Quality Improvement Coordinator (QI / HEDIS)

Job Description

Job Description

Description :

Verda Health Plan of Texas has a contract with the Center of Medicaid and Medicare Services (CMS) and a state license with the Texas Department of Insurance for a Medicare Advantage Prescription Drug (MAPD) plan. We are committed to the idea that healthcare should be easily and equitably accessed by all. Our mission is to ensure that underserved communities have access to health and wellness services, and receive the support needed to live a healthy life that is free of worry and full of joy. We are looking for a QI Coordinator to join our growing company with many internal opportunities.

Are you ready to join a company that is changing the face of health care across the nation? Verda Healthcare, Inc. is looking for people like you who value excellence, integrity, caring and innovation. As an employee, you’ll join a team dedicated to improving the lives of our Medicare members. Our vision incorporates value-based health care that works. We value diversity.

Align your career goals with Verda Healthcare, Inc. and we will support you all the way.

Position Overview

The Quality Improvement (QI) Coordinator supports the development, implementation, and monitoring of healthcare quality initiatives. This role involves data analysis, project management, and cross-functional collaboration to enhance performance and ensure compliance with regulatory standards. Strong communication, technical proficiency, and knowledge of QI methodologies are essential.

This position reports to the Senior Manager of Risk and Quality / HEDIS.

Responsibilities :

• Supporting Quality Improvement Initiatives :

The QI Coordinator works with teams to develop, implement, and monitor quality improvement plans.

Data Collection and Analysis :

Gather, analyze, and interpret data related to quality metrics, using this information to identify areas for improvement.

Project Management :

Assist in managing quality improvement projects, ensuring they are completed on time and within budget.

Reporting and Communication :

Prepare reports on quality improvement activities, communicate findings to stakeholders, and facilitate communication between teams.

Education and Training :

May be involved in educating staff on quality improvement methodologies and best practices.

Compliance :

Ensure that quality improvement activities align with relevant regulations and standards.

Maintaining Documentation :

Create and update documentation related to quality improvement processes and policies.

Interpersonal Skills :

Collaborate with various departments, fostering positive relationships and promoting a culture of quality.

Technical Skills :

Proficient in using healthcare management software, data analysis tools, Microsoft office suite and other relevant technology.

Requirements :

Minimum Qualifications

Bachelor’s degree preferred, but not required

CPC preferred or other coding license a plus

Understanding of ICD-10 codes, HEDIS Quality and STARs

2 or more years in a similar role

Professional Competencies

Knowledge and understanding of QI methodologies

Ability to design and implement QI initiatives

Familiarity with healthcare quality standards and benchmarks

Clear and concise report writing for diverse audiences

Presentation skills for sharing findings with stakeholders

Ability to translate complex data into actionable insights

Understanding of CMS healthcare regulations

Ensuring QI activities meet legal and ethical standards

Ability to work across departments

Promote teamwork and shared accountability.

Verda cares deeply about the future, growth, and well-being of its employees. Join our team today!

Job Type : Full-time

Benefits :

401(k)

Paid time off (vacation, holiday, sick leave)

Health insurance

Dental Insurance

Vision insurance

Life insurance

Schedule :

Full-time onsite (100% in-office)

Hours of operations : 9am – 6pm

Standard business hours Monday to Friday / weekends as needed

Occasional travel may be required for meetings and training sessions.

Ability to commute / relocate :

Reliably commute or planning to relocate before starting work (Required)

PHYSICAL DEMANDS

Regularly sit / walk at a workstation in an office or cubicle setting. Must occasionally lift and / or move up to 25-50 pounds.

Other duties may be assigned in support of departmental goals.