Temporary Quality Outreach Specialist
Quality Assurance
Remote
USD 23.89-26.4 / hour
Who You Are
You’re a collaborative professional, driven by the potential to make a meaningful impact in healthcare. The challenges of healthcare don’t deter you—instead, you see them as opportunities to find innovative solutions that benefit the partners, people, and communities we serve. Honest Health’s commitment to purpose, innovation, communities, and kindness resonates with you, inspiring you to bring commitment, creativity, and compassion into your work. You’re ready to join a team focused on reimagining primary care for a healthier future that benefits all.
Does this sound like you? Let’s connect.
Who We Are
At Honest Health, we believe in purpose and partnership to lead the transformation in primary care. Our team of healthcare experts and clinicians collaborates with a range of stakeholders—from health systems, physician organizations, and payers to providers, practices, and patients — to deliver innovative solutions that elevate care, control costs, and support long-term health. Guided by our core values, we’re creating a value-driven model that creates lasting benefits for everyone, now and into the future.
For us, that’s just an Honest day’s work.
Your Role
The Quality Outreach Specialist will be a key part of improving Star Ratings and the ACO REACH quality programs by removing barriers to achieving high quality health outcomes. As the Quality Outreach Specialist, you will identify and remove patient barriers to accessing and receiving care, like patient medication adherence outreach, connecting patients with care providers and available services, and medical record review to identify gaps in care. Additionally, you will work with the quality team to develop initiatives and educational materials for our providers, patients, and internal market teams.
Primary Functions of the Quality Outreach Specialist Include:
Patient outreach calls to understand root causes of barriers to medication non-adherence and offer solutions
Patient outreach calls to connect patients with important care and services to close critical gaps in care
Follow up with patients’ care team on findings from patient conversations, when necessary.
Complete medical record reviews to find evidence of clinical gap in care closure
Prepare and submit gap in care closure details to the payor and joint venture partners.
Provision of subject matter expertise on educational tools and learning sessions development.
Identify learning opportunities for practices and providers based on medical record review, outreach call, and other initiative outcomes.
Support the development of initiatives to support patient care and gap in care closure.
Support the creation and review of educational materials and learning sessions for external provider partners on themes and findings from outreach programs and initiatives.
Perform other related responsibilities as assigned.
How You Qualify
You reviewed the Who You Are section of this job posting and immediately felt the need to read on. This makes you a match for our innovative culture. You accept things change quickly in a startup environment and are willing to pivot quickly on priorities.
Medical Assistant, Licensed Practical Nurse, Certified Nursing Assistant, Emergency Medical Technician, Pharmacy Technician license or certification required
Bachelor’s/ Undergraduate degree preferred
3+ years of experience in a role for which closing Healthcare Effectiveness Data and Information Set (HEDIS) measures and/or Star Rating gaps were primary responsibilities
Prior quality measure chart review experience
Experience complying with Health Insurance Portability and Accountability Act (HIPAA)
Inpatient or outpatient clinical experience, including strong electronic medical records (EMR) experience preferred
Ability to manage deadlines and handle multiple tasks simultaneously
Detail orientated, organized and self-motivated
Ability to handle sensitive and/or confidential material and information appropriately
Strong verbal and written communication skills
Ability to work with large files and data sets
Proficient in Microsoft Office Suite: PowerPoint for presentations, Excel for mathematical formulas, charts, tables; Word and Outlook for communication to patients, healthcare insurance companies and internal company personnel
The base pay range for this role is $23.89 - $26.40. Compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, and organizational needs.