Regional HEDIS & Quality Operations Coordinator (Hybrid)

Sky Mavis; Medford (OR); Hybrid; USD 30,000 - 36,000; Full time

Job summary

The Regional Quality Coordinator at P3 Health Partners will oversee quality operational support initiatives across affiliates, focusing on HEDIS and CMS star measures, data mining, and patient outreach for preventive care.

Hybrid work in Oregon, three days in office; compensation is $22–$26 per hour with benefits and opportunities to lead quality improvement projects and collaborate with clinicians and providers.

Qualifications

• High school diploma or GED required; related associate degree preferred.
• 2+ years in healthcare, managed care, or health plan experience preferred.
• Experience with EHR systems required.
• Medical terminology knowledge preferred; CPT II codes a plus.

Responsibilities

• Provide telephonic outreach to patients, providers, and pharmacies to discuss improvements.
• Support CMS Star Rating and HEDIS quality performance reporting.
• Collect data from medical records and claims surveillance.
• Participate in Quality Management meetings and regional initiatives.
• Lead project management for Quality Fairs, Diabetic Days, and P3 events.
• Prepare quality information for affiliate presentations.

Skills

CMS knowledge

HEDIS knowledge

Healthcare experience

Quality improvement

Telephonic outreach

Data mining

Project management

Communication

Education

High school diploma / GED

Associate degree or related field (preferred)

Tools

Microsoft Word

Microsoft Excel

PowerPoint

Outlook

EHR systems

Job description

The Regional Quality Coordinator at P3 Health Partners will oversee quality operational support initiatives across affiliates, focusing on HEDIS and CMS star measures, data mining, and patient outreach for preventive care.

Hybrid work in Oregon, three days in office; compensation is $22–$26 per hour with benefits and opportunities to lead quality improvement projects and collaborate with clinicians and providers.