Clinical Quality Improvement Coordinator - Eye Exam Specialist

About the role

Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers. Driven by empathy and powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections with patients and providers. Physician-led, Guidehealth empowers our partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients.

Responsibilities

• Perform scheduled diabetic eye exams (retinal screenings) for members at provider practices and patient homes, using imaging equipment supplied and trained on by the company.
• Travel to and from appointments is covered by the company.
• Support the broader quality improvement initiatives across delegated entities and contracted Accountable Care Organizations (ACOs), including quality reporting, performance improvement, patient outreach, quality gap closure, and data abstraction activities across Medicare Advantage STAR, Commercial, Medicaid, and MSSP ACO quality programs.
• Serve as a quality improvement resource for internal teams, customers, providers, payers, and care teams on non-appointment days.
• Identify quality gaps, support patient engagement, collect and validate quality data, and assist with payer-specific and ACO reporting requirements.

Requirements

• Willingness and ability to travel daily, up to 100%, to provider practices and patient homes to perform scheduled eye exams; no prior eye exam or imaging experience required, as full training and equipment are provided by the company.
• Must have a valid driver’s license and reliable transportation.
• Associate degree or greater in a related field.
• Minimum of 1–3 years of experience in a healthcare setting.
• Minimum of 2 years of experience supporting Medicare Advantage, Commercial, Medicaid, or MSSP quality programs, including data abstraction and patient outreach.
• Experience working with EMR systems, medical records, health data, chart review, or data abstraction workflows.
• Knowledge of medical terminology, quality measures, medical billing, or coding.
• Proficiency using Microsoft Excel, PowerPoint, Word, Outlook, Teams, and multiple healthcare-related systems or applications.
• Strong verbal and written communication skills.
• Strong attention to detail, organizational skills, and ability to meet hard deadlines.
• Ability to collaborate effectively with management, co-workers, customers, providers, payers, and care teams.
• Ability to work independently in a remote environment.

Qualifications

• Willingness and ability to travel daily, up to 100%, to provider practices and patient homes to perform scheduled eye exams; no prior eye exam or imaging experience required, as full training and equipment are provided by the company.
• Must have a valid driver’s license and reliable transportation.
• Associate degree or greater in a related field.
• Minimum of 1–3 years of experience in a healthcare setting.
• Minimum of 2 years of experience supporting Medicare Advantage, Commercial, Medicaid, or MSSP quality programs, including data abstraction and patient outreach.
• Experience working with EMR systems, medical records, health data, chart review, or data abstraction workflows.
• Knowledge of medical terminology, quality measures, medical billing, or coding.
• Proficiency using Microsoft Excel, PowerPoint, Word, Outlook, Teams, and multiple healthcare-related systems or applications.
• Strong verbal and written communication skills.
• Strong attention to detail, organizational skills, and ability to meet hard deadlines.
• Ability to collaborate effectively with management, co-workers, customers, providers, payers, and care teams.
• Ability to work independently in a remote environment.

Skills

• Comfort operating specialized retinal imaging equipment (full training and camera provided).
• Strong attention to detail.
• Willingness to travel daily to provider practices and patient homes for scheduled eye exam appointments.
• Knowledge of healthcare quality measures.
• Comfort working with health data and multiple systems.
• Strong communication skills.
• The ability to manage deadlines in a field/remote hybrid environment.

Benefits

Guidehealth offers a comprehensive benefits package including:

• Work from Home
• Medical, Dental, and Vision plans
• 401(k) plan with a 3% employer match
• Life and Disability insurance
• Employee Assistance Program (EAP)
• Paid time off plans
• Parental leave
• Professional development resources

Pay

$60,000.00 to $64,000.00 per year

Schedule

Full-time, remote position