Proficient in HEDIS, QARR, or quality improvement programs
Strong analytical and communication skills
Responsibilities
Support quality improvement initiatives to enhance clinical outcomes.
Ensure adherence to preventive care and clinical guidelines.
Identify and prioritize patients with care gaps using analytics.
Execute proactive outreach to drive care adherence.
Track and analyze outreach outcomes for quality improvement.
Reinforce best practices in patient communication and education.
Identify and address drivers of CAHPS performance at the practice level.
Benefits
Collaborative work environment with interdisciplinary teams.
Opportunity to make a direct impact on patient care and quality.
Access to professional development resources.
Engagement with community health resources to support patients.
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
