HEDIS Quality Coordinator - CBO TCHP Ambulatory Quality - Full Time - Days
The Christ Hospital
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- Location
- Norwood, OH
- Job type
- Full time
- Posted
- Oct 13
- 7 days ago
Career path
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About the company
The Christ Hospital
Hospital & health care · 5,001 to 10,000 employees
What you'll do
- Conduct outbound calls to members to previsit plan and close HEDIS gaps in care, and discuss early detection and disease prevention.
- Coordinate appointments and services with medical offices and collaborate with healthcare providers, office staff, and payer partners.
What you need
- <span>Knowledge of HEDIS measures, Commercial, Medicare, Medicaid quality programs and quality measure adherence is preferred.</span>
- <span>Previous patient care experience is a plus.</span>
- <span>Excellent verbal communication and interpersonal skills, with the ability to educate, motivate, and problem-solve over the phone.</span>
- <span>Comfortable making high-volume outbound calls to members, providers, and payers.</span>
- <span>Proficient in Microsoft Office, specifically Excel and experienced with healthcare data systems or EMRs. Epic experience is a plus.</span>
- <span>Basic analytical skills, including experience working with spreadsheets (Excel or similar), and the ability to interpret and organize data effectively.</span>
- <span>Strong attention to detail, time management, and the ability to work both independently and as part of a cross-functional team.</span>
- <span>Commitment to maintaining confidentiality and complying with HIPAA and organizational standards.</span>
- <span>Bilingual in English/Spanish is a plus.</span>
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Read the full posting here
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.