HEDIS Stars/Quality Coordinator /Population Health

Socket.dev; Scottsdale (AZ); On-site; USD 60,000 - 80,000; Full time

Job summary

Optima Medical in Arizona is seeking a HEDIS Stars/Quality - Population Health Coordinator to support proactive outreach and care coordination for patients within value-based care programs.

The role focuses on monitoring a patient panel, closing care gaps, and collaborating with providers to meet health goals. Requires 1 year in quality care gaps/HEDIS; in-office presence is mandatory.

Qualifications

• Must have 1 year experience in Quality Care Gaps / HEDIS Stars
• MA experience highly preferred but not required
• HS diploma or GED required
• In-office, full-time role

Responsibilities

• Collect data and patient records to close HEDIS care gaps
• Attend meetings with health plan representatives
• Use Provider Portals to close care gaps
• Support population health initiatives

Skills

Communication

Organization

Problem solving

Teamwork

Professionalism

Regulatory knowledge

Education

High School Diploma or GED

Tools

EHR (eCW)

Microsoft Office

Job description

About Optima Medical:

Optima Medical is an Arizona-based medical group consisting of 30+ locations and over 130 medical providers, caring for more than 200,000 patients statewide. Our mission is to improve the quality of life throughout Arizona by helping communities “Live Better, Live Longer” through personalized healthcare, with a focus on preventing the nation’s leading causes of death.

We go beyond primary care with a full spectrum of services including cardiovascular health, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management, and other specialty health services. We aspire to aid the growth of our company by welcoming the most qualified and passionate candidates aboard.

Optima Medical is currently seeking a HEDIS Stars/Quality -Population Health Coordinator to join our team!

This individual will play a key role in supporting patients through proactive outreach and personalized care coordination. The HEDIS Stars/Quality Coordinator will monitor a specific patient panel, close care gaps, and work collaboratively with providers to help patients achieve both short- and long-term health goals. A strong understanding of healthcare processes, population health, and patient engagement is highly desired for this position.

Job Role:

Reports to the Manager of Population Health and is responsible for coordinating and supporting the value-based care and population health initiatives of the company. Responsibilities include data analyses, collecting supporting records and documentation to close HEDIS Quality Measures, participation in routine performance meetings with health plans, and supporting all efforts related thereto.

Responsibilities:

• Collect data and patient records to close HEDIS care gaps and maintain STAR Ratings
• Meet with multiple health plan representatives related to their incentive programs
• Working Provider Portals to close care gaps
• Attest to patient's historical diagnosed chronic and suspect conditions
• Assist Manager with participation in population health programs

Qualifications:

MUST HAVE 1 year experience in Quality Care Gaps / HEDIS Stars

MA experience highly preferred but not required

This role requires Full Time-In Office Presence - NOT REMOTE

• Experience in a Corporate / Health care Setting
• Ability to work independently as well as in a Team
• High level of professionalism
• Excellent written and verbal communication skills
• Excellent organizational and problem-solving abilities
• Ability to work collaboratively with diverse teams and departments
• Knowledge of healthcare regulations and compliance standards
• Strong communication and interpersonal skills
• Proficiency in electronic health records (EHR); eCW preferred, Microsoft products, and other relevant software.
• Must have HS diploma or GED equivalent

Why join our team?

• Career advancement opportunities
• Leadership and mentoring
• Resources to further career
• Fun work environment (events, holiday parties)
• Benefits (medical/vision/dental/401k/PTO/paid holidays)
• Supportive and positive work environment