Member Coordinator Quality Assurance Specialist

Bachelor’s degree in healthcare administration, public health, social work, or related field. 2+ years of experience in quality assurance, care coordination, compliance, or healthcare program auditing. Familiarity with ECM, CalAIM, Medi-Cal, HIPAA, and care coordination workflows. Strong analytical and problem-solving skills. Excellent documentation, communication, and interpersonal skills. Proficiency in CRM/EMR systems and Excel.

Ensures quality, compliance, and workflow accuracy in ECM and Member Coordination operations. Serves as internal auditor, workflow analyst, and process-improvement lead. Strengthens operational integrity and regulatory compliance. Builds a culture of accountability and continuous improvement.