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Patient Outreach Quality Specialist

Job Description


Job ID: 1215351
Employment Status: Full-Time
More Information:

BJC Medical Group is a dynamic, multidisciplinary group with locations across the St. Louis metropolitan and outlying areas. The physicians, providers and staff of BJC Medical Group provide the highest level of care to thousands of patients every day.

BJC Medical Group practices serve their community by providing the highest level of quality care to their diverse patient populations.


Overview


Role Purpose

The Quality Outreach Specialist will play a critical role in ensuring success within the Accountable Care Organization (ACO), Medicare Advantage and commercial contracts with a focus on Healthcare Effectiveness Data and Information Set (HEDIS) quality measures. This service-oriented position is knowledgeable in HEDIS quality measures and familiar with approaches for reviewing electronic medical records to identify and submit documentation to address quality measure gap closure. This position requires strong attention to detail, excellent communication skills and a passion for quality measure performance.


Responsibilities

  • Utilize knowledge of quality measure specifications to aid in the audit and review of patient charts for quality measure information
  • Conduct outreach to patients to address open quality care gaps; provide education and assist with determining the discrepancies between recommended best practices and the actual care provided
  • Upload supplemental data to individual payor portals towards meeting contractual quality metric requirements and improving performance in quality incentive programs
  • Assist patients with scheduling appointments and placing orders for the care they need to remain healthy
  • Assist with quality performance improvement plans and efforts; execute health campaigns, participate in meetings regarding quality; generate ideas to improve quality performance

  • Minimum Requirements

     

    Degree

  • High School Diploma or GED
  •  

    Experience

  • <2 years

  •  

    Preferred Requirements and Additional Job Information

     

    Degree

  • Associate's Degree
  •  

    Experience

  • 2-5 years
  •  

    Supervisor Experience

  • No Experience

  • Benefits Statement

    Note: not all benefits apply to all openings

    -  Comprehensive medical, dental, life insurance, and disability plan options
    -  Pension Plan*/403(b) Plan
    -  401(k) plan
    -  Tuition Assistance
    -  Health Care and Dependent Care Reimbursement Accounts
    -  On-Site Fitness Center (depending on location)
    -  Paid Time Off Program for vacation, holiday and sick time

    *Pension does not apply to Memorial Hospital, Memorial Hospital East, Alton Memorial or Parkland Health Center


    Legal Statement

    The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job.

     

    Equal Opportunity Employer