Regional HEDIS & Quality Operations Coordinator (Hybrid)

Sky Mavis; Medford (OR); Hybrid; USD 30,000 - 39,000; Full time

Benefits offered by this job

Hybrid work arrangement

Job summary

P3 Health Partners is seeking a Regional Quality Coordinator to manage quality operational support and oversee special projects focused on HEDIS and pharmacy gap closures. You will engage patients, providers, and pharmacies via telephonic outreach to improve care performance and patient experience.

The role requires collaboration with the market VP and National Quality Manager, data collection, and project planning for quality initiatives across clinics.

Qualifications

• High school diploma or GED required; associate degree or related field preferred.
• 2+ years of healthcare-related experience, with clinical health care, managed care, or health plan experience preferred.
• Experience with Microsoft Word, Excel, PowerPoint, and Outlook required.
• Experience with Electronic Health Records preferred.
• Medical Assistant Certification or similar certification preferred.

Responsibilities

• Provide telephonic outreach to patients, providers, and pharmacies to discuss opportunities for optimizing medication use and care performance measures.
• Support Quality Management activities to improve care quality and performance reporting (HEDIS, CMS Star Rating).
• Participate in data collection from medical records and claims surveillance.
• Lead project management of Quality Fairs, Diabetic Days, and P3 events to close quality gaps.
• Coordinate with internal and external stakeholders to educate patients on preventative screenings and care transitions.
• Respond to health plan, provider, and interdepartmental inquiries with a customer-focused approach.

Skills

Quality management

HEDIS knowledge

CMS Star Rating

Quality improvement

Education

High school diploma/GED

Associate degree or related field

Medical Assistant Certification or Pharmacy Tech/Clinical certification

Tools

Microsoft Word

Excel

PowerPoint

Outlook

Job description

P3 Health Partners is seeking a Regional Quality Coordinator to manage quality operational support and oversee special projects focused on HEDIS and pharmacy gap closures. You will engage patients, providers, and pharmacies via telephonic outreach to improve care performance and patient experience.

The role requires collaboration with the market VP and National Quality Manager, data collection, and project planning for quality initiatives across clinics.