Support quality improvement initiatives to enhance clinical outcomes.
Ensure adherence to preventive care and clinical guidelines.
Apply HEDIS and Stars knowledge to inform interventions.
Identify patients with care gaps using analytics and registries.
Execute outreach to drive preventive and chronic care adherence.
Provide clinical support for care gap closure and document in Epic.
Collaborate with providers and interdisciplinary teams to support care delivery.
Benefits
Access to community resources to improve patient outcomes
Opportunities for professional development
Supportive care team collaboration
Focus on enhancing patient experience and satisfaction
Engagement in quality improvement initiatives
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
