14363376
Located in Oxnard, CA
Job Full Description
Job Title: Quality Measures Specialist
Pay: $22/hr
Job Type: Full-Time (40 hrs/week)
Schedule: Monday – Friday 8AM-5PM
Job Description:
We are seeking a dedicated and detail-oriented Quality Measures Specialist to join our team. The Quality Measures Specialist will play a key role in driving quality improvement efforts across the organization by working closely with physicians, clinical staff, and patients. This individual will manage and support various quality-related projects and initiatives aimed at enhancing patient care.
Key Responsibilities:
- Develop, coordinate, and implement direct patient outreach campaigns, including contacting patients by phone to discuss aspects of their care.
- Utilize call scripts to inquire about patients’ preferences and needs regarding prescription medications.
- Encourage patients to complete preventive screenings by conducting outreach calls.
- Contact doctor's offices to relay important information, including patient outreach results, project follow-ups, and other relevant details.
- Document all patient outreach results and other related activities accurately and efficiently.
- Perform reconciliation of closed quality measures between health plan data and IPA data aggregator.
- Create non-standard files for health plan data submission and quality measure closure.
- Fax, mail, or distribute reports and materials to physician offices.
- Maintain compliance with HIPAA standards to ensure patient privacy is upheld.
- Collaborate with the Provider Incentives Department on quality-related projects and initiatives.
- Use internet-based platforms to identify open care gaps and generate reports.
- Participate in meetings (both virtual and in-person) with health plans, medical groups, and other organizations.
- Maintain a professional demeanor when communicating with patients and healthcare providers.
Requirements/Qualifications:
Required:
- High School Diploma, GED, or equivalent level of education.
Preferred:
- Previous experience in a call center, customer service role, or similar (1+ years).
- Bilingual in Spanish.
- Proficiency in Microsoft Office (Word, Excel).
- Strong communication skills, both written and verbal.
- Highly motivated with a strong desire for professional advancement.
#oxnard
Oxnard (Ventura County), CA
2379
2371 East Vineyard Avenue
Suite B
Oxnard, CA 93036
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