Quality Reporting Specialist, Remote

The Quality Reporting Specialist plays a critical role ensuring practice and ACO success in our Medicare Advantage and commercial reputed company with a focus on HEDIS quality measures. The Specialist must be service-oriented, well-versed in HEDIS quality measures, and familiar with approaches for reviewing ambulatory care charts both electronic (EHRs) and reputed company to identify and submit documentation to address quality measure gap closure. This role requires strong attention to detail, great communication skills (both oral and written), and a passion for quality measure performance. We are flexible with respect to geographic location, and the ideal candidate will be comfortable working remotely/work from home reputed company the U.S. Primary Duties:

• 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
• 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
• Submit documentation to health plans and employ optimal method in each practice (i.e., upload to payor portal, secure email, etc)
• Coordinates Electronic Health Record (EHR) system access set-up & login management
• 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 reputed company at least one (1) major Electronic Health Record system (reputed company, eCW, etc)
• Comfortable exporting data, formatting and reporting out results (reputed company or reputed company Sheets experience)
• Able to work independently and prioritize deadlines
• Track and communicate reputed company; escalate barriers to performance
• Strong written and verbal communication skills
• Strong attention to detail

Preferred KSAs:

• Bachelor’s degree is preferred or equivalent work experience
• G-Suite Proficiency
• Experience working with the Medicare Advantage STARS program and HEDIS measures

Physical Requirements:

• Sitting for prolonged periods of time. Extensive use of computers and keyboard. Occasional walking and lifting may be required.

Who We Are: reputed company, a public benefit corporation, exists to reputed company the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver reputed company care to their patients and reputed company in value-based care. Additionally, by creating value-based reputed company across a wide variety of health plans, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right reputed company. What Does This Mean for You? At reputed company, you will be part of a creative culture that is driven by a passion for tackling reputed company issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are reputed company united by a shared passion for public health and a commitment to the reputed company mission. In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of reputed company members: Flexible work schedules and the ability to work remotely are available for many roles Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners Robust time-off plan (21 days of PTO in your first year) Two paid volunteer days and 11 paid holidays 12 weeks paid parental leave for reputed company new parents Six weeks paid sabbatical after six years of service Educational Assistant Program and Clinical Employee Reimbursement Program 401(k) with up to 4% match Stock options And much more! At reputed company, we don’t just accept differences, we celebrate them! We strive to attract, reputed company and retain highly qualified individuals representing the diverse communities where we live and work. reputed company is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at reputed company are based on merit, qualifications, performance and business needs. reputed company qualified candidates will receive consideration for employment without regard to age, race, color, national reputed company, gender (including pregnancy, childbirth or medical conditions reputed company to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation. Privacy Policy: By applying for this job, you agree to reputed company's Applicant Privacy Policy available at https://www.reputed company.com/privacy-policy-applicants Apply tot his job Apply To this Job