HEDIS Stars/Quality Coordinator /Population Health
About The Position
Optima Medical is seeking a HEDIS Stars/Quality -Population Health Coordinator to join their team. This individual will play a key role in supporting patients through proactive outreach and personalized care coordination. The HEDIS Stars/Quality Coordinator will monitor a specific patient panel, close care gaps, and work collaboratively with providers to help patients achieve both short- and long-term health goals. A strong understanding of healthcare processes, population health, and patient engagement is highly desired for this position. The role reports to the Manager of Population Health and is responsible for coordinating and supporting the value-based care and population health initiatives of the company. Responsibilities include data analyses, collecting supporting records and documentation to close HEDIS Quality Measures, participation in routine performance meetings with health plans, and supporting all efforts related thereto.
Requirements
- 1 year experience in Quality Care Gaps / HEDIS Stars
- Experience in a Corporate / Health care Setting
- Ability to work independently as well as in a Team
- High level of professionalism
- Excellent written and verbal communication skills
- Excellent organizational and problem-solving abilities
- Ability to work collaboratively with diverse teams and departments
- Knowledge of healthcare regulations and compliance standards
- Strong communication and interpersonal skills
- Proficiency in electronic health records (EHR); eCW preferred, Microsoft products, and other relevant software.
- Must have HS diploma or GED equivalent
Nice To Haves
- MA experience highly preferred but not required
Responsibilities
- Collect data and patient records to close HEDIS care gaps and maintain STAR Ratings
- Meet with multiple health plan representatives related to their incentive programs
- Working Provider Portals to close care gaps
- Attest to patient's historical diagnosed chronic and suspect conditions
- Assist Manager with participation in population health programs
Benefits
- medical/vision/dental
- 401k
- PTO
- paid holidays
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
