Company: AHI agilon health, inc. Job Posting Location: Remote - USA Job Title: Quality Specialist - HEDIS Job Description: Position Summary: The Quality Specialist (QS) will focus on Quality Data Performance through care gap closure and monitoring of provider data and HEDIS metric compliance. The QS will be responsible for communicating with provider and physician partners on quality improvement initiatives and collaborate with physician partner’s Quality Lead. Candidate MUST have experience and knowledge of HEDIS measures and be strong in Excel. Only candidates who meet minimal requirements will be considered* Essential Job Functions: Responsible for daily expectations and goal achievements centered around care gap closure and metric performance through the reporting and direction of the local physician group’s Health Informatics reporting tools as well as the senior care advantage teams. Manage metrics and care gap processes under review. Assist the providers and site staff of the local physician group as well as the teams of the senior care advantage group. Work in collaboration with local physician group and senior care advantage team for practice operations workflow improvements. Communicate observations to the physician partner and senior care advantage team. Review payer reports for identification of care gap closure and metric performance opportunities. Implement Quality action plans with partner group. Maintains and monitors process to track Stars progress monthly. Support ongoing requirements for provider education to improve quality performance. Establish and maintain cooperative and collaborative working relationships with coworkers and physicians of physician partner and senior care advantage team. Visit physician offices to conduct education and hold continuous discussions around data and workflows. Understand and utilize all health information systems as required by physician partner to support senior care advantage quality performance. Complete all appropriate documentation. Maintain patient confidentiality. Perform other duties as required. Other Job Functions: Understand, adhere to, and implement the Company’s policies and procedures. Provide excellent customer services skills, including consistently displaying awareness and sensitivity to the needs of internal and/or external clients. Proactively ensuring that these needs are met or exceeded. Take personal responsibility for personal growth including acquiring new skills, knowledge, and information. Engage in excellent communication which includes listening attentively and speaking professionally. Set and complete challenging goals. Demonstrate attention to detail and accuracy in work product. Required Qualifications: Minimum Experience Experience in medical coding, office practice management, process management, EMR, and HEDIS experience. Experience in Quality initiatives and metrics performance. Must be able to work flexible hours Must demonstrate proficient computer skills. Previous EMR and Excel experience is preferred. Must be able to work independently and as part of a team. Education/Licensure: Bachelors degree or 1-3 years of equivalent experience with emphasis in business administration or healthcare Skills and Abilities: Ability to be a team player and exercise initiative in responding to provider requests and concerns in a helpful and courteous manner Provider contracting and customer service techniques General understanding of the health care industry, ideally the provider relations field-desired Excellent interpersonal and telephone communication skills are required Exercise attention to detail; ability to provide accurate data entry Ability to work under pressure with minimal supervision, multi-task, complete projects in a timely fashion and meet deadlines a must Excellent analytical, problem solving and organizational skills a must. Language Skills: Strong communication skills both written and verbal to work with multiple internal and external clients in a fast-paced environment Mathematical Skills: Ability to work with mathematical concepts such as probability and statistical inference. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. Reasoning Ability: Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems. Computer Skills: Ability to create and maintain documents using Microsoft Office (Word, Excel, Outlook, PowerPoint) Location: Remote - OH Pay Range: $18.40 - $22.10 Salary range shown is a guideline. Individual compensation packages can vary based on factors unique to each candidate, such as skill set, experience, and qualifications. PASSION & PURPOSE The passion to change the way healthcare is delivered permeates everyone and everything at agilon health. Working together we can use our expertise to make a difference in the lives of patients and physicians alike. We can bring the joy back to practicing medicine for physicians and improve the care experience for patients across the country. Equal Opportunity Employer agilon health is committed to excellence through diversity. We are an equal opportunity employer and we will not discriminate against employees or qualified applicants for employment regardless of race; color; religion; genetic information; national origin; sex; pregnancy, childbirth, or related medical conditions; age; disability; citizenship status; uniform service member status; or any other protected class under federal, state, or local law. We strive to develop leaders and build future talent pools to help us meet the needs of our customers. If you need assistance or an accommodation due to a disability, you may email us at Talent.Acquisition@agilonhealth.com.