Support quality improvement initiatives to enhance care delivery.
Ensure adherence to preventive care guidelines across measures.
Identify and prioritize patients with care gaps using analytics.
Execute proactive outreach for chronic care adherence.
Provide clinical support for care gap closure documentation.
Reinforce best practices in patient communication and education.
Identify drivers of CAHPS performance at the practice level.
Partner with care teams to improve patient access and outcomes.
Benefits
Engagement in meaningful quality improvement initiatives
Collaboration with interdisciplinary teams
Opportunities for professional growth in value-based care
Access to analytics tools for performance enhancement
Impact on patient experience and care outcomes
Full Job Description
Summary of Position
The Quality Navigator serves as an embedded clinical quality resource within assigned provider practices to improve Medicare Stars, HEDIS, QARR, and value-based care performance outcomes. The role partners directly with providers, office leadership, care management teams, and interdisciplinary stakeholders to identify and close care gaps, optimize chronic disease management, improve patient engagement, support care transitions, and drive practice-level quality improvement initiatives. The Quality Navigator utilizes clinical expertise, analytics, and performance data to improve member outcomes, enhance patient experience, and achieve organizational quality goals
