A Clinical Coordinator coordinates operations and oversees medical assisting staff in a clinic or medical department. Responsibilities include supervision of day-to-day operations, management of business aspects, HR duties within the team.
Clinical Quality Care Coordinator Pediatric Practice • HEDIS & Quality Measures All Children's Clinic, P.C.
Job title:
Clinical Quality Care Coordinator - Pediatric Practice (HEDIS / Quality Measures) Job type:
Full-time Location:
Hernando/Southaven, MS Benefits:
Health, dental, vision, PTO, retirement plan (edit to match) About us All Children's Clinic, P.C. is a pediatric practice serving families in North Mississippi. We take care of kids from newborns through adolescence, and we work with every major commercial payer plus Mississippi Medicaid and Mississippi CAN plans. We're growing our quality and population health work and looking for the right person to lead it. Position summary The Clinical Quality Care Coordinator is responsible for tracking, improving, and reporting on HEDIS and payer-defined quality measures across all insurance panels the clinic contracts with. This role works at the intersection of clinical care, coding, and payer relations — closing gaps in preventive care, running patient outreach, submitting supplemental data to payers, and helping the practice succeed under value-based care and pay-for-performance contracts. Key responsibilities Monitor HEDIS quality measures across all payer panels, including well-child visits (W15, W30, WCV), childhood and adolescent immunization status (CIS, IMA), lead screening (LSC), developmental screening, weight assessment and counseling (WCC), ADHD medication follow-up (ADD), asthma medication ratio (AMR), chlamydia screening in adolescents (CHL) etc. Pull, reconcile, and interpret quality reports from payer portals (BCBS, UnitedHealthcare, Aetna, Cigna, Humana, Molina, Magnolia Health, Mississippi Medicaid) and compare against internal EHR data. Identify patients with open care gaps, coordinate outreach calls and letters, and work with scheduling to book overdue visits. Submit supplemental data files, chart chases, and medical record documentation to payers to ensure numerator credit for services already delivered. Track performance against payer quality incentive programs and value-based care contracts; flag risks and opportunities to leadership. Support Patient-Centered Medical Home (PCMH) documentation and NCQA recognition activities. Partner with providers and clinical staff to build workflows that keep quality metrics on track at the point of care. Stratify the patient panel by risk and clinical need to advance population health goals. Maintain HIPAA compliance and accurate documentation in the EHR at all times. Required qualifications Associate's or bachelor's degree preferred Clinical or coding background — Necessary Minimum 2 years of experience in a physician practice, health plan, or ACO environment. Working knowledge of HEDIS specifications, quality measurement, and value-based care concepts. Comfort with Athena EHR, payer portals, spreadsheets, and reporting. Strong attention to detail, organizational skills, and ability to manage multiple priorities. Excellent written and verbal communication skills. Preferred qualifications Pediatric practice experience. Familiarity with Mississippi Medicaid, Mississippi CAN, and CHIP programs. Experience with PCMH standards or NCQA recognition processes. Prior work on MIPS, MSSP, or commercial value-based contracts. Experience with Excel , dashboards, or light data analysis. Benefits Competitive pay based on experience and credentials Health, dental, and vision coverage Paid time off and holidays Retirement plan with employer contribution Supportive team environment focused on kids How to apply Submit your resume through Indeed or email [hiring email]. All Children's Clinic, P.C. is an equal opportunity employer.
