HEDIS & Quality Operations Specialist

P3 Health Partners; Roseburg (OR); On-site; USD 30,000 - 39,000; Full time

Job summary

P3 Health Partners seeks a Healthcare HEDIS/Quality Operations Coordinator to support quality initiatives and drive gap closures across clinics. You will engage with patients, providers and pharmacies, coordinate across teams, and help execute programs that improve health outcomes.

The role requires strong data gathering, familiarity with CMS/HEDIS guidelines, and the ability to manage multiple projects under direction of the VP and National Quality Manager.

Qualifications

• High school diploma or GED required; associate degree preferred.
• 2+ years healthcare experience; managed care or health plan experience preferred.
• Experience with Microsoft Word, Excel, PowerPoint, Outlook.
• Experience in Electronic Health Records.
• Medical Assistant Certification or Pharmacy Tech, Radiology Tech or Lab Tech experience preferred.
• Experience with data mining is preferred.
• Medical terminology knowledge required; CPT II codes knowledge preferred.

Responsibilities

• Supports quality management to improve HEDIS, CMS Star Rating and reporting.
• Provides telephonic outreach to patients, providers and pharmacies.
• Collaborates across departments to close quality gaps.
• Leads quality events (Quality Fairs, Diabetic Days, P3 events).
• Prepares quality information for affiliate group presentations.

Skills

Healthcare experience

Medical terminology

Data mining

EHR systems

Microsoft Office

Education

High school diploma or GED

Associate degree preferred

Medical Assistant Certification or Pharmacy Tech/Radiology/Lab Tech experience

Tools

Electronic Health Records

Job description

P3 Health Partners seeks a Healthcare HEDIS/Quality Operations Coordinator to support quality initiatives and drive gap closures across clinics. You will engage with patients, providers and pharmacies, coordinate across teams, and help execute programs that improve health outcomes.

The role requires strong data gathering, familiarity with CMS/HEDIS guidelines, and the ability to manage multiple projects under direction of the VP and National Quality Manager.