Health Care Partners · 1 day ago
Quality Outcomes Associate
Garden City, NY
Full-time
Onsite
Entry Level
$24/hr - $26.50/hr
3+ years expHealthCare Partners is the largest physician-owned and led IPA in the Northeast, dedicated to providing enhanced quality care to its members. The Quality Outcomes Associate plays a vital role in supporting Population Health programs through outreach, education, and engagement, while driving continuous quality improvement in HEDIS measures.
Hospital & Health Care
Responsibilities
Facilitating provider and member outreach to promote timely clinical interventions that improve health outcomes
Supporting medical record abstraction, retrieval, and data entry for HEDIS medical record review and supplemental data collection
Acting as a quality ambassador in external engagements, ensuring consistency in communication and alignment with strategic goals
Identifies potential resources and initiates collaboration with providers to improve member health outcomes and HEDIS measures
Consistently supports communication strategies aligned with the external-facing roles of Network Relations and the Customer Engagement Center (CEC)
Maintains a strong understanding of HCP’s brand recognition and communication efforts
Conducts outbound calls to members to provide reminders, guidance, and assistance in obtaining services to avoid delays in care and support improved health outcomes
Collaborates with internal teams to ensure accurate understanding and achievement of quality and risk adjustment metrics
Serves as a quality resource for providers and field specialists, addressing questions and offering guidance on quality initiatives
Supports internal teams in educating providers and implementing quality and risk adjustment programs through targeted interventions
Distributes educational materials to providers and members in accordance with HEDIS and Population Health work plans
Assists in the development and standardization of outreach documentation and manages data flow processes to support HEDIS documentation requirements
Accurately documents member participation in outreach activities in line with abstraction and audit standards
Conducts HEDIS chart request outreach to providers via calls and mailings
Supports the implementation and tracking of member incentive programs related to HEDIS measures
Records and maintains detailed documentation of all outreach activities with members and providers
Supports Population Health programs and performs additional duties as assigned
Assists with CAHPS-related outreach calls as needed
Qualification
Required
Strong attention to detail, with the ability to plan, execute, and follow up on tasks accurately and efficiently
Excellent verbal and written communication skills, including experience engaging with medical providers in a professional manner
Proven ability to multitask, prioritize responsibilities, and work independently in a fast-paced environment
Associate's degree or an equivalent combination of education and relevant experience is required
Minimum of 1 year of experience with Healthcare Effectiveness Data and Information Set (HEDIS) data collection and quality improvement activities
At least 3 years of recent experience in a healthcare setting (e.g., managed care organization, provider office, hospital, clinic, or pharmacy)
Experience working in a professional, corporate office environment
Proficient in using standard software applications, including Microsoft Office Suite (Outlook, Word, Excel, PowerPoint)
Preferred
Bachelor's degree in a healthcare-related field is preferred
Benefits
Bonus: Up to 5% based on organizational performance
Company
Health Care Partners
The Healthcare Partners' Las Vegas health facilities are outstanding, with high quality care and treatment.
11-50 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase