DFW Healthcare MSO, d/b/a IntraCare, provides managed services to multiple healthcare entities in the greater Dallas Fort Worth area under their various business names.  Led by an exceptional leadership team, the company has delivered almost a decade of performance and service excellence for these brands in value-based care, clinic operations, and lab services.  Emerging synergistic opportunities in these spaces have positioned the company for rapid growth.  

IntraCare is an exceptional place to work! We are culturally driven to be inclusive and respectful of all opinions. We encourage diversity in thought and approach; and we welcome healthy debate. We hire partners who add to our IntraCare family, versus workers.  We empower our employees and help them to achieve their personal best. This uncompromising dedication to team culture and individual development is key to our success.  

SUMMARY 

The Senior Quality Improvement Coordinator will support the highest quality care for all assigned patients, understanding the regulatory reporting requirements for quality measure compliance.  This role will assist the organization in staff training, coordination and outreach events, as well as documented compliance with quality measures in accordance with HEDIS and/or payor quality requirements.

The Senior Quality Improvement Coordinator will report to the Quality Improvement Manager. The Population Health Team is committed to supporting IntraCare’s network of primary care physicians to achieve improvements in patient care outcomes and financial rewards related to value-based care.  Population Health Team members must have a passion for patient care and creative innovation and insight into programs that support the company’s goals and initiatives.

KEY RESPONSIBILITIES:

• Outreaches to medical practices, providers, and patients with recommendations for health screenings, patient assessments, management of chronic conditions, and well care visits.
• Successfully engages patients directly via telephone and overcomes objections to compliance by providing education, facilitating resources, navigating benefits, and arranging needed care.
• Supports provider practices in identifying workflow gaps and suggesting best practices to improve performance in clinical and quality metrics. Performs field visits to practices as needed.
• Tracks all tasks closely to completion and reports progress in order to ensure positive performance results.
• Collects and enters data with high attention to detail. Documents information completely, accurately, and in a timely manner. Keeps records of customer interactions, demographic updates, and other key details.
• Builds and maintains professional relationships with individuals and organizations that can support Premier’s goals including but not limited to health plan representatives, provider practices, and internal departments.
• Accurately and efficiently conducts medical record review and abstraction. Scans relevant components for the medical record to support reviews performed. Retrieves and organizes paper medical records on behalf of providers and their practices when necessary to achieve program objectives.
• Works collaboratively with Network and MSO departments to improve quality results.
• Optimizes customer satisfaction with both providers and patients.
• Maintains confidentiality and adheres to HIPAA requirements including communication procedures, guidelines, and policies.
• Proactively escalates gaps and issues of attention to supervisor or designated business owner.
• Other duties as assigned.

REQUIRED QUALIFICATIONS:

• High School Diploma
• Ability to multi-task and work under narrow timelines
• Professional conduct and communication skills
• 1+ years of healthcare experience
• Familiarity with medical terminology
• 1+ years of working experience with Microsoft Word and Excel
• 1+ years of HIPAA compliance requirements knowledge
• Demonstrated ability to work independently toward established goals
• Some local (driving) travel is required. Mileage expense reimbursement will be provided.

PREFERRED QUALIFICATIONS:

• LPN/LVN or CMA
• Bachelor's degree or Associate's degree
• 1+ years of Telephonic Customer Service experience
• EMR (Electronic Medical Records) knowledge and experience