Join our Medical Management team as a Clinical Excellence Coordinator and make a difference for 28 million members. This hybrid role involves quality improvement activities, member outreach, and provider education focused on healthcare quality metrics.
Key Responsibilities
Conduct member and/or provider outreach to close quality care gaps
Coordinate member access to healthcare providers
Enter clinical information into medical management systems
Ensure documentation compliance with regulations
Educate providers on HEDIS measures
Collect and summarize performance data for improvement
Required Qualifications
Bachelor’s degree in Health Care, Nursing, Public Health Administration, or Business
3 years of experience in healthcare
Lead experience (2+ years)
Experience in a managed care environment
Preferred Qualifications
Project management experience
Benefits & Perks
Competitive payHealth insurance401K and stock purchase plansTuition reimbursementPaid time off plus holidaysFlexible work schedules (remote, hybrid, field, or office)