[Hiring] Clinical Quality Specialist II @Millennium Physician Group

Role Description

The HEDIS Quality Specialist II supports the annual HEDIS data collection and reporting process by performing chart review and retrieval, as well as documentation validation. This role ensures patients receive multiple opportunities to meet HEDIS specifications, assist with outreach to patients and other medical facilities for missing information. Works closely with team lead to resolve discrepancies. Aid with special projects, monitoring data integrity, and contributes to process improvements that enhance the organization’s quality performance.

Qualifications

• Proficiency within EMR systems and record keeping portals.
• Exhibits strength in verbal and written communication and prioritization of assignments.

Requirements

• Conduct patient outreach to order and schedule preventative services and tests.
• Aid in sustaining continuous reconciliation of patient data with payors and internal systems.
• Perform data entry and maintain tracking spreadsheets.
• Retrieve and review external medical records for gap closure.
• Validate documentation against HEDIS requirements.
• Coordinate with providers to close quality gaps and correct documentation.
• Monitor trends and recommend workflow improvements.

Benefits

• 3 weeks PTO & 7 paid holidays
• Medical, Dental, Vision
• Employer Paid Basic Life & Short-Term Disability coverage (goes into effect after 1 year of full-time employment)
• 401(k) with match
• Employee Wellness
• Other Employee Discount programs like Tickets at Work and cell phone discounts
• Other benefits: Dependent Care FSA, Voluntary Life, Long Term Disability, Critical Illness, Pet Insurance, and more