QAPI Coordinator

AnewHealth is one of the nation’s leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs—wherever they call home. We enable better outcomes for patients and the healthcare organizations who support them. Established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare, we provide a suite of solutions that includes comprehensive pharmacy services; full-service pharmacy benefit management; and specialized support services for Program of All-Inclusive Care for the Elderly. With over 1,400 team members, we care for more than 100,000 people across all 50 states.

Job Details

The Quality Improvement (QI) Coordinator plays a vital role in supporting quality assurance and performance improvement initiatives within the ExactCare division. This role is responsible for managing quality-related event (QRE) reporting, monitoring compliance to quality management standards, supporting regulatory adherence, and collaborating across departments to improve service quality, patient safety, and performance outcomes. The QI Coordinator will also assist with internal and client-facing reporting, track and analyze performance data, participate in quality committee meetings, and help ensure a consistent, patient-centered approach to service delivery.

Responsibilities

Primary Functions

• Manage Quality Reporting Process:

  • Monitor closed QREs within the ticketing system to ensure investigations are finalized and properly documented

  • Collaborate with external teams to confirm accuracy, completeness, and resolution of reported events.

  • Verify data accuracy and completeness to support tracking, trending, and reporting.

  • Close tickets in alignment with established procedures and timelines.

  • Maintain data quality and reporting readiness through continuous system monitoring.

  • Generate and distribute monthly QRE reports for stakeholders and clients.

• Quality and Compliance Support:

  • Maintain adherence to internal quality standards and regulatory guidelines by supporting AnewHealth quality and compliance efforts.

• Performance Improvement Collaboration:

  • Partner with service line and department leaders to identify improvement opportunities, create and support in-service training, and deliver onboarding education.

  • Assist in the development, implementation, and evaluation of internal and external performance improvement initiatives.

  • Support the collection and sharing of best practices across teams to enhance consistency and quality of service delivery

  • Contributes to action plans that address identified gaps in performance or compliance

  • Collaborate with cross-functional teams to align quality initiatives with organizational goals and client expectations

• Data Reporting & Analysis:

  • Generate and distribute quality and performance reports to internal stakeholders and clients.

  • Monitor referral source reports, analyze trends, and identify opportunities for improvement.

  • Follow up on internal and external communications related to quality concerns.

• Administrative Participation:

  • Coordinate and document monthly client communication reports.

  • Participate in QI meetings and maintain meeting minutes.

  • Support the development and updates of the annual QI Plan and Program.

Secondary Functions

• Provide operational support to other business units during periods of high volume, as needed.

The above essential functions are representative of major duties of positions in this job classification. Specific duties and responsibilities may vary based upon departmental needs. Other duties may be assigned similar to the above consistent with knowledge, skills and abilities required for the job. Not all of the duties may be assigned to a position.

Qualifications: These represent the desired qualifications of the ideal candidate. They are not meant to limit consideration for candidates who do not meet all of the standards listed. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education

• High school diploma or equivalent required.

• Associate or bachelor’s degree preferred.

Experience

• 2+ years of pharmacy experience required.

• Experience in quality improvement or performance improvement in a healthcare setting is strongly preferred.

Certifications

• Preferred: Certified Professional in Healthcare Quality (CPHQ), Certified Professional Patient Safety (CPPS), Certified Professional in Healthcare Risk Management (CPHRM), or Six Sigma certification.

• Required: Pharmacy Technician Certification

Skills & Abilities

• Strong written, verbal, and interpersonal communication skills.

• Advanced proficiency in Microsoft Office Suite (Excel, Word, Outlook, PowerPoint).

• Exceptional attention to detail and organizational skills.

• Strong analytical and problem-solving abilities.

• Comfortable with data interpretation and presenting findings.

• Demonstrates initiative, adaptability, and a continuous improvement mindset.

• Passionate about patient safety and quality of care.

• Ability to work independently with minimal supervision.

• High degree of integrity, professionalism, and reliability.

Core Competencies

• Integrity – Maintains ethical standards and confidentiality.

• Quality-Oriented – Focuses on delivering high-quality outcomes.

• Innovative – Brings creative solutions to performance challenges.

• Steadfast – Demonstrates resilience and commitment to organizational goals.

Physical/Mental Demands: This position is administrative in nature and will present physical demands requisite to a position requiring: hearing, seeing, sitting, standing, talking, and walking. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Must be able to commute to multiple site locations within assigned territory. May be necessary to work extended hours as needed.

Schedule: This is a full-time position with an expectation to work an average of 40 hours per week and be available outside of normal business hours to meet customer expectations on an ad-hoc basis. Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed.

Travel: Travel may be required for special organization or department events, department team meetings, trade shows, conferences, and other client engagements.

This is a remote position.

AnewHealth offers a comprehensive benefit package for full-time employees that includes medical/dental/vision, flexible spending, company-paid life insurance and short-term disability as well as voluntary benefits, 401(k), Paid Time Off and paid holidays. Medical, dental and vision coverage are effective 1st of the month following date of hire.

AnewHealth provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants are encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country.

Originally posted on Himalayas