HEDIS Quality Coordinator
The Christ Hospital Health Network · US
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 v...
Job description
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. Core Responsibilities: - Data Management & Reporting : Analyze HEDIS performance in Epic dashboards and payer reports, identifying trends and presenting findings to leadership.Ensure data accuracy and completeness through regular audits and reconciliations. - Quality Improvement Initiatives : Develop and implement strategies to close care gaps, including provider education, member outreach, and process enhancements. Monitor the effectiveness of these initiatives and adjust as...