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Honest Health · 1 month ago

Quality Outreach Specialist

United States

Full-time

Remote

Mid Level

$25.72/hr - $28.89/hr

3+ years exp

Honest Health is a company focused on transforming primary care through purpose and partnership. The Quality Outreach Specialist will play a crucial role in improving healthcare outcomes by identifying and removing barriers to patient care, conducting outreach, and developing educational materials for providers and patients.

Hospital & Health Care

Responsibilities

Patient outreach calls to understand root causes of barriers to medication non-adherence and offer solutions

Patient outreach calls to connect patients with important care and services to close critical gaps in care

Follow up with patients’ care team on findings from patient conversations, when necessary

Complete 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

Provision of subject matter expertise on educational tools and learning sessions development

Identify learning opportunities for practices and providers based on medical record review, outreach call, and other initiative outcomes

Support the development of initiatives to support patient care and gap in care closure

Support the creation and review of educational materials and learning sessions for external provider partners on themes and findings from outreach programs and initiatives

Perform other related responsibilities as assigned

Qualification

HEDIS measures experienceQuality measure chart reviewElectronic medical records (EMR)Healthcare compliance (HIPAA)Patient outreach skillsMicrosoft Office SuiteData managementCommunication skillsOrganizational skillsDetail oriented

Required

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)

Ability to manage deadlines and handle multiple tasks simultaneously

Detail orientated, organized and self-motivated

Ability to handle sensitive and/or confidential material and information appropriately

Strong verbal and written communication skills

Ability to work with large files and data sets

Proficient in Microsoft Office Suite: PowerPoint for presentations, Excel for mathematical formulas, charts, tables; Word and Outlook for communication to patients, healthcare insurance companies and internal company personnel