QCI Specialist I

Job description

QCI Specialist I Department: Quality - Quality Care Improvement Employment Type: Full Time: Location: Connecticut, USA: Reporting To: Traci Zieper: Compensation: $26.00 - $35.00 / hour Description: This role is integral in supporting our mission to advance quality care across our network, particularly within the Southern California IPAs. Reporting to the Supervisor of Quality Care Improvement, the Specialist will serve as a key liaison to lead and coordinate initiatives that drive performance in HEDIS, CMS Star Ratings (Part C & D), and overall health plan quality metrics. Our Values: - Put Patients First - Empower Entrepreneurial Provider and Care Teams - Operate with Integrity & Excellence - Be Innovative - Work As One Team What You'll Do: - Partner with provider practices to improve performance on quality care measures, focusing on practice transformation and population health management. - Collect, review, and validate medical records to ensure accuracy and completeness for reporting purposes. - Analyze provider performance data, identify trends, and deliver targeted education to drive improvements. - Provide in-service training to primary care providers and office staff on qua...