Regional HEDIS & Quality Operations Lead (Hybrid)

P3 Health Partners, Inc.; Medford (OR); Hybrid; USD 30,000 - 39,000; Full time

Job summary

P3 Health Partners, Inc. in Medford, OR seeks a Healthcare HEDIS/Quality Operations Coordinator to drive quality initiatives, support HEDIS and pharmacy gap closures, and coordinate cross-department activities.

The role requires daily problem-solving and meticulous tracking across affiliate groups to meet evolving requirements. The Regional Quality Coordinator will interact with patients, providers, and internal teams, performing outreach, data collection, and project leadership under the market

Qualifications

• High school diploma/GED required, associate degree in related field preferred.
• 2+ years healthcare experience required; clinical health care/managed care preferred.
• Proficiency with Word, Excel, PowerPoint, Outlook and office equipment.
• Experience with Electronic Health Records required.
• Medical support roles like MA, Pharmacy Tech or Radiology/Lab preferred.
• Data mining experience preferred; CPT II knowledge a plus.
• Strong medical terminology knowledge required.

Responsibilities

• Understand CMS, HEDIS, NCQA, Health Plan Quality Standards and HIPAA.
• Support Quality Management with HEDIS/Star Rating reporting and data.
• Telephonic outreach to patients, providers and pharmacies for optimization.
• Improve patient experience and care transitions through quality initiatives.
• Collect data from medical records and claims surveillance.
• Lead quality projects and coordinate with affiliates for gap closure.
• Serve as SME on P3 devices and respond to stakeholder inquiries.

Skills

Problem solving

Cross-functional coordination

Patient outreach

Quality reporting

Education

High school diploma/GED

Associate degree preferred

Tools

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Microsoft Outlook

Electronic Health Records

Job description

P3 Health Partners, Inc. in Medford, OR seeks a Healthcare HEDIS/Quality Operations Coordinator to drive quality initiatives, support HEDIS and pharmacy gap closures, and coordinate cross-department activities.

The role requires daily problem-solving and meticulous tracking across affiliate groups to meet evolving requirements. The Regional Quality Coordinator will interact with patients, providers, and internal teams, performing outreach, data collection, and project leadership under the market