Clinical Quality Specialist II

Job Description Summary

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Clinical Quality Specialist II — Summary
The HEDIS Quality Specialist II supports the annual HEDIS data collection and reporting process by performing chart review and retrieval, as well as documentation validation. This role ensures patients receive multiple opportunities to meet HEDIS specifications, assist with outreach to patients and other medical facilities for missing information. Works closely with team lead to resolve discrepancies. Aid with special projects, monitoring data integrity, and contributes to process improvements that enhance the organization’s quality performance.

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How will you make an impact & Requirements

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Key Focus Areas

• Proficiency within EMR systems and record keeping portals.
• Conduct patient outreach to order and schedule preventative services and tests.
• Exhibits strength in verbal and written communication and prioritization of assignments.
• Aid in sustaining continuous reconciliation of patient data with payors and internal systems.
• Perform data entry and maintain tracking spreadsheets.
• Retrieve and review external medical records for gap closure.
• Validate documentation against HEDIS requirements.
• Coordinate with providers to close quality gaps and correct documentation.
• Monitor trends and recommend workflow improvements.

Benefits:

3 weeks PTO & 7 paid holidays

Medical, Dental, Vision

Employer Paid Basic Life & Short-Term Disability coverage (goes into effect after 1 year of full-time employment)

401(k) with match

Employee Wellness

Other Employee Discount programs like Tickets at Work and cell phone discounts

Other benefits: Dependent Care FSA, Voluntary Life, Long Term Disability, Critical Illness, Pet Insurance, and more

See Full Job Description for more details

Why Millennium?

Millennium Physician Group is one of the largest comprehensive primary care practices with healthcare providers throughout Florida.

At Millennium Physician Group, you will find an organization that focuses on family and building a strong network of people to care for the communities we serve. We are always searching for employees who have a strong customer service attitude, fantastic teamwork skills and a willing smile ready to share.

Our promise is to provide you with the tools to do your job successfully, as well as providing a team atmosphere that empowers you to seek better ways to deliver care to our patients and their families. We also promise to care for you as an individual and help you grow in your role with Millennium Physician Group.

If you are interested in joining an organization that puts an emphasis on teamwork and family, then Millennium Physician Group is the right choice.