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PROVIDER QUALITY LIAISON (MULTIPLE POSITIONS)
  Posted 2 weeks ago    Centene    Portland, OR

Position Purpose: Organize and assemble various quality indicators which are reported to the Quality Management Risk Management Committee. Coordinate Quality of Care (QOC) tracking process and the operational department reporting to ensure timely submission to the payors.Serves as the Quality Improvement STARS subject matter expert between provider groups and the Plan in coordination with key provider engagement partners. Acts as an ongoing resource to providers for quality improvement via regular touch points and meetings. This includes attendance and participation at provider joint operating committee meetings.Collects, summarizes, and delivers provider quality performance data to strategize/coach on opportunities for provider improvement and gap closure. Educates provider practices on appropriate HEDIS measures, medical record documentation guidelines, and HEDIS ICD-10 CPT coding in accordance with State, Federal, and NCQA requirements. In conj

Source: Talroo

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