RN-Clinical Quality Liaison

Viva Health • Birmingham, AL

5d • Onsite

About The Position

The RN, Clinical Quality Liaison plays a critical role in improving quality outcomes and risk adjustment performance within the University of Alabama (UAB) health system and large clinical practice. This practice-dedicated role serves as the primary clinical liaison for Primary Care Physicians (PCPs) and practice staff, driving performance improvement related to Star Ratings, HEDIS measures, risk adjustment and coding completeness. This position requires advanced clinical knowledge, analytical skills and the ability to influence change at the practice level through deep engagement, workflow redesign, clinical education and data-driven targeting. This role translates organizational goals into sustainable, scalable solutions within the assigned practice that supports both quality outcomes and financial performance drivers. This position may travel to locations within the Viva HEALTH service area through a reliable means of transportation insured in accordance with Company policy.

Requirements

• Graduate of an accredited program of professional nursing, ADN/BSN
• Minimum of 5 years’ experience in quality improvement, population health or practice performance support
• Current RN License in good standing with the state of Alabama Board of Nursing
• Willing to submit to vaccine testing and screening
• Strong clinical assessment and judgment
• Working knowledge of Stars, HEDIS and risk adjustment methodologies
• Ability to interpret data and translate metrics into targeted clinical action
• Ability to engage, educate and influence physicians and practice staff
• Experience with workflow redesign and performance improvement initiatives
• Organized, detail oriented and skilled at multi-tasking
• Strong written and verbal communication skills
• Proficient in Microsoft Office suite of products and EHR systems
• Ability to work under pressure and manage multiple priorities with limited supervision
• Valid driver's license in good standing

Nice To Haves

• Experience supporting risk adjustment, coding, or data-driven performance initiatives
• Experience supporting coding completeness or chronic condition documentation
• Familiarity with attribution management and population-level analytics

Responsibilities

• Plays a critical role in improving quality outcomes and risk adjustment performance.
• Serves as the primary clinical liaison for Primary Care Physicians (PCPs) and practice staff.
• Drives performance improvement related to Star Ratings, HEDIS measures, risk adjustment and coding completeness.
• Translates organizational goals into sustainable, scalable solutions within the assigned practice.
• Supports quality outcomes and financial performance drivers.
• May travel to locations within the Viva HEALTH service area.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Associate degree