Quality Improvement Specialist-Associate

Under direct supervision, responsible for performing a variety of clinical support functions for the outpatient setting including patient outreach, care gap analyses, and patient follow up to support the value-based care model. Performs patient chart reviews to identify opportunities in patient care to satisfy HEDIS measure gaps. Maintains systems for storing and tracking HEDIS medical record documentation Documents in the Electronic Medical Record Outreaches and requests charts and medical records from other facilities to close gaps in pre and post care for value-based patients with quality needs Scans or uploads medical records into payor databases Performs patient outreach to schedule Annual Wellness Visits and Follow up appointments to fill gaps in care Performs pre-visit evaluations that identify gaps in care for the clinical team and post-visit evaluations that identify gaps in care after the visit Identifies, tracks, and follows up on gaps in care that cannot be or were not closed in the clinic Performs medication adherence reviews to identify and mitigate barriers to patients not taking their medication Coordinates and assists in processing hierarchical condition category attestation forms from payors Performs all other duties as assigned Demonstrates the ability to support the mission, vision and patient promise throughout all interactions, The UT Health Way. Demonstrate the ability to communicate effectively, written and verbally. Demonstrates analytical thinking – this role requires analyzing information and using logic to coordinate work within schedule constraints and handle emergent requirements in a timely manner. Demonstrates the ability to participate as an integral part of the interdisciplinary healthcare team in providing the highest quality of care to the patient, The UT Health Way. Demonstrates a working knowledge of healthcare Effectiveness Data and Information Set (HEDIS) measures for which UT Health is responsible for under shared savings programs Demonstrates working knowledge of the electronic health record EDUCATION: HS Diploma or GED equivalent PREFERRED: MA experience and experience working in a clinic.