Member Coordinator – Quality Assurance Specialist
Pacific Health Group
full-time
Posted on:
Location Type: Remote
Location: Remote • California • 🇺🇸 United States
Visit company websiteSalary
💰 $30 - $33 per hour
Job Level
JuniorMid-Level
About the role
- Ensures quality, compliance, workflow accuracy, and performance excellence across both ECM and Member Coordination operations.
- Serves as the internal auditor, workflow analyst, and process-improvement lead for all member-facing activities including assessments, referrals, documentation, disenrollment workflows, re-engagement processes, outreach, verification, and communication functions.
- Strengthens operational integrity, ensures regulatory compliance, and builds a culture of accountability and continuous improvement within the newly developed QA unit.
Requirements
- Bachelor’s degree in healthcare administration, public health, social work, or related field.
- 2+ years of experience in quality assurance, care coordination, compliance, or healthcare program auditing.
- Familiarity with ECM, CalAIM, Medi-Cal, HIPAA, and care coordination workflows.
- Strong analytical and problem-solving skills.
- Excellent documentation, communication, and interpersonal skills.
- Proficiency in CRM/EMR systems and Excel
Benefits
- 160 Hours of Paid Time Off (PTO)
- 12 Paid Holidays per year, including your birthday and one floating holiday after 1 year of employment
- 4 Paid Volunteer Hours per Month to support causes you care about
- Bereavement Leave, including Fur Baby Bereavement
- 90% Employer-paid Employee-Only Medical Benefits
- Flexible Spending Account (FSA)
- Short-Term & Long-Term Disability | AD&D
- Employee Assistance Program (EAP)
- 401(k) with Company Match
- Monthly Stipend
- Opportunities for professional development and internal growth
- Employee Discounts via Great Work Perks and Perks at Work
- Quarterly In-Person Events
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
quality assurancecare coordinationcompliancehealthcare program auditinganalytical skillsproblem-solving skillsdocumentationcommunication
Soft skills
interpersonal skills