Provider Operations & Quality Coordination Specialist

P3 Health Partners; Tucson (AZ); On-site; USD 55,000 - 75,000; Full time

Job summary

P3 Health Partners in Tucson, AZ is seeking a Provider Operations Coordinator to support HEDIS quality gaps, risk adjustment activities, and provider engagement across clinics. The role requires daily problem-solving, meticulous tracking, and cross-department coordination to meet changing requirements; travel within Pima County is required and the position is 100% on-site.

You will build relationships with affiliate groups, advise on quality gaps, coordinate patient outreach and scheduling, and

Qualifications

• High school diploma or GED required; associate degree preferred.
• 2+ years in healthcare; health plan/managed care preferred.
• Experience with Microsoft Word, Excel, Outlook and EHR systems.
• Medical terminology knowledge; CPT II codes preferred.
• CPR certification preferred.

Responsibilities

• Build relationships with Affiliate groups and liaise with P3 departments to provide a seamless point of contact.
• Support quality gaps (HEDIS/HOS) through outreach, chart data mining/audits, claims surveillance, and education.
• Prioritize patient outreach and assist with scheduling new and established patients.
• Coordinate care across services (hospital discharge, hospice, care management, referrals).
• Assist in CSR/IDT/JOC meeting prep and participate as requested.
• Conduct data entry and maintain documentation for quality initiatives.

Skills

Interpersonal skills

Time management

Analytical thinking

Presentation skills

Prioritization

Teamwork

Confidentiality

Clinical knowledge

Education

High school diploma/GED

Associate degree or equivalent

Medical Assistant Certification or related

CPR Certification (preferred)

Job description

P3 Health Partners in Tucson, AZ is seeking a Provider Operations Coordinator to support HEDIS quality gaps, risk adjustment activities, and provider engagement across clinics. The role requires daily problem-solving, meticulous tracking, and cross-department coordination to meet changing requirements; travel within Pima County is required and the position is 100% on-site.

You will build relationships with affiliate groups, advise on quality gaps, coordinate patient outreach and scheduling, and