Quality Improvement Data Coordinator

Guidehealth is a data-powered healthcare company focused on improving outcomes and making high-quality care more affordable through empathy, AI, and predictive analytics. The Quality Improvement Data Coordinator supports delegated entities and ACO quality reporting by collecting, abstracting, and managing quality data while coordinating with providers, payers, and internal teams. The role focuses on closing quality gaps through data accuracy, patient outreach, and field support to provider offices.

• Support quality improvement work for delegated entities and ACO quality reporting across contracted ACOs.

• Work in a partially remote environment, collaborating virtually with team members daily.

• Serve as an SME on quality measures, customer needs, and payer-specific quality initiatives (commercial and government programs).

• Travel to provider offices to support quality efforts, including completing on-site eye exams (training provided), scanning records, and coordinating medical record management.

• Perform proactive patient outreach to identify and close quality gaps by educating patients, scheduling screenings, and supporting treatment plan adherence.

• Collect and abstract quality data using EMRs, claims information, and provider engagement.

• Use multiple platforms daily (EMRs, payer portals, vendor tools, Guidehealth applications, Microsoft 365).

• Work with patient lists, gap lists, and medical records; apply NCQA/HEDIS specifications and coding resources to ensure accuracy and completeness.

• Prioritize and manage tasks to meet strict reporting timelines and program requirements.

• Communicate performance trends, barriers, and improvement strategies to internal teams and external partners.

• Follow established QI workflows, processes, and best practices; participate in trainings, webinars, and support calls.

• Represent Guidehealth professionally and maintain positive relationships with providers and office staff.

• Associate degree or higher.

• 1–3 years of healthcare experience, including EMR use, medical terminology, chart review, and familiarity with quality measures or billing/coding.

• Minimum 2 years of Medicare Advantage quality data abstraction and patient outreach experience.

• Strong technical ability and comfort working with health data, Excel, PowerPoint, and multiple digital systems.

• Excellent verbal and written communication skills.

• High attention to detail, strong organization, and ability to meet strict deadlines.

• Ability to collaborate across teams and with external partners.

• Valid driver’s license and personal vehicle; travel required (reimbursed).

• Preferred: experience with payer QI initiatives and data submissions; clinical certification/license (CMA, LPN); extensive quality database entry/reporting; experience interpreting/reporting quality information and training staff; proficiency with EMR software and cloud platforms.

• Work model: remote-first/fully remote company with some travel to provider offices as needed.

• Equipment provided at no cost; employee provides internet connection (minimum 100 Mbps download / 10 Mbps upload) capable of video calls.

• Compensation: $28–$32 per hour paid bi-weekly.

• Benefits for eligible full-time employees (30+ hours/week): medical, dental, vision; 401(k) with 3% employer match to 6% contribution; life and disability insurance (plus voluntary life options); EAP; paid time off; paid parental leave; learning and development resources.

• Travel is required and reimbursed.