Position SummaryThe QI Coordinator supports the Quality Improvement department by assisting with data collection, entry, and reporting; coordinating quality-related activities across departments, providers, and regulatory agencies; and facilitating interventions related to MCAS (Managed Care Accountability Set) performance measures. This role serves as a liaison between the health plan and its provider network for record retrieval, data tracking, and post-measure interventions.Key ResponsibilitiesConduct da...
Job Title: Grievance Support ClerkPay Rate: $19/hourJob Summary:Under general supervision, the Grievance Support Clerk works directly with members to support the grievance process. This position involves frequent communication with members, internal departments, providers, and the grievance team to ensure timely and accurate resolution of member grievances in alignment with established procedures and regulatory guidelines.Key Qualifications:Self-motivated with strong critical thinking skillsExcellent attend...
POSITION TITLE: Health Education Assistant I – Bilingual IIDEPARTMENT: Health EducationAbout the OrganizationThis organization is committed to improving the health outcomes of its members through an integrated managed healthcare delivery system.About the RoleUnder the direction of the Member Wellness Prevention Manager, the Health Education Assistant will support all activities related to health education, wellness, and prevention. This role helps members access educational services to promote better heal...