Provider Operations & Quality Gap Coordinator

P3 Health Partners, Inc.; Tucson (AZ); On-site; USD 42,000 - 64,000; Full time

Job summary

P3 Health Partners, Inc. in Tucson seeks a Provider Operations Coordinator to support HEDIS quality gaps, risk adjustment activities, and provider engagement. You will coordinate across departments, track initiatives, and supervise affiliate groups to improve patient care processes.

Responsibilities include stakeholder education, patient outreach, scheduling visits, data entry, and preparing meetings. Travel up to 90% of the time and work on-site at clinics as needed.

Qualifications

• 2+ years experience in healthcare-related fields required; managed care or health plan experience strongly preferred.
• Experience with Microsoft Office suite and general office equipment mandatory.
• Experience with Electronic Health Records mandatory.
• Medical terminology knowledge mandatory; CPT II codes preferred.
• Current CPR certification preferred.

Responsibilities

• Build and maintain relationships with assigned affiliate groups and serve as liaison between affiliate groups and internal departments.
• Advise and support affiliate practices on quality gaps and documentation; review data to confirm gaps.
• Prioritize patient outreach, assist practices with outreach, and coordinate scheduling of patient visits.
• Partner with groups and other departments to manage high/rising risk patients and coordinate care.
• Assist in meeting preparation and participation as requested.
• Maintain data entry, documentation, and tracking for quality initiatives.
• Educate patients and affiliates on preventive screenings and their purpose.
• Perform in-home HEDIS gap closures for select measures, depending on experience.
• Other duties as assigned.

Skills

Interpersonal communication

Organizational skills

Analytical thinking

Problem solving

Stakeholder engagement

Independent worker

Confidentiality

Clinical knowledge

Education

High school diploma/GED

Associate degree or equivalent experience preferred

Medical Assistant Certification or related

Current CPR certification preferred

Tools

Microsoft Office

Electronic Health Records (EHR)

Data mining

Job description

P3 Health Partners, Inc. in Tucson seeks a Provider Operations Coordinator to support HEDIS quality gaps, risk adjustment activities, and provider engagement. You will coordinate across departments, track initiatives, and supervise affiliate groups to improve patient care processes.

Responsibilities include stakeholder education, patient outreach, scheduling visits, data entry, and preparing meetings. Travel up to 90% of the time and work on-site at clinics as needed.