Quality Care Specialist

1 week ago


High Point, United States Bethany Medical Full time
About the Role

We are seeking a Quality Care Specialist to join our team at Bethany Medical, the largest independent established multi-specialty group in Central North Carolina.

As a Quality Care Specialist, you will work with our medical leadership and value-based care team to improve provider performance on clinical quality metrics, hierarchal condition category (HCC) coding metrics, utilization and steerage efficiencies, and cost control metrics.

Key Responsibilities
  • Design and implement innovative performance improvement strategies for practices and providers using QC reporting on HEDIS/STARS quality, HCC/RAF coding, healthcare service cost and utilization, patient steerage patterns, etc.
  • Collaborate with medical leadership team to understand barriers to closing quality care gaps and effectively coding for services performed.
  • Interpret information from multiple data sources (internal, ACO, and third-party payer) to create a comprehensive performance visualization.
  • Apply knowledge of healthcare systems, operations, program design and implementation, technology, and innovation to maximize data impact.
Requirements and Qualifications
  • 2+ years of experience in the health industry; care gap management and/or coding preferred.
  • Organized and self-motivated.
  • Proficient computer skills, including Word, Excel spreadsheets, data entry, electronic medical record (EMR) / Practice Management (PM) systems, and analysis tools.
  • Excellent communication skills with ability to work collaboratively with physicians, staff, and external organizations.
  • Strong phone skills, comfortable with patient engagement.
  • Strong customer service skills.
  • Ability to manage multiple tasks/projects simultaneously.
  • Comfortable with continuous change and self-initiating.
Compensation and Benefits

We offer a competitive salary range of $65,000-$80,000 per year, depending on experience. Additionally, we provide a full benefits package, including employee medical/dental/vision insurance, employee life insurance, generous PTO, employee short-term disability, 401-K with company matching, and paid company holidays.

Bethany Medical is an equal opportunity employer and welcomes applications from diverse candidates.


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