Clinical Quality Coordinator, Intermediate

Your Role

The Clinical Quality team oversees and is responsible of HEDIS medical record review, pursuit, and overall HEDIS submission. The Supervisor of Quality Clinical Quality Coordinator will report to the Manager or Supervisor of the HEDIS Outreach Team. In this role you will be responsible for conducting provider outreach during the HEDIS season for medical record pursuit and retrieval. Also, participation in Quality initiatives involving member outreach for care gap closure. Responsible for maintaining high productivity and standard work.

Your Knowledge and Experience

• Requires a high school diploma or equivalent
• Requires basic job knowledge of systems and procedures obtained through prior work experience or education.
• Typically, requires minimum of 3 years of experience. May require vocational or technical education in addition to prior work experience.
• Required communication and interpersonal skills
• Must be organized with the ability to keep accurate notes and records
• Required customer service experience
• Required HEDIS knowledge
• Required critical thinking skills

• Required knowledge of computer applications including Microsoft Word, PowerPoint and Excel. Internet knowledge with the ability to complete searches