifications:
Combination of education, professional training or work experience which demonstrates the ability to perform the duties of the position.
6 months to 1 year of related work experience.
Strong communication, organizational, and attention to detail skills
Must be capable of working under tight deadlines, with the flexibility to work on several projects concurrently.
Proficient with computer systems and software programs (Word, Excel, Access, PowerPoint). Experience with Excel Macros and SQL strongly preferred.
Ability to communicate via telephone, verbal and written communication in English with members and providers.
Proven ability to work well with health care professionals
Excellent interpersonal skills and ability to work with cross functional teams
Ability to work independently and problem solve in absence of supervision.
One to three years’ related experience or equivalent project coordination experience; prior health care experience a plus.
Experience in project coordination and or project management
Have a deep desire to work with data and maintain data integrity for all projects.
Physical Demands/Working Conditions:
May require prolonged sitting-up to 4 hours
Requires prolonged operation of a computer workstation, including the ability to type for extended periods of time on a keyboard during the scheduled work day.
Ability to communicate via telephone, and to communicate verbally and in writing using English.
May require occasional lifting, up to 20 pounds
Ability to work in high stress environment at times, with pressure of meeting multiple deadlines, and varying priorities.
AlohaCare is committed to providing equal employment opportunity to all applicants in accordance with sound practices and federal and state laws. Our policy prohibits discrimination and harassment because of race, color, religion, sex (including gender identity or expression), pregnancy, age, national origin, ancestry, marital status, arrest and court record), disability, genetic information, sexual orientation, domestic or sexual violence victim status, credit history, citizenship status, military/veterans status, or other characteristics protected under applicable state and federal laws, regulations, and/or executive orders.