Quality & Value Based Care Coordinator

Duties and Responsibilities:

Quality & Value-Based Care Support:

Identify and track care gaps related to quality measures (e.g., Healthcare Effectiveness and Data Information Set (HEDIS), STAR, value-based metrics) Support clinic efforts to meet value-based performance goals through proactive patient outreach and follow-up Maintain patient registries and dashboards to monitor quality, utilization, and outcomes Assist with population health initiatives targeting high-risk or high-utilization patients

Patient Outreach & Care Coordination:

Conduct outreach to patients to schedule appointments, screenings, labs, and follow-up visits Educate patients on the importance of preventive services, wellness visits, and care plan adherence (non-clinical education only) Assist patients with navigation of clinic services, community resources, and health system processes

Data, Documentation & Reporting:

Enter and update quality and care coordination data in electronic health records and quality platforms Validate documentation to ensure accuracy and completeness for quality reporting Support chart reviews, audits, and gap-closure workflows Prepare reports and summaries for clinical and quality leadership

Collaboration & Clinic Support:

Work collaboratively with providers, nurses, medical assistants, front-desk staff, and quality teams Participate in huddles, quality meetings, and performance improvement initiatives Communicate care gaps and patient needs clearly to clinical team members Support standardization of workflows related to quality and value-based care

Qualifications:

Education/Experience:

High school diploma or equivalent Minimum of 2 years of experience in a healthcare setting (outpatient, ambulatory, managed care, or population health preferred) Certified Medical Assistant (CMA) license OR associate's or bachelor's degree in healthcare, public health, health administration, or related field (preferred)