Job Description

Job Location: Elkins, WV 26241,

Position Type: Full Time, Education Level: 2 Year Degree,

Travel Percentage: Up to 25%,

Job Shift: Day,

Job Category: Health Care, Job Summary

Valley Health Care, Inc. (VHC) is committed to providing outstanding patient care. The Quality Coordinator I – Measurement Improvement & Data Operations supports this mission by assisting the Clinical Quality Manager in advancing organizational quality initiatives and ensuring the delivery of safe, effective, affordable, and patient-centered care.

This position focuses on quality data management, performance measurement, and care gap closure while supporting quality improvement initiatives across the organization. This position is responsible for accurate entry, extraction, analysis, and reporting of quality data, medical records, and related documentation. Through ongoing monitoring of quality metrics and performance outcomes, this role helps identify opportunities for improvement and supports VHC’s strategic quality and compliance goals.

Essential Duties and Responsibilities

Measurement Improvement & Outreach

• Monitor UDS, HEDIS, HRSA, and payer quality measures for performance gaps
• Generate patient lists for needed services and coordinate outreach
• Collaborate with scheduling staff to arrange appointments
• Conduct patient outreach and document attempts in the EHR
• Track measure improvement progress and outcomes
• Coordinates scheduling and logistics for mobile health units to ensure efficient service delivery

Data, Reports & EHR Extraction

• Run routine and ad hoc quality reports from AZARA
• Extract, validate, and reconcile EHR data for reporting
• Identify documentation gaps and provide feedback to clinical teams
• Maintain dashboards, spreadsheets, registries, and audit tools
• Accurately uploads quality measure closure information and documentation into payer systems to ensure timely reporting and compliance

Projects & Submissions

• Support HRSA, UDS, state, and payer submissions
• Support NCQA standards and accreditation.
• Contributes to ACO-related data collection, reporting, and care coordination.
• Participate in chart audits, PDSA cycles, and quality improvement projects
• Maintain documentation for compliance and audit readiness

Qualifications: Education and Experience

• High school diploma or GED
• 2 years of healthcare experience preferred
• Experience in quality reporting, data analysis, or EHR systems preferred
• Strong organizational and analytical skills
• Proficient in Excel and data management tools

Professional Standards

• Leadership
• Team building mentality is exemplified in all work done.
• Positively influence and uplift members and other affiliates.
• Employee Expectations
• Follow all policies and procedures, including the Code of Conduct, which can be found in the Employee Handbook.
• Follow the direction given by the supervisor to ensure site expectations are met.
• Communication
• Must be able to provide important and relevant site information in staff meetings and to members, co-workers, and supervisors.
• Must be able to listen to co-workers and team members.
• Must be able to present important and relevant site information to supervisors.
• Must be able to write and compose clear, concise, accurate written documentation and data reports, as necessary.

Values

Upholds the Code of Ethics and mission of Valley Health Care, Inc. by conducting professional activities with Valley Health Care’s values of integrity, teamwork, compassion, excellence, and Here for Good.

Integrity

We act openly and truthfully in everything we do.

Teamwork

We work together to serve our patients.

Excellence

We create better ways of doing the things we do and provide the highest quality of care for each patient every time.

Compassion

We treat each other and our patients with concern, kindness, and respect.

Here for Good

We make decisions that will best serve our patients now and in the future.

Understanding of Health Care Laws and Regulations

Must have the ability to follow HIPAA guidelines as well as an understanding of policies and procedures regarding medical records put in place by the Federal Government, Medicaid, Medicare, and WV Behavioral Health Laws put forth by the WV Department of Health and Human Resources.

Customer Service

Must listen to the customer, understand the customer, do what needs to be done to meet the customer’s expectations, and take ownership of the customer experience.

Computer Literacy

Knowledge of basic computer software (MS Office – Word, Excel, and Outlook) and the willingness and ability to learn electronic medical records software.

Reasoning Ability

Must demonstrate the ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret various instructions furnished in written, oral, diagram, or schedule form.

Teamwork

An essential element is the ability to work and interact effectively and positively with other staff members to build and enhance teamwork in the VHC organization; team engagement is necessary to be successful in this position.

Work Record

A demonstrated work record showing good attendance, punctuality, dependability, and the ability to collaborate well with supervisors and coworkers as part of a team effort is essential. A medical office setting is an environment that requires the ability to relate to all types of people while always maintaining a professional demeanor.

Language Skills

Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. The ability to write routine reports and correspondence. The ability to speak effectively to patients or employees of the organization.

Mathematical Skills

Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.

Additional Skills

Must be able to read and interpret medical and work environment-related documents involving patient care, program descriptions, government regulations, and VHC policy and procedures.

Sensitivity to Needs of Special Populations

Must be able to demonstrate an understanding and sensitivity to cultural differences and needs of VHC patients and be able to respond appropriately to all people regardless of race, ethnicity, language, age, sex or sexual orientation, religion, disability, economic standing, etc.

Physical Demands

The physical demands described here represent those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee may be required to drive, sit and stand for extended periods of time; handle papers, type and operate computer equipment; reach with hands and arms; talk in-person, on the telephone, and by electronic means; see and hear, and lift up to twenty-five pounds.

Work Environment

Work is performed in a typical outpatient clinic environment and at locations outside the office. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of the job.