Quality Measures Specialist

Located in Oxnard, CA

Job Title: Quality Measures Specialist

Pay: $22/hr 

Job Type: Full-Time (40 hrs/week)
Schedule: Monday – Friday 8AM-5PM

Job Description:

We are seeking a dedicated and detail-oriented Quality Measures Specialist to join our team. The Quality Measures Specialist will play a key role in driving quality improvement efforts across the organization by working closely with physicians, clinical staff, and patients. This individual will manage and support various quality-related projects and initiatives aimed at enhancing patient care.

Key Responsibilities:

• Develop, coordinate, and implement direct patient outreach campaigns, including contacting patients by phone to discuss aspects of their care.
• Utilize call scripts to inquire about patients’ preferences and needs regarding prescription medications.
• Encourage patients to complete preventive screenings by conducting outreach calls.
• Contact doctor's offices to relay important information, including patient outreach results, project follow-ups, and other relevant details.
• Document all patient outreach results and other related activities accurately and efficiently.
• Perform reconciliation of closed quality measures between health plan data and IPA data aggregator.
• Create non-standard files for health plan data submission and quality measure closure.
• Fax, mail, or distribute reports and materials to physician offices.
• Maintain compliance with HIPAA standards to ensure patient privacy is upheld.
• Collaborate with the Provider Incentives Department on quality-related projects and initiatives.
• Use internet-based platforms to identify open care gaps and generate reports.
• Participate in meetings (both virtual and in-person) with health plans, medical groups, and other organizations.
• Maintain a professional demeanor when communicating with patients and healthcare providers.

Requirements/Qualifications:

Required:

• High School Diploma, GED, or equivalent level of education.

Preferred:

• Previous experience in a call center, customer service role, or similar (1+ years).
• Bilingual in Spanish.
• Proficiency in Microsoft Office (Word, Excel).
• Strong communication skills, both written and verbal.
• Highly motivated with a strong desire for professional advancement.

#oxnard 

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