Clinical Quality Specialist

Altais

San Francisco, United States
Base: $80,000 - $100,000pyear; bonus/equity: not s...
Hedis and cms star ratings focus
Medical record review
Provider education and outreach
The Clinical Quality Specialist supports quality improvement efforts by focusing on HEDIS, CMS Star Ratings, P4P, and patient experience measures

Job Summary

  • The Clinical Quality Specialist supports quality improvement efforts by focusing on HEDIS, CMS Star Ratings, P4P, and patient experience measures.
  • This role involves working directly with health plans and provider practices to close care gaps, conduct medical record reviews, and create educational materials for members and providers.
  • We provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs.

Matching Summary

The Clinical Quality Specialist supports quality improvement efforts by focusing on HEDIS, CMS Star Ratings, P4P, and patient experience measures.

Salary

Base: $80,000 - $100,000/year; Bonus/Equity: Not specified; Benefits: Medical, vision, dental, 401k with match, flexible time off, 9 paid holidays

Skills & Requirements

Must-have

  • HEDIS and CMS Star Ratings focus
  • Medical record review
  • Provider education and outreach
  • Quality measure performance tracking
  • Data accuracy monitoring

Nice-to-have

  • Collaborative and purpose-driven team
  • Agile and adaptable work environment
  • Integrity and compassion in practice
  • Continuous improvement mindset

Key Requirements

  • Minimum 3 years relevant experience
  • Managed care quality improvement experience
  • Working knowledge of HEDIS, CAHPS, HOS, CMS Star Ratings
  • NCQA Quality Improvement standards

Work Rights

Not specified

Tailored Resume

Cover Letter