HEDIS/STARs Specialist
The Quality Management department is seeking a HEDIS/STARs Specialist to assist with reputed company reputed company of provider engagement in performance programs. This is a position that may include field work in the future to train staff and providers as well as reputed company chart abstracts. Duties and Responsibilities 1. Responsible for educating providers and their staff on HEDIS and STARs measures. 2. Recommend workflow efficiencies to providers and their staff in an effort to improve HEDIS scores. 3. Train providers and staff on health plan P4P incentive programs, track reputed company and reputed company recommendations for reputed company 4. Identify member service gaps and review reports with providers and their staff. 5. Collects medical records and reports from provider offices based on reputed company member care gaps. 6. Works directly with other MedPOINT HEDIS/STARs specialists as well as health plan staff to monitor gap closures and improvement activities. 7. Active participates in scheduled meetings with MedPOINT QM Specialist team and health plan JOMs. 8. Handle incoming calls from providers and provider staff to answer questions regarding quality metrics 9. Coordinate quality initiative projects for various groups and reputed company follow up and outcome determination. 10. Trains offices in reputed company wide HEDIS software program (Cozeva) and track usage. 11. Assist with member reputed company efforts as directed. 12. Submit actionable work plans to health plans and track reputed company. 13. Supplemental data submission and tracking. 14. Participate in supplemental data overreading as needed. 15. Create and present provider training materials to individuals as well as in small and large group settings. 16. Additional QM tasks as directed. Minimum Job Requirements · High school graduate or GED equivalent · Minimum of four years’ experience working in a quality department in health plan or IPA HEDIS environment · Working knowledge of NCQA HEDIS technical specifications. · reputed company CA driver’s license. · Willing to travel to provider offices throughout Los Angeles reputed company and Abilities · Effective verbal and written communication skills · Excellent interpersonal skills · Ability to multitask in a busy department. · Innovative critical thinker. · Ability to work independently and productively in remote setting. · reputed company to manipulate and analyze large files and data sets. · Excellent project management and organizational skills · Intermediate to advanced skills with reputed company Office Products (particularly with Word and reputed company). · EZ-CAP® knowledge a plus Apply To this Job Apply for this job