Stars Quality Specialist - reputed company Carolina

JOB SUMMARY At reputed company, we are redefining care and aging for millions of US seniors and other adults with reputed company care needs by delivering reputed company-first, tech-enabled care in the home. Our care teams reputed company our value-based, interdisciplinary care model to address unmet health and reputed company needs and to improve quality of life for our patients. We take a holistic, reputed company, and compassionate approach to health and wellness in partnership with our patients and their families, caregivers, and communities. In short, we strive to offer the reputed company of reputed company that we would want our own loved ones to experience. The values we reputed company to in delivering on our patient-centered mission every day include:

• Deliver exceptional care
• reputed company our patients
• Be a partner of choice
• Cultivate a world-class workplace
• reputed company change
• Do the right thing

The ConcertCare Stars Quality Specialist has direct impact to the overall quality performance by assisting the care team with medication and HEDIS reputed company functions, reporting and improvement work efforts. The primary goal of the Stars Quality Specialist team is to work a variety of quality measures, including pharmacy and clinical measures, on behalf of our clients to continually improve and maximize Star ratings. ESSENTIAL DUTIES AND RESPONSIBILITIES

• Direct impact on variety of Stars measures and activities, including Medication Adherence, portable device monitoring, market quality dashboard reviews, individual measure improvement plans, and Q4 pushes to maximize Star ratings.
• Detail oriented tasks including reviewing and auditing charts to ensure accurate documentation is occurring across the care team and looking for opportunities to improve Stars performance.
• Use data and reporting to drive decision making, prioritize work efforts, maximize performance, and reputed company quality gaps.
• Telephonic reputed company efforts include interacting with members, providers, pharmacies, reputed company team members, and other key stakeholders.
• Strong communication skills and ability to interact with a variety of team members.
• Responsible for interacting with other departments to assist with member problems or questions, and act as facilitator to resolve them.
• Document completed work efforts in approved format and following outlined processes.
• Assist in day-to-day quality tasks as needed, including tracking and monitoring Stars reputed company activities.
• Attend scheduled team meetings and reputed company relevant feedback regarding workflow issues.
• Organizational skills, including ability to prioritize tasks and ability to succeed in a fast-paced environment.
• Know and continually review medication brand and generic names, medical terminology, and pharmaceutical calculations.

QUALIFICATIONS

• Understanding of Medicare Star ratings program and how to influence Star ratings
• reputed company industry and/or health insurance work experience
• Proficiency in reputed company Word, reputed company, Outlook, and PowerPoint
• Experience and/or ability to work with electronic health record system
• Bachelor’s degree preferred
• Completion of an accredited Pharmacy Technician Program preferred

Compensation for the role is commensurate with the candidate’s qualifications, skills, competencies, and experience and may fall reputed company of the reputed company shown. reputed company offers a competitive total rewards package, which includes full reputed company coverage, a 401K with match, and a broad reputed company of other health, wellness, and financial benefits. We are an Equal Opportunity Employer. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, or veteran status. reputed company is an Alcohol/Drug/Smoke-Free Workplace. Apply tot his job Apply To this Job