Quality Reporting Specialist

Responsibilities

• Prepare Quality Improvement (QI) reports and submit for review prior to submission
• Track incident, accident, and death (IAD) reports and correspond to QOC investigations to ensure resolution meets the timeliness standards and ensure appropriate information is provided the payor
• Organize and assemble IAD and QOC data for the QM Committee, the Credentialing Committee, and other entities
• Ensure that all departments submit reports timely to the Payors
• Participate in the Risk Committee or other appropriate committees as designated
• Conduct audits of the State IAD-QOC database to ensure data integrity and timeliness of portal submissions
• Prepare provider financial sanctions for review prior to submission
• Serve as primary point of contact to resolve provider issues regarding IADs and QOCs

Benefits

• Health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays
• A remote role with an expectation to work onsite at the Tempe, AZ office approximately once per month
• A flexible approach to work with remote, hybrid, field or office work schedules
• Health insurance plans for Arizona Medicare, Marketplace and Medicaid members.
• Tempe, Arizona, USA
• https://www.azcompletehealth.com
• Late Stage
• Leadership Team
• Santosh Raju
• Chief Operating Officer
• Recent News
• Morningstar.com
• Ambetter from Arizona Complete Health Offers Health Insurance in Arizona in 2026
• 2025-11-07
• Business Wire
• Duo Health Announces New President and Chief Operating Officer
• 2025-08-22
• PR Newswire
• CENTENE SUBSIDIARY ARIZONA COMPLETE HEALTH JOINS SETTLEMENT AGREEMENT TO MOVE FORWARD WITH STATEWIDE LONG-TERM CARE MEDICAID CONTRACT
• 2025-05-04
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Qualifications

• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future
• High school diploma or equivalent
• 2+ years of experience in a health care setting that includes coordination of member care through physicians, clinical nurses and office managers
• In depth knowledge of medical/mental health terminology required
• 2+ years of experience in a health care setting that includes coordination of member care through physicians, clinical nurses and office managers.

Required skills

Experience

• 2+ years