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　　Join PacificSource and help our members access quality, affordable care!

　　PacificSource is an equal opportunity employer. All qualifiedapplicants will receive consideration for employment without regard tostatus as a protected veteran or a qualified individual with adisability, or other protected status, such as race, religion, color,national origin, sex, sexual orientation, gender identity or age.

　　Diversity and Inclusion: PacificSource values the diversity of thepeople we hire and serve. We are committed to creating a diverseenvironment and fostering a workplace in which individual differencesare appreciated, respected and responded to in ways that fully developand utilize each person\'s talents and strengths.

　　The Quality Operations Coordinator is responsible for monitoringperformance of quality programs and improvement initiatives for variousquality incentive programs (Medicaid Quality Incentive Program (QIM),Medicare CMS Stars and Commercial NCQA). This position reports to theQuality Performance Manager and will work with various internal andexternal stakeholders as needed. The Quality Operations Coordinator willoversee multiple improvement projects including provider education,member engagement, measure specific initiatives aimed to improveclinical quality outcomes and member experience. This position willprovide key supports for annual submission tasks and data validation asneeded.

　　Summary:

　　The Quality Operations Coordinator is responsible for monitoringperformance of quality programs and improvement initiatives for variousquality incentive programs (Medicaid Quality Incentive Program (QIM),Medicare CMS Stars and Commercial NCQA). This position reports to theQuality Performance Manager and will work with various internal andexternal stakeholders as needed. The Quality Operations Coordinator willoversee multiple improvement projects including provider education,member engagement, measure specific initiatives aimed to improveclinical quality outcomes and member experience. This position willprovide key supports for annual submission tasks and data validation asneeded.

　　Essential Responsibilities:

　　Serve as a QI subject matter expert and effectively share expertisewith internal and external stakeholders.Collaborate with cross-functional teams (Care Management, Quality,Population Health and Provider Network) to execute on qualityimprovement projects (internal and external).Assist with the development, production and accuracy of qualityperformance dashboards, gap in care lists and other reporting asrequested.Support the end-to-end project management of quality metrics andimprovement initiatives in coordination with the assigned ProgramManager.Use appropriate project management tools to coordinate, measure, andsupport assigned projects.Learn and understand existing Quality, Risk, and Population Healthbusiness processes. Determine opportunities for operationalimprovement and support of strategic goals.Champion quality metric improvement projects including facilitatingproject meetings, work plans, risk mitigation and driving outcomesin collaboration with various Program Managers and QualityPerformance Manager.Cultivate integration and collaboration of physical, dental,behavioral health improvement efforts to optimize outcomes andmember experience.Assist with compliance activities including preparation of relevantdocuments, reports and annual work plans.Demonstrates strong communication skills (verbal and written) toensure effective and successful relationships and follow through.Utilize lean methodolo ies to identify process improvement andcultivate a culture of continuous improvement.Serve as a BH subject matter expert and effectively share expertisewith internal stakeholders including, but not limited to CareManagement, Quality Improvement, Population Health, and ProviderNetwork.Development and deploy of provider training and education as needed.Supporting Responsibilities:

　　Meet department and company performance and attendance expectations.Follow the PacificSource privacy policy and HIPAA laws andregulations concerning confidentiality and security of protectedhealth information.Perform other duties as assigned.Work Experience: Project coordination or project managementexperience in a complex environment required. Three years of experiencein the healthcare industry, provider organization, or related area.Relevant experience in the following areas: healthcare operations,community health, quality improvement, strategic relationshipdevelopment, and population health improvement. Knowledge of qualityprograms and quality metrics for OHA QIM, CMS STARS, HEDIS, and/or NCQApreferred.

　　Education, Certificates, Licenses: Bachelors or equivalent degreedesired. Billing/coding experience desired.

　　Knowledge: Knowledge and und