The Senior Medicaid Quality Improvement, Clinical Professional develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve quality performance within the contracted working relationship with the health plan. Work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
The Senior Medicaid Quality Improvement, Clinical Professional develops provider relationships to:
- Collaborates on strategy to improve HEDIS Quality Rates, Population Health /Clinical management, Documentation and Coding
- Focuses on improving provider and member experience
- Enhances data sharing and connectivity
- Contributes to department strategy