Quality & Value Based Care Coordinator

Duties and Responsibilities:

Quality & Value-Based Care Support:

• Identify and track care gaps related to quality measures (e.g., Healthcare Effectiveness and Data Information Set (HEDIS), STAR, value-based metrics)
• Support clinic efforts to meet value-based performance goals through proactive patient outreach and follow-up
• Maintain patient registries and dashboards to monitor quality, utilization, and outcomes
• Assist with population health initiatives targeting high-risk or high-utilization patients

Patient Outreach & Care Coordination:

• Conduct outreach to patients to schedule appointments, screenings, labs, and follow-up visits
• Educate patients on the importance of preventive services, wellness visits, and care plan adherence (non-clinical education only)
• Assist patients with navigation of clinic services, community resources, and health system processes

Data, Documentation & Reporting:

• Enter and update quality and care coordination data in electronic health records and quality platforms
• Validate documentation to ensure accuracy and completeness for quality reporting
• Support chart reviews, audits, and gap-closure workflows
• Prepare reports and summaries for clinical and quality leadership

Collaboration & Clinic Support:

• Work collaboratively with providers, nurses, medical assistants, front-desk staff, and quality teams
• Participate in huddles, quality meetings, and performance improvement initiatives
• Communicate care gaps and patient needs clearly to clinical team members
• Support standardization of workflows related to quality and value-based care

Qualifications:

Education/Experience:

• High school diploma or equivalent
• Minimum of 2 years of experience in a healthcare setting (outpatient, ambulatory, managed care, or population health preferred)
• Certified Medical Assistant (CMA) license OR associate's or bachelor's degree in healthcare, public health, health administration, or related field (preferred)