HEDIS Stars/Quality Coordinator /Population Health

Optima Medical is an Arizona-based medical group with 30+ locations and over 130 providers, serving more than 200,000 patients statewide. Our mission is to improve quality of life by delivering personalized healthcare focused on preventing leading causes of death. We offer a full spectrum of services including cardiovascular health, behavioral health, allergy testing, in-house lab testing, imaging, chronic disease management, and other specialty services.

About the role

This role reports to the Manager of Population Health and supports value-based care and population health initiatives. The coordinator will analyze data, collect records to close HEDIS Quality Measures, participate in health plan performance meetings, and support related efforts. The position requires full-time in-office presence.

Responsibilities

• Collect data and patient records to close HEDIS care gaps and maintain STAR Ratings
• Meet with multiple health plan representatives regarding incentive programs
• Work within Provider Portals to close care gaps
• Attest to patient's historical diagnosed chronic and suspect conditions
• Assist Manager with participation in population health programs

Requirements

• 1 year of experience in Quality Care Gaps / HEDIS Stars (required)
• Experience in a corporate or healthcare setting
• Medical Assistant (MA) experience highly preferred but not required
• High school diploma or GED equivalent

Skills

• Ability to work independently and collaboratively in a team
• High level of professionalism
• Excellent written and verbal communication
• Strong organizational and problem-solving abilities
• Ability to work with diverse teams and departments
• Knowledge of healthcare regulations and compliance standards
• Proficiency in electronic health records (EHR), preferably eCW, Microsoft products, and other relevant software

Benefits

• Career advancement opportunities
• Leadership and mentoring
• Resources to further career development
• Fun work environment (events, holiday parties)
• Medical, vision, and dental insurance
• 401k retirement plan
• Paid time off (PTO) and paid holidays
• Supportive and positive work environment