Job Description

  • Req No.
    2019-2466
    Location
    US-CA-Vista
    Type
    Regular Full-Time
    Department
    Clinical Quality
    Schedule
    40 hrs wk (M-F 8am to 5pm)
  • Overview

    Vista Community Clinic is a private, non-profit, multi-specialty outpatient clinic providing care in a comprehensive, high quality setting. Located in San Diego, Orange and Riverside counties, we work to advance community health and hope by providing access to premier health services. We are looking for dedicated, motivated, enthusiastic team players who want to make a difference in the community. Our competitive compensation and benefits program includes health, dental, vision, company-paid life, flexible spending accounts and a 403(B) plan, for eligible employees. VCC is an equal opportunity employer.

    Responsibilities

    Responsible for communicating P4P, IHA/AHA opportunities and Gaps in Care from VCC’s Managed Care Partners (MCO’s) to staff, tracking incentive opportunities and working with MCO’s on data and information workflow, to maximize quality initiatives and incentive payouts.

    • Track health plan requirements
    • Facilitate actions with inter-departmental teams to maximize managed care incentive revenue, working closely with other departments as needed
    • Responsible for data entry and management of dashboards for all health plans
    • Establish and maintain direct communication with health plan point of contact pertaining to Quality programs and P4P opportunities
    • Oversee access to plan portals and data systems
    • Respond to ad-hoc meetings with payers
    • Schedule, coordinate and attend quarterly meetings with MCO’s to maximize partnerships and address process issues
    • Attend webinar trainings, conferences and meetings pertaining to VCC’s managed care contracts and Quality/HEDIS/P4P opportunities
    • Facilitate accurate and timely information flow between VCC and the MCO’s including:
      • Collect information from MCO’s
      • Disseminate information to VCC staff as appropriate
      • Support initiatives for supplemental data transfer to the MCO’s
      • Confirm data is received by MCO’s
      • Identify opportunities for improvement in the data submission process
    • Enhance professional growth and development through participation in educational programs, current literature review, in-service meetings and workshops
    • Support the vision, mission and goals, and demonstrate a commitment to the values, of the organization
    • Perform other duties as assigned

    Qualifications

    Minimum

    • Medical Assistant Certificate
    • High School diploma or equivalent with four years' of experience in community education and/or direct patient services

    Preferred

    • Knowledge about MCO's
    • 1-3 years experience in healthcare revenue cycle

    Required Skills/Knowledge/Abilities

    • Strong verbal and written communication skills
    • Good networking; relationship building & interpersonal skills
    • Ability to work independently with minimal supervision
    • Strong organizational and time management skills
    • Ability to present information accurately and effectively both verbally and in writing to individuals and groups
    • Ability to interact with all VCC personnel and the public in a professional manner
    • Ability to plan and facilitate internal and community meetings
    • Ability and willingness to meet the organization’s attendance and dress code policies
    • Ability to handle confidential materials and information in a professional manner
    • Excellent customer service skills and commitment to providing the highest level of customer satisfaction
    • Familiar with operation of telephone, fax and copier equipment

    Application Instructions

    Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

    Apply Online