What are the responsibilities and job description for the Quality Care Gap Coordinator – HEDIS / Population Health position at Pareto Population Health Management Practice?
Medical Assistants, LPNs, International Medical Graduates, and clinically trained healthcare professionals are welcome to apply.
Job Summary
Pareto Clinic is a population health–focused primary care practice serving underserved — but never undervalued — communities in Jacksonville, Florida.
We are hiring a Quality Care Gap Coordinator to support HEDIS measures, preventive screenings, chronic disease quality measures, patient outreach, documentation follow-up, and value-based care performance.
This is not a traditional task-based Medical Assistant role. This is a proactive, systems-based clinical support role focused on measurable patient outcomes.
Quality is not just a mammogram, colonoscopy, A1C, blood pressure check, or Annual Wellness Visit. Quality means preventing disease before it becomes crisis, identifying risks early, closing care gaps, keeping patients out of the hospital, and tracking the proof that the care worked.
You are not just moving metrics. You are helping protect people.
What This Role Looks Like
This role works inside the practice alongside providers, medical assistants, care coordinators, and leadership. You will review care gap reports, identify patients who need follow-up, contact patients, coordinate appointments, request records, track completion, and help improve workflows that support quality outcomes.
The ideal candidate is organized, persistent, comfortable with patients and data, and interested in learning how quality, HEDIS, population health, and value-based care work in real primary care.
Key Responsibilities
- Review HEDIS, payer, and care gap reports.
- Contact patients by phone to schedule needed visits, screenings, and follow-up care.
- Coordinate preventive screenings such as mammograms, colorectal cancer screening, diabetic eye exams, labs, Annual Wellness Visits, and well-child visits.
- Support chronic disease quality measures, including diabetes, hypertension, medication adherence, and preventive care.
- Request outside records and confirm whether services were completed.
- Update tracking tools, spreadsheets, dashboards, and EHR documentation.
- Work with providers and clinical teams to improve documentation accuracy.
- Help coordinate post-ER and post-hospital follow-up when assigned.
- Support Medicare, Medicaid, and value-based care programs.
- Participate in workflow improvement and quality performance initiatives.
Who We Welcome
We welcome applicants with clinical or healthcare experience, including:
- Certified Medical Assistants
- LPNs
- International Medical Graduates not yet licensed in the U.S.
- Healthcare students seeking meaningful gap-year experience
- Clinical support staff with HEDIS, care gap, referral, outreach, or population health experience
- Organized healthcare workers who want to grow beyond a traditional MA role
HEDIS or care gap experience is preferred, but we are willing to train someone who demonstrates maturity, initiative, organization, reliability, and alignment with our mission.
Required Qualifications
- Healthcare experience, clinical training, or strong medical office experience.
- Strong phone communication and patient outreach skills.
- Ability to work with reports, lists, spreadsheets, dashboards, or tracking tools.
- Strong attention to detail and follow-through.
- Comfort documenting in an electronic health record.
- Ability to work in person in Jacksonville, Florida.
- Professional, dependable, organized, and coachable.
Preferred Experience
- HEDIS, care gap closure, Medicare Advantage, Medicaid quality, or value-based care experience.
- Experience with colorectal cancer screening, diabetic measures, blood pressure control, breast cancer screening, well-child visits, immunizations, Annual Wellness Visits, or medication adherence.
- AthenaOne or Athenahealth experience.
- Excel or Google Sheets experience.
- Referral coordination, prior authorization, medical records, patient outreach, or population health experience.
- Bilingual skills are a plus.
The Kind of Person Who Will Thrive Here
You may enjoy this role if you like helping patients, working from lists and reports, solving problems, and seeing measurable results. This role is a good fit for someone who is persistent, organized, comfortable talking to patients, and interested in how healthcare quality connects to real outcomes.
There is something powerful about loving people in a way that is measurable and accountable. That is what quality allows you to do.
Growth Path
This role may grow into:
- Quality Team Lead
- Population Health Coordinator
- Clinical Operations Leadership
- Value-Based Care Support
- Quality Program Management
We invest in developing leaders from within.
Compensation
Pay ranges from $18 to $24 per hour, depending on experience, credentials, schedule, and quality/care gap experience. Performance incentives tied to measurable quality outcomes may be available.
Benefits
- On-the-job training
- Professional development assistance
- Growth and leadership opportunities
Salary : $18 - $24