Bilingual Quality Specialist
for section headings like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We should only include sections that have real specific content. We need to preserve substantive info, not repeat job title, not include Job ID etc. Remove boilerplate like EEO etc. Also remove duplicated lines, navigation, cookie etc. The posting includes EEO statement at end; we should remove that.
We need to decide which sections to include.
We have:
- Who We Are (description)
- What Makes Us Unique
- How We Work (Culture & Core Beliefs)
- Our Promise (list of benefits)
- Position Summary (maybe not needed as heading)
- What You’ll Do Responsibilities (list)
- What You’ll Bring (Education Requirements, Certifications Requirements, Experience Requirements, Skill Requirements)
We need to map to allowed headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule.
We can combine some.
"About the role" could be the Position Summary / Who We Are? Actually "About the role" is typical heading for role description. We could put the "Who We Are" and "What Makes Us Unique" and "How We Work" maybe as About the role? But we need to follow instruction: use for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we should use those exact headings if we include them. We should not invent other headings like "Who We Are". So we need to map content to those headings.
Thus:
- About the role: include description of role, maybe from Position Summary and Who We Are? But we need to preserve all substantive info. Could combine Who We Are, What Makes Us Unique, How We Work, Our Promise? However Benefits separate.
Better: About the role: include the narrative about the role and organization (Who We Are, What Makes Us Unique, How We Work). Responsibilities: list of duties. Requirements: education and certification requirements. Qualifications: experience requirements? Or maybe Qualifications separate from Requirements. Skills: skill requirements. Benefits: list of benefits from Our Promise. Pay: not specified (no pay info) so we should NOT include Pay section. Schedule: we have schedule info: "Able to work Monday-Friday from 8-5PM and be in the Arizona area." Also "10% travel within Arizona". That's schedule info. So we can include Schedule section.
Thus we will have sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Schedule.
We must not include Pay because no specific pay.
We must not include empty sections.
Now we need to format lists with - . For prose use
.
We must preserve all substantive info, not invent or summarize away detail. So we need to include all details from the posting, but we can reorganize under headings.
Let's extract content.
Who We Are: "At Suvida Healthcare, we are not just caregivers; we're compassionate advocates dedicated to enriching the lives of our cherished seniors. As a Team Member with us, you will embark on a fulfilling journey where your skills and empathy converge to make a meaningful impact on the well-being of an underserved community and their families. Our multi-disciplinary primary care program is built to address the physical, behavioral, social, and cultural needs of Medicare-eligible Hispanic seniors. Celebrate diversity and inclusivity in a workplace that attracts, engages, values, rewards, and recognizes the unique needs and backgrounds of both, our patients and our team. We believe that a rich tapestry of experiences, shared interests, and perspectives enhances the care we provide, making us a stronger, service-centered, and more compassionate healthcare family and Employer of Choice! Will you join us Suvidanos, to help achieve our Higher Purpose?"
What Makes Us Unique: "We are an empowered primary care team, clinical operations, and support team creating health equity through an exceptional clinical and consumer experience that improves the quality of life for the people, families, and neighborhoods we serve. We tailor our primary care program to the culture, language, social, and overall well-being of the seniors we serve."
How We Work: "Our Culture & Core Beliefs Earn TrustBuilding RelationshipsCreating JoyDoing RightImproving Every DayMoving Forward Our Promise Purpose Driven CareerCompetitive PayBest-In-Class Medical/Dental Coverage Free Mental Health & Life Coaching for Team Members and their DependentsHoliday Time Off with PayPaid Community Service DayPaid Parental/Family LeavePaid Bereavement LeaveGenerous Paid Time Off (PTO)401k Retirement Plan with Company MatchAnd much more...."
But note that "Our Promise" includes benefits list. We'll extract benefits separately.
Our Promise list: "Purpose Driven Career", "Competitive Pay", "Best-In-Class Medical/Dental Coverage", "Free Mental Health & Life Coaching for Team Members and their Dependents", "Holiday Time Off with Pay", "Paid Community Service Day", "Paid Parental/Family Leave", "Paid Bereavement Leave", "Generous Paid Time Off (PTO)", "401k Retirement Plan with Company Match", "And much more...."
We need to keep them as benefits.
Position Summary: maybe not needed.
What You’ll Do Responsibilities: list:
- Identify and notify clinical staff of next steps needed to address open quality gaps.
- Submit documentation to payer portal to close quality gaps.
- Audit supplemental data to ensure results are compliant for identified measures.
- Educate staff and providers on HEDIS technical specifications.
- Resolve clinical staff Quality inquiries.
- Join daily huddles as needed to inform clinical staff of patients with outstanding time sensitive measures.
- Collaborate with other departments on quality specific projects to help reach quality goals.
- Actively participate as a team player to promote positive health outcomes for our patients.
- Able to work Monday-Friday from 8-5PM and be in the Arizona area.
- Be willing to take on additional task to support the overall success of the organization.
- 10% travel within Arizona
Note: The last three items are schedule/travel.
What You’ll Bring Education Requirements: "Bachelor's degree in healthcare administration or public health required"
Certifications Requirements: "One of the following certifications, accompanied by 2+ years of experience in value-based care setting (primary care or Medicare Advantage Plans preferred): Certified Medical Assistant Certified Pharmacy Technician Certified Nursing Assistant NCQA certification OR Experience Requirements 4+ years of experience in value-based care setting (primary care or Medicare Advantage Plans preferred) 2+ years of HEDIS or Risk Adjustment experience in supplemental data and chart reviews Knowledge of CMS STARS program Must have a basic understanding of billing and claims coding Experience reviewing Electronic Medical Records Intermediate level experience in working in Microsoft Excel, Word, and PowerPoint Experience navigating payer portals. At least 1 year of experience utilizing medical terminology."
Skill Requirements: "Ability to work independently Strong problem-solving skills with the ability to identify solutions independently and know when to appropriately escalate complex issues Ability to multi-task Ability to work in fast paced environments with changing priorities. Bilingual (English/Spanish) preferred"
We need to separate Requirements (education + certifications) and Qualifications (experience etc.) and Skills.
Thus:
Requirements heading: Education Requirements + Certifications Requirements.
Qualifications heading: Experience Requirements (including 4+ years experience, 2+ years HEDIS, knowledge of CMS STARS, billing/coding, EMR review, Excel/Word/PowerPoint, payer portals, medical terminology).
Skills heading: Ability to work independently, problem-solving, multi-task, fast paced, bilingual preferred.
Now Benefits: list from Our Promise.
Schedule: includes Monday-Friday 8-5PM, Arizona area, 10% travel within Arizona.
We also have "Able to work Monday-Friday from 8-5PM and be in the Arizona area." and "Be willing to take on additional task to support the overall success of the organization." and "10% travel within Arizona". The "additional task" maybe not schedule but could be under Responsibilities. We'll keep it under Responsibilities.
Now we need to output HTML fragment only, no markdown.
We'll produce:
About the role
... combined description ...
Then Responsibilities
- ... each ...
Then Requirements
Education: Bachelor's degree in healthcare administration or public health required.
Certifications: One of the following certifications, accompanied by 2+ years of experience in value-based care setting (primary care or Medicare Advantage Plans preferred): Certified Medical Assistant, Certified Pharmacy Technician, Certified Nursing Assistant, NCQA certification.
But we need to preserve the "OR Experience Requirements" part? Actually the Certifications Requirements says: "One of the following certifications, accompanied by 2+ years of experience in value-based care setting (primary care or Medicare Advantage Plans preferred): Certified Medical Assistant Certified Pharmacy Technician Certified Nursing Assistant NCQA certification OR Experience Requirements 4+ years of experience in value-based care setting (primary care or Medicare Advantage Plans preferred) 2+ years of HEDIS or Risk Adjustment experience in supplemental data and chart reviews Knowledge of CMS STARS program Must have a basic understanding of billing and claims coding Experience reviewing Electronic Medical Records Intermediate level experience in working in Microsoft Excel, Word, and PowerPoint Experience navigating payer portals. At least 1 year of experience utilizing medical terminology."
It seems the text is messy: It says "One of the following certifications, accompanied by 2+ years of experience ... OR Experience Requirements 4+ years ...". So it's giving two alternative paths: either certification + 2 years experience, OR 4+ years experience etc. So we need to capture that as Requirements? Actually the "Experience Requirements" part is under Certifications Requirements line but it's actually an alternative. We'll treat that as Qualifications.
Thus we need to parse: The Certifications Requirements block includes both the certification option and the experience option. We'll split: Requirements: Education + Certification option (one of those certs + 2+ years experience). Qualifications: the alternative path (4+ years experience, 2+ years HEDIS, etc.) plus the skill items like billing/coding, EMR, Excel, payer portals, medical terminology.
But the posting also includes "Experience Requirements 4+ years of experience in value-based care setting (primary care or Medicare Advantage Plans preferred) 2+ years of HEDIS or Risk Adjustment experience in supplemental data and chart reviews Knowledge of CMS STARS program Must have a basic understanding of billing and claims coding Experience reviewing Electronic Medical Records Intermediate level experience in working in Microsoft Excel, Word, and PowerPoint Experience navigating payer portals. At least 1 year of experience utilizing medical terminology."
Thus Qualifications will include those.
Now Skills: ability to work independently, problem-solving, multi-task, fast paced, bilingual preferred.
Now Benefits: list.
Now Schedule: Monday-Friday 8-5PM, Arizona area, 10% travel within Arizona.
Now we need to ensure we don't include boilerplate like EEO etc. We removed.
Now we need to ensure we don't repeat job title.
Now produce HTML.
Let's craft About the role paragraph: combine Who We Are, What Makes Us Unique, How We Work (excluding benefits). We'll need to preserve all substantive info. Let's write:
At Suvida Healthcare, we are not just caregivers; we're compassionate advocates dedicated to enriching the lives of our cherished seniors. As a Team Member, you will embark on a fulfilling journey where your skills and empathy converge to make a meaningful impact on the well-being of an underserved community and their families. Our multi-disciplinary primary care program addresses the physical, behavioral, social, and cultural
- . For prose use
. We must preserve all substantive info, not invent or summarize away detail. So we need to include all details from the posting, but we can reorganize under headings. Let's extract content. Who We Are: "At Suvida Healthcare, we are not just caregivers; we're compassionate advocates dedicated to enriching the lives of our cherished seniors. As a Team Member with us, you will embark on a fulfilling journey where your skills and empathy converge to make a meaningful impact on the well-being of an underserved community and their families. Our multi-disciplinary primary care program is built to address the physical, behavioral, social, and cultural needs of Medicare-eligible Hispanic seniors. Celebrate diversity and inclusivity in a workplace that attracts, engages, values, rewards, and recognizes the unique needs and backgrounds of both, our patients and our team. We believe that a rich tapestry of experiences, shared interests, and perspectives enhances the care we provide, making us a stronger, service-centered, and more compassionate healthcare family and Employer of Choice! Will you join us Suvidanos, to help achieve our Higher Purpose?" What Makes Us Unique: "We are an empowered primary care team, clinical operations, and support team creating health equity through an exceptional clinical and consumer experience that improves the quality of life for the people, families, and neighborhoods we serve. We tailor our primary care program to the culture, language, social, and overall well-being of the seniors we serve." How We Work: "Our Culture & Core Beliefs Earn TrustBuilding RelationshipsCreating JoyDoing RightImproving Every DayMoving Forward Our Promise Purpose Driven CareerCompetitive PayBest-In-Class Medical/Dental Coverage Free Mental Health & Life Coaching for Team Members and their DependentsHoliday Time Off with PayPaid Community Service DayPaid Parental/Family LeavePaid Bereavement LeaveGenerous Paid Time Off (PTO)401k Retirement Plan with Company MatchAnd much more...." But note that "Our Promise" includes benefits list. We'll extract benefits separately. Our Promise list: "Purpose Driven Career", "Competitive Pay", "Best-In-Class Medical/Dental Coverage", "Free Mental Health & Life Coaching for Team Members and their Dependents", "Holiday Time Off with Pay", "Paid Community Service Day", "Paid Parental/Family Leave", "Paid Bereavement Leave", "Generous Paid Time Off (PTO)", "401k Retirement Plan with Company Match", "And much more...." We need to keep them as benefits. Position Summary: maybe not needed. What You’ll Do Responsibilities: list: - Identify and notify clinical staff of next steps needed to address open quality gaps. - Submit documentation to payer portal to close quality gaps. - Audit supplemental data to ensure results are compliant for identified measures. - Educate staff and providers on HEDIS technical specifications. - Resolve clinical staff Quality inquiries. - Join daily huddles as needed to inform clinical staff of patients with outstanding time sensitive measures. - Collaborate with other departments on quality specific projects to help reach quality goals. - Actively participate as a team player to promote positive health outcomes for our patients. - Able to work Monday-Friday from 8-5PM and be in the Arizona area. - Be willing to take on additional task to support the overall success of the organization. - 10% travel within Arizona Note: The last three items are schedule/travel. What You’ll Bring Education Requirements: "Bachelor's degree in healthcare administration or public health required" Certifications Requirements: "One of the following certifications, accompanied by 2+ years of experience in value-based care setting (primary care or Medicare Advantage Plans preferred): Certified Medical Assistant Certified Pharmacy Technician Certified Nursing Assistant NCQA certification OR Experience Requirements 4+ years of experience in value-based care setting (primary care or Medicare Advantage Plans preferred) 2+ years of HEDIS or Risk Adjustment experience in supplemental data and chart reviews Knowledge of CMS STARS program Must have a basic understanding of billing and claims coding Experience reviewing Electronic Medical Records Intermediate level experience in working in Microsoft Excel, Word, and PowerPoint Experience navigating payer portals. At least 1 year of experience utilizing medical terminology." Skill Requirements: "Ability to work independently Strong problem-solving skills with the ability to identify solutions independently and know when to appropriately escalate complex issues Ability to multi-task Ability to work in fast paced environments with changing priorities. Bilingual (English/Spanish) preferred" We need to separate Requirements (education + certifications) and Qualifications (experience etc.) and Skills. Thus: Requirements heading: Education Requirements + Certifications Requirements. Qualifications heading: Experience Requirements (including 4+ years experience, 2+ years HEDIS, knowledge of CMS STARS, billing/coding, EMR review, Excel/Word/PowerPoint, payer portals, medical terminology). Skills heading: Ability to work independently, problem-solving, multi-task, fast paced, bilingual preferred. Now Benefits: list from Our Promise. Schedule: includes Monday-Friday 8-5PM, Arizona area, 10% travel within Arizona. We also have "Able to work Monday-Friday from 8-5PM and be in the Arizona area." and "Be willing to take on additional task to support the overall success of the organization." and "10% travel within Arizona". The "additional task" maybe not schedule but could be under Responsibilities. We'll keep it under Responsibilities. Now we need to output HTML fragment only, no markdown. We'll produce:
About the role
... combined description ...
ThenResponsibilities
- ... each ...
Requirements
Education: Bachelor's degree in healthcare administration or public health required.
Certifications: One of the following certifications, accompanied by 2+ years of experience in value-based care setting (primary care or Medicare Advantage Plans preferred): Certified Medical Assistant, Certified Pharmacy Technician, Certified Nursing Assistant, NCQA certification.
But we need to preserve the "OR Experience Requirements" part? Actually the Certifications Requirements says: "One of the following certifications, accompanied by 2+ years of experience in value-based care setting (primary care or Medicare Advantage Plans preferred): Certified Medical Assistant Certified Pharmacy Technician Certified Nursing Assistant NCQA certification OR Experience Requirements 4+ years of experience in value-based care setting (primary care or Medicare Advantage Plans preferred) 2+ years of HEDIS or Risk Adjustment experience in supplemental data and chart reviews Knowledge of CMS STARS program Must have a basic understanding of billing and claims coding Experience reviewing Electronic Medical Records Intermediate level experience in working in Microsoft Excel, Word, and PowerPoint Experience navigating payer portals. At least 1 year of experience utilizing medical terminology." It seems the text is messy: It says "One of the following certifications, accompanied by 2+ years of experience ... OR Experience Requirements 4+ years ...". So it's giving two alternative paths: either certification + 2 years experience, OR 4+ years experience etc. So we need to capture that as Requirements? Actually the "Experience Requirements" part is under Certifications Requirements line but it's actually an alternative. We'll treat that as Qualifications. Thus we need to parse: The Certifications Requirements block includes both the certification option and the experience option. We'll split: Requirements: Education + Certification option (one of those certs + 2+ years experience). Qualifications: the alternative path (4+ years experience, 2+ years HEDIS, etc.) plus the skill items like billing/coding, EMR, Excel, payer portals, medical terminology. But the posting also includes "Experience Requirements 4+ years of experience in value-based care setting (primary care or Medicare Advantage Plans preferred) 2+ years of HEDIS or Risk Adjustment experience in supplemental data and chart reviews Knowledge of CMS STARS program Must have a basic understanding of billing and claims coding Experience reviewing Electronic Medical Records Intermediate level experience in working in Microsoft Excel, Word, and PowerPoint Experience navigating payer portals. At least 1 year of experience utilizing medical terminology." Thus Qualifications will include those. Now Skills: ability to work independently, problem-solving, multi-task, fast paced, bilingual preferred. Now Benefits: list. Now Schedule: Monday-Friday 8-5PM, Arizona area, 10% travel within Arizona. Now we need to ensure we don't include boilerplate like EEO etc. We removed. Now we need to ensure we don't repeat job title. Now produce HTML. Let's craft About the role paragraph: combine Who We Are, What Makes Us Unique, How We Work (excluding benefits). We'll need to preserve all substantive info. Let's write: At Suvida Healthcare, we are not just caregivers; we're compassionate advocates dedicated to enriching the lives of our cherished seniors. As a Team Member, you will embark on a fulfilling journey where your skills and empathy converge to make a meaningful impact on the well-being of an underserved community and their families. Our multi-disciplinary primary care program addresses the physical, behavioral, social, and cultural