Quality SpecialistUnder the direction of the Health Plan Performance Manager, the Quality Specialist will drive consistent, efficient processes and share best-practices – in a collaborative effort with each clinic site to reach Borrego Health’s strategic Healthcare Effectiveness Data and Information Set (HEDIS) and Pay for Performance incentive goals. The Quality Specialist identifies areas of focus for each clinic site and implements improvement activities to increase HEDIS compliance rates. The Quality Specialist serves as a liaison between Borrego Health and the health plans for HEDIS quality metrics.1. Serves as the subject matter expert for meeting the requirements of HEDIS measures. Utilizes an interdisciplinary team approach to facilitate HEDIS compliance (including coding and documentation).2. Conduct analytical interpretation of HEDIS reporting, including executive summaries to leadership and provider groups.3. Coordinates the recall efforts for gaps in care, as well as the collection and submission of supplemental data to the health plans to meet HEDIS goals and pay for performance incentives.4. Lead or participate and present in weekly, Monthly, Bi-monthly, Quarterly meetings related to HEDIS activities, summarizing clinic site performance as requested by or required by the Quality department and leadership.Apply today if your background includes:Minimum Qualifications:Specific healthcare work experience in Quality Improvement, HEDIS and UDS measures.2 years of experience performing HEDIS® Compliance AuditsBilingual - English / Spanish or English/ArabicAll staff that is presently working within a clinic is required to have a Current and Valid CPR and First Aide certification on file with the Human Resources Department. This is for clinical and administrative staff. This new license requirement is mandatory for continued employment, CPR and First Aide certification must be obtained through the American Heart Association. Internet certificates do not comply and for this reason are not valid.Educational QualificationsPreferred - Bachelor's degree in health sciences, population health, business, healthcare administration, health information management.Required - A High School Diploma or Equivalent is requiredIf you join the team, what will you enjoy?Meaningful Careers at Borrego HealthNo matter what you do at Borrego Health, your job makes a difference in our patient’s lives. Whether you are a provider, nurse, medical assistant, or accounting clerk you will be helping families in underserved areas of San Diego, San Bernardino, and Riverside Counties through your work. Our employees display Borrego Health’s Core Values every day.Borrego Health offers career opportunities that not only help you focus on changing and making a difference in the lives of others but also enhance your own life.Our BenefitsBorrego Health offers benefits plans that help you stay healthy, meet your financial goals, and achieve a balance between your work and personal life.Borrego Health offers the following benefits to full-time employees:Low-Cost Medical Coverage with low co-pays to no co-paysPharmacy discounts from Borrego Health PharmacyMedical Access at Borrego Health Clinics for employee’s and their familiesLow-Cost Dental CoverageLow-Cost Vision CoverageNo Cost Retirement PlanNo Cost Group Life InsuranceLow-Cost Individual Supplemental Life InsuranceLow-Cost A La Carte Plans including Disability Insurance, Cancer Insurance, and Accident InsuranceGenerous Sick and Vacation TimeBorrego Community Health Foundation is an Equal Opportunity Employer. We encourage applications from all individuals regardless of race, religion, color, sex, pregnancy, national origin, sexual orientation, gender identity, gender expression, ancestry, age, marital status, physical or mental disability or any other protected class, political affiliation, or belief.