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Clinical Quality Coordinator, Entry
Job
Blue Shield of CA
Oakland, CA (In Person)
Full-Time
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Job Description
Clinical Quality Coordinator, Entry Blue Shield of CA United States, California, Oakland 601 12th Street (Show on map) Jun 18, 2026 Your Role The Clinical Quality team oversees and is responsible of HEDIS medical record review, pursuit, and overall HEDIS submission. The Clinical Quality Coordinator will report to the Supervisor of the HEDIS Outreach Team. In this role you will be responsible for conducting provider outreach during the HEDIS season for medical record pursuit and retrieval. Also, participation in Quality initiatives involving member outreach for care gap closure. Responsible for maintaining high productivity and standard work. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning. Your Knowledge and Experience Requires a high school diploma or equivalent
Requires basic job knowledge of systems and procedures obtained through prior work experience or education.
Requires minimum of 3 years of experience. May require vocational or technical education in addition to prior work experience.
Requires communication and interpersonal skills
Must be organized with the ability to keep accurate notes and records
Required customer service experience
Required HEDIS knowledge
Requires critical thinking skills
Requires knowledge of computer applications including Microsoft Word, PowerPoint and Excel. Internet knowledge with the ability to complete searches Hybrid Virtual Work This role allows employees to work virtually full-time, however employees will be expected to come to the office based on business need.