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Quality Outreach Specialist
HonestHealth, IncQuality Outreach Specialist working with a healthcare startup to enhance Star Ratings and ACO REACH quality programs. Streamlining patient care through outreach, education, and collaboration with healthcare providers.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in closing Healthcare Effectiveness Data and Information Set (HEDIS) measures and Star Rating gaps, with a strong focus on patient outreach and care coordination. Proficient in conducting medical record reviews and ensuring compliance with HIPAA regulations.
Highest-signal resume keywords
HEDIS Measures ClosingQuality Measure Chart ReviewHIPAA ComplianceElectronic Medical Records (EMR) ExperiencePatient Outreach
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
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Hard Skills
Patient Care CoordinationMedication Non-Adherence SolutionsClinical Gap ClosureMedical Record ReviewData Submission to Payors
Soft Skills
Strong Verbal CommunicationStrong Written Communication
Certifications & Qualifications
Medical Assistant LicenseLicensed Practical Nurse CertificationCertified Nursing Assistant CertificationEmergency Medical Technician CertificationPharmacy Technician Certification
Industry Keywords
Healthcare Effectiveness Data and Information Set (HEDIS)Star RatingsPatient BarriersCare GapsHealth Insurance Portability and Accountability Act (HIPAA)
About the role
Key responsibilities & impact- Identify and remove patient barriers to accessing and receiving care
- Conduct patient outreach calls to understand root causes of barriers to medication non-adherence and offer solutions
- Connect patients with important care and services to close critical gaps in care
- Perform medical record reviews to find evidence of clinical gap in care closure
- Prepare and submit gap in care closure details to the payor and joint venture partners
- Support the development of initiatives to support patient care and gap in care closure
Requirements
What you’ll need- Medical Assistant, Licensed Practical Nurse, Certified Nursing Assistant, Emergency Medical Technician, Pharmacy Technician license or certification required
- 3+ years of experience in a role for which closing Healthcare Effectiveness Data and Information Set (HEDIS) measures and/or Star Rating gaps were primary responsibilities
- Prior quality measure chart review experience
- Experience complying with Health Insurance Portability and Accountability Act (HIPAA)
- Inpatient or outpatient clinical experience, including strong electronic medical records (EMR) experience preferred
- Strong verbal and written communication skills
Benefits
Comp & perks- Health insurance
- Reasonable accommodations for applicants with disabilities
- Professional development opportunities