HEDIS Stars/Quality Coordinator
About Optima Medical:
Optima Medical is an Arizona-based medical group consisting of 30+ locations and over 130 medical providers, caring for more than 200,000 patients statewide. Our mission is to improve the quality of life throughout Arizona by helping communities “Live Better, Live Longer” through personalized healthcare, with a focus on preventing the nation’s leading causes of death.
We go beyond primary care with a full spectrum of services including cardiovascular health, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management, and other specialty health services. We aspire to aid the growth of our company by welcoming the most qualified and passionate candidates aboard.
Optima Medical is currently seeking a HEDIS Stars/Quality Coordinator to join our team!
This individual will play a key role in supporting patients through proactive outreach and personalized care coordination. The HEDIS Stars/Quality Coordinator will monitor a specific patient panel, close care gaps, and work collaboratively with providers to help patients achieve both short- and long-term health goals. A strong understanding of healthcare processes, population health, and patient engagement is highly desired for this position.
Job Role:
Reports to Manager of Population Health and is responsible for coordinating and supporting the value-based care and population health initiatives of the company. Responsibilities include data analyses, collecting supporting records and documentation to close HEDIS Quality Measures, participation in routine performance meetings with health plans, and supporting all efforts related thereto.
Responsibilities:
Collect data and patient records to close HEDIS care gaps and maintain STAR Ratings
Meet with multiple health plan representatives related to their incentive programs
Working Provider Portals to close care gaps
Attest to patient's historical diagnosed chronic and suspect conditions
Assist Manager with participation in population health programs
Qualifications:
1 year experience in Quality Care Gaps / HEDIS Stars
Experience in a Corporate / Health care Setting
Medical billing is a plus
MA experience highly preferred but not required
Ability to work independently as well as in a Team
This role requires Full Time-In Office Presence
High level of professionalism
Excellent written and verbal communication skills
Excellent organizational and problem-solving abilities
Ability to work collaboratively with diverse teams and departments
Knowledge of healthcare regulations and compliance standards
Strong communication and interpersonal skills
Proficiency in electronic health records (EHR); eCW preferred, Microsoft products, and other relevant software.
Must have HS diploma or GED equivalent
Why join our team?
Career advancement opportunities
Leadership and mentoring
Resources to further career
Fun work environment (events, holiday parties)
Benefits (medical/vision/dental/401k/PTO/paid holidays)
Supportive and positive work environment