
Quality Outcomes Coordinator
Maitland, FL · HybridFull-time$61–113K/yrPosted 2 days agoStill listed 1 day ago
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Job overview
The Quality Outcomes Coordinator develops strategies to improve HEDIS STAR ratings and ACO REACH or MSSP quality outcomes. The role supports clinical teams with quality-measure workflows, reporting, and data submissions to payers, while maintaining knowledge of contracts and compliance requirements. It collaborates with practice managers, providers, and clinics and serves as a subject matter expert on HEDIS quality measures.
Skills & qualifications
Skills
Qualifications
Benefits
Full job description
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
All the benefits and perks you need for you and your family:
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Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
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Paid Time Off from Day One
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403-B Retirement Plan
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4 Weeks 100% Paid Parental Leave
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Career Development
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Whole Person Well-being Resources
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Mental Health Resources and Support
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Pet Benefits
Schedule: Full time Shift: Day (United States of America) Address: 2600 LUCIEN WAY City: MAITLAND State: Florida Postal Code: 32751 Job Description:
Develops and implements strategies to improve HEDIS STAR ratings and ACO REACH or MSSP quality outcomes. Ensures compliance with all applicable local, state, and federal regulations and accrediting bodies. Actively participates in outstanding customer service and maintains respectful relationships. Utilizes working knowledge of Epic or other EMR systems to support clinical staff and adjust workflows related to quality measure closure. Learns quickly and works with minimal supervision. Collaborates with practice managers, providers, and clinics to enhance quality measures. Acts as a subject matter expert on HEDIS quality measures. Works on quality reports to ensure prompt closure of measures through supplemental submission to payors. Educates and supports clinical teams in workflows to close quality measures. Interfaces with payers and maintains current knowledge of contracts, compliance requirements, and incentive programs. Assists in the evaluation and submission of patient care data from Epic or other EMR systems to payor portals. Other duties as assigned.Knowledge, Skills, and Abilities:
- Demonstrated computer skills in MS Office Products; particularly Excel [Required]
- Creativity, problem solving and tolerance for detail are essential attributes. [Required]
- Excellent critical thinking and analytical abilities [Required]
- Demonstrated ability to communicate by reading, writing legibly, speaking, and comprehending English effectively in order to carry out job requirements. [Required]
- Must be willing to commute to other Well 65+ practices to offer support when needed [Required]
- Experience with computers and EMR systems [Preferred]
- Super user in Excel being well versed in pivot tables, look ups, etc [Preferred]
- Proficient in PowerBi, Qlik or other analytic software [Preferred]
Education:
- Associate [Required]
- Bachelor's in computer science, business, decision & information science, finance, healthcare administration, or other relevant discipline [Preferred]
Field of Study:
- in Computer Science, Business, Decision & Information Science, Finance, Healthcare Administration, or other relevant discipline
Work Experience:
- 1+ of experience [Required]
Additional Information: An equivalent combination of education ad relevant work experience may be considered in lieu of the stated degree requirement:
- Associates degree and 1+ years of experience OR
- High School Grad or Equivalent and 3+ years of experience.
Physical Requirements: (Please click the link below to view work requirements) Physical Requirements - https://tinyurl.com/23km2677
Pay Range:
$60,756.80 - $113,006.40 Background Screening Requirement (Florida Law)
Certain positions are subject to Florida Level 2 background screening, including fingerprinting, as required by state law.
Applicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse: https://info.flclearinghouse.com/
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
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