Knowledge of HEDIS, QARR, and value-based care principles
Strong analytical and communication skills
Responsibilities
Support quality improvement initiatives for better clinical outcomes
Ensure adherence to preventive care guidelines
Utilize analytics to identify and prioritize patients with care gaps
Conduct proactive outreach to enhance patient care adherence
Document care gap interventions in Epic
Reinforce communication best practices and follow-up with patients
Partner with providers and care teams to support effective care delivery
Benefits
Comprehensive health insurance options
Retirement savings plan
Opportunities for professional development
Flexible work schedules
Supportive work environment fostering teamwork
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
