Quality Practice Advisor (LPN)

Job Summary

A company is looking for an Associate Quality Practice Advisor to establish relationships with community physicians and support provider practices in HEDIS measures education.

Key Responsibilities

• Educates community physicians and small provider practices on HEDIS measures and medical record documentation guidelines
• Collects and analyzes provider performance data to identify opportunities for improvement
• Collaborates with Provider Relations to enhance provider performance in quality and operational areas

Required Qualifications

• Bachelor's Degree in Healthcare or related field, or equivalent work experience in managed care
• 1+ year of experience in HEDIS medical record review or quality improvement, or 2 years in medical coding
• Preferred Master's Degree in Healthcare or related field
• Preferred licenses include Certified Coding Specialist (CCS) or various nursing and social work licenses
• Experience in data and chart reviews to provide consultation and education to providers