The Quality Improvement Coordinator serves as the outpatient clinic Value-Based Care (VBC) subject matter expert, supporting quality performance, regulatory compliance, and population health initiatives across the medical group. This role bridges hands-on VBC operations with strategic quality program management by coordinating quality improvement activities, monitoring performance metrics, educating providers and staff, and driving gap closure initiatives. The incumbent applies advanced knowledge of value-based care programs, data collection and abstraction, quality reporting, and NCQA standards while taking an active role in program planning, provider engagement, and cross-functional collaboration.
Essential Responsibilities
Data Management & Quality Reporting
- Collect, validate, analyze, and report quality and VBC performance data.
- Perform chart reviews, data abstraction, and documentation audits to ensure data integrity and reporting accuracy.
- Monitor quality metrics, performance dashboards, and population health outcomes.
Quality Improvement & Gap Closure
- Coordinate and support quality improvement (QI) initiatives designed to improve clinical outcomes and performance metrics.
- Identify care gaps and collaborate with providers and clinic staff to develop and implement action plans.
- Track interventions and measure effectiveness of quality improvement efforts.
Provider Engagement & Education
- Serve as a resource and educator for providers, clinical staff, and leadership regarding VBC programs, quality measures, and best practices.
- Provide ongoing training and performance feedback to promote quality goals and gap closure activities.
- Support provider adoption of evidence-based practices and documentation requirements.
Compliance & Regulatory Support
- Maintain working knowledge of NCQA standards, quality reporting requirements, and value-based reimbursement programs.
- Conduct audits and reviews to ensure compliance with organizational policies and regulatory requirements.
- Assist with quality-related accreditation, regulatory surveys, and reporting activities.
Program Coordination
- Collaborate with clinical operations, population health, care management, and leadership teams to support strategic quality initiatives.
- Participate in program planning, implementation, and performance evaluation.
- Prepare reports, presentations, and recommendations for leadership regarding quality and VBC performance.