Care Management / Patient Care Coordination

This position supports the health network's quality and performance goals, focusing on achieving a 5-star rating in value-based care contracts and accountable care organizations. The role involves conducting outbound calls to members to close HEDIS gaps in care, coordinating appointments with medical offices, and collaborating with internal and external healthcare providers. It requires analyzing HEDIS performance data, implementing quality improvement strategies, and ensuring regulatory compliance to optimize quality scores.