Primary Duties

1. Apply knowledge of HEDIS quality measures for addressing incentivized, contract measures across multiple Medicare Advantage and commercial health plans to ensure practice and ACO receive credit for services received by patient

2. Access practices in-person or remotely to retrieve documentation to address quality gaps and / or work closely with field team to assist guiding practices through gap closures

3. Submit documentation to health plans and employ optimal method in each practice (i.e., upload to payor portal, secure email, etc)

4. Coordinates Electronic Health Record (EHR) system access set-up & login management

5. Consult with market field team members on quality reporting strategy - providing relevant market updates and chart review feedback for assigned practices

Minimum Qualifications

1+ years experience in quality reporting in healthcare or health plan setting

Experience working within at least one (1) major Electronic Health Record system (athenaHealth, eCW, etc)

Comfortable exporting data, formatting and reporting out results (Excel or Google Sheets experience)

Able to work independently and prioritize deadlines

Track and communicate progress; escalate barriers to performance

Strong written and verbal communication skills

Strong attention to detail

Preferred knowledge, skills, and/or abilities