Quality Performance Coordinator

Primary Responsibilities

• Supports quality performance measures (e.g., HEDIS, CMS, CAHPS) by engaging targeted provider practices and members, collaborating on improvement workplans
• Mets monthly with assigned practices, shares performance score card and creates action plan based on baseline assessment for performance improvement
• Ensures work plans are successfully executed in a timely manner
• Supports programs integrating in-office embedded and wrap-around support including but not limited to patient scheduling, chart reviews, targeted mailings and IVR campaigns, workflow optimization and visible performance tracking
• Provides new office staff/ new and refresher quality overview trainings
• Facilitates Cozeva trainings and of best practice workflow implementation; promotes and supports EHR-Cozeva integration opportunities
• Collaborates and aligns strategies with other regional support teams (e.g., Provider Relations and Population Health)
• Maintains performance tracking related to assigned projects to ensure timely and accurate execution and required documentation; uses performance reports to track and trend progress
• Participates in required meetings related to Medi-Cal Pay for Value (P4V) performance, measure updates, etc.
• Stays informed on all member outreach activities and communication schedules, and shares updates to assigned practices
• Supports continuous performance improvement through research and testing of new initiatives to assess success and scalability
• Provides continuous feedback to manager and team on performance, barriers, opportunities, and action plans for all assigned practices

Required Qualifications

• 1+ years working with programs in HEDIS Quality, Stars, CAHPS/HOS experience
• Experience working directly with clinicians, provider practices and/or care delivery networks
• Intermediate MS Office skills
• Presentation skills
• Proven excellent communication skills
• Valid CA Driver's license, current insurance and reliable transportation to local provider offices

Preferred Qualifications

• Experience with Technology-based Solutions (EHRs, IVR, Texting Applications, etc.)
• Provider office administrative or call center experience
• Bilingual in Spanish, Vietnamese, Chinese or Farsi