HEDIS Quality Coordinator
About The Position
The purpose of this position is to support the health network’s quality and performance goals, with a focus on achieving a 5-star rating for performance in value-based care contracts and our accountable care organization (ACO). This includes conducting outbound calls to members to previsit plan and close HEDIS gaps in care, discussing the importance of early detection and disease prevention. Will be contacting medical offices to coordinate appointments and facilitate necessary services to support patient health and mitigate any future issues. The role will also require ongoing communication and collaboration with the internal and external healthcare providers, office staff, and the payer partner liaison team.
Requirements
- Experience in quality improvement or HEDIS measures.
- Familiarity with value-based care contracts and ACOs.
- Excellent communication and interpersonal skills.
- Ability to coordinate appointments and facilitate services.
- Experience collaborating with healthcare providers and office staff.
Responsibilities
- Conduct outbound calls to members to previsit plan and close HEDIS gaps in care.
- Discuss the importance of early detection and disease prevention with members.
- Contact medical offices to coordinate appointments and facilitate necessary services.
- Support patient health and mitigate any future issues.
- Maintain ongoing communication and collaboration with internal and external healthcare providers, office staff, and the payer partner liaison team.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
