Performance Improvement Coordinator - Quality Revenue Enhancement

Location: Anaheim, CA, United States; Remote

Under the supervision of the Director of Operational Excellence the Quality Incentive Programs Coordinator will be accountable for the daily duties related to achieving deliverables for government and health plan Quality Incentive Programs. The Quality Incentive Programs Coordinator will have responsibility for ensuring all requirements are met by SJHH providers for attestation, serves as the point of contact for internal and external inquiries on payment or performance status. This position will partner with Decision Support teams to obtain data and perform high level analysis on SJHHs performance trends. In addition, this position will support Performance Improvement teams to communicate opportunities in performance.

Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Required Qualifications:

• 1 year of experience in a health care setting or medical claims/insurance operations.

Preferred Qualifications: 

• PMI Project Management Professional certification upon hire.
• 5 years of experience in a health care or managed care system.
• Project management experience in an ambulatory care environment.
• Experience with Six Sigma Quality Improvement and Lean Production/Manufacturing processes and tools.

Why Join Providence?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About Us

About the Organization

Providence Clinical Network (PCN) is a service line within Providence serving patients across seven states with quality, compassionate, coordinated care. Collectively, our medical groups and affiliate practices are the third largest group in the country with over 11,000 providers, 900 clinics and 30,000 caregivers.

PCN is comprised of Providence Medical Group in Alaska, Washington, Montana and Oregon; Swedish Medical Group in Washington’s greater Puget Sound area, Pacific Medical Centers in western Washington; Kadlec in southeast Washington; Providence’s St. John’s Medical Foundation in Southern California; Providence Medical Institute in Southern California; Providence Facey Medical Foundation in Southern California; Providence Medical Foundation in Northern and Southern California; and Covenant Medical Group and Covenant Health Partners in west Texas and eastern New Mexico.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.Under the supervision of the Director of Operational Excellence the Quality Incentive Programs Coordinator will be accountable for the daily duties related to achieving deliverables for government and health plan Quality Incentive Programs. The Quality Incentive Programs Coordinator will have responsibility for ensuring all requirements are met by SJHH providers for attestation, serves as the point of contact for internal and external inquiries on payment or performance status. This position will partner with Decision Support teams to obtain data and perform high level analysis on SJHHs performance trends. In addition, this position will support Performance Improvement teams to communicate opportunities in performance.