Clinical Quality Coordinator, Entry

Blue Shield of CaliforniaLong Beach, CA
$18 - $29Hybrid

About The Position

The Clinical Quality team oversees and is responsible for HEDIS medical record review, pursuit, and overall HEDIS submission. The Clinical Quality Coordinator will report to the Supervisor of the HEDIS Outreach Team. In this role, you will be responsible for conducting provider outreach during the HEDIS season for medical record pursuit and retrieval. Also, participation in Quality initiatives involving member outreach for care gap closure. Responsible for maintaining high productivity and standard work. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Requirements

  • External hires must pass a background check/drug screen.

Responsibilities

  • Conducting provider outreach during the HEDIS season for medical record pursuit and retrieval.
  • Participation in Quality initiatives involving member outreach for care gap closure.
  • Maintaining high productivity and standard work.

Benefits

  • health insurance
  • dental insurance
  • vision insurance
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