Quality Management Coordinator - InternAt — Advanced Medical Management

RESPONSIBILITIES-DUTIES

• Perform health plan gap analysis
• Responsible for submission of supplemental data to health plans
• Responsible for entering supplemental data in Patient Center
• Assist in the annual wellness form workflow in Onbase
• Process pharmacy and lab data
• Participate in work groups and health plan meetings
• Reports to Director of Provider Network
• Performs other duties as required

Training
Training will be at least 2 weeks
1. Software training - systems used for quality management
2. CMS guidelines on quality measures - HEDIS part c and d
3. How to communicate with the providers to obtain the gap measures
4. Medication adherence
5. Quality gap reports

Learning Outcomes
Students will learn how the healthcare system operates in a business perspectives and how each major that are related to healthcare operations linked together.