Quality Practice Liaison (Must reside in Arizona)
Core
A work-at-home role supporting the Arizona Mercy Care Plan by managing HEDIS quality measure data, presenting care gap reports to providers, and abstracting medical records.
Role type
Quality Practice Liaison (Health Plan Operations)
Builds
HEDIS/STAR quality reporting and member outcome improvement initiatives
Domain
US Health Insurance / Quality Measurement
Deliverable
dashboards & analysis
Required skills
HEDIS measure expertise, medical record abstraction, data entry, presentation delivery, EMR system navigation, gap reporting
Preferred skills
Registered Nurse (RN) licensure, multi-tasking, time management, handwritten record interpretation
Technologies
Tableau, QuickBase, Microsoft Office Suite (Outlook, Teams, Word, Excel, PowerPoint, Acrobat), Windows 10
Responsibilities
Generate and distribute gap in care reporting from Tableau Dashboard; conduct outreach and presentations to provider groups regarding HEDIS data; review documentation and abstract compliant medical record data for supplemental data tools; contact providers and internal departments to obtain additional information.
Seniority
Individual Contributor, mid-level
