Clinical Quality Improvement Coordinator

Guide Healthcare

Clinical Quality Improvement Coordinator improving patient health outcomes through data and patient outreach remotely. Involves collaborating with healthcare providers and managing quality initiatives across various payers.

Posted 7/16/2026full-timeRemote • Texas • 🇺🇸 United StatesMid-LevelSenior💰 $28 - $30 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Quality Improvement (QI) measures and patient outreach, with proficiency in Electronic Medical Record (EMR) systems and data abstraction. Strong communication skills and attention to detail are essential for managing quality data and collaborating with healthcare stakeholders.

Highest-signal resume keywords

Quality Improvement InitiativesElectronic Medical Record (EMR) ProficiencyPatient Outreach and EducationData Abstraction and ReportingVerbal and Written Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Quality Data AbstractionMedical TerminologyQuality MeasuresMedical Billing/CodingData ReportingQuality Database ManagementPreventive Care EducationHealth Data AnalysisDeadline ManagementTechnical Proficiency

Soft Skills

Attention to DetailOrganizational SkillsCollaborationProfessional CommunicationRelationship Building

Tools & Technologies

EMR SystemsMicrosoft 365Guidehealth ApplicationsPayer PortalsVendor Platforms

Certifications & Qualifications

CMALPN

Industry Keywords

Medicare AdvantageNCQAHEDISQuality ReportingHealthcare Setting

Tech Stack

Tools & technologies

Cloud

About the role

Key responsibilities & impact

Work in a fully remote environment and virtually engage with company and team in your daily work.
Subject Matter Expert (SME) on entire scope of QI measures, services, customers and quality initiatives under various commercial and governmental payers.
Conduct proactive patient outreach initiatives to identify and address quality gaps, engaging with patients to educate them on preventive care measures, schedule necessary screenings or appointments, and facilitate adherence to treatment plans, thereby contributing to improved health outcomes and closing quality gaps.
Collect quality data using various methods of data sourcing-EMR, claims, provider outreach.
Manage daily work using multiple systems and applications-EMR systems, payer portals, vendor platforms, Guidehealth applications, Microsoft 365 for Excel, Word and PowerPoint and Teams for messaging and meetings.
Work with patient lists, gap lists, sourced health data and medical records in your daily work.
Leverage all quality related resources to ensure accuracy and completeness of work measure/project instructions, NCQA/HEDIS® specifications, coding documents, quick reference guides.
Prioritize daily work to meet various quality reporting deadlines and requirements.
Communicate quality performances, barriers and improvement strategies both internally and with customers.
Follow all established policies and procedures for various QI workflows to ensure overall success.
Collaborate w/ customers, payers, co-workers to accomplish daily work.
Participate in all departmental and payer sponsored webinars/trainings/support calls throughout the year.
Communicate professionally and develop positive relationships with co-workers, customers, providers and providers’ support staff.

Requirements

What you’ll need

Associate degree or greater in related field or certified/licensed professional-CMA, LPN.
Minimum 1-3 years of experience in healthcare setting; time spent working/charting/data abstraction via EMR system/s, knowledge of medical terminology, quality measures, medical billing/coding.
Minimum 2 years’ experience in Medicare Advantage Quality data abstraction and patient outreach.
Tech savvy in managing the technical side of this position-working with health data, working in excel and PowerPoint, navigating multiple systems and applications.
Highly skilled in verbal and written communications.
Strong attention to detail, organized and ability to meet hard deadlines.
Ability to collaborate w/ others and work effectively with management, co-workers, and customers.
Knowledge or experience in quality improvement initiatives and data submissions required by various health insurance payers.
Extensive experience with quality database entries and reporting.
Experience in interpreting and reporting quality information, as well as training staff.
Proficiency in Electronic Medical Record (EMR) software and cloud platforms.

Benefits

Comp & perks

Work from Home: Guidehealth is a fully remote company, providing you the flexibility to spend less time commuting and more time focusing on your professional goals and personal needs.
Keep Health a Priority: We offer comprehensive Medical, Dental, and Vision plans to keep you covered.
Plan for the Future: Our 401(k) plan includes a 3% employer match to your 6% contribution.
Have Peace of Mind: We provide Life and Disability insurance for those "just in case" moments. Additionally, we offer voluntary Life options to keep you and your loved ones protected.
Feel Supported When You Need It Most: Our Employee Assistance Program (EAP) is here to help you through tough times.
Take Time for Yourself: We offer paid time off plans helping you achieve work-life balance and meet your personal goals.
Support Your New Family: Guidehealth offers paid parental leave to give you the time you need.
Learn and Grow: Your professional growth is important to us. Guidehealth offers various resources dedicated to your learning and development to advance your career with us.