Clinical Practice Consultant
 Health Care Service Corporation | |
 United States, Illinois, Chicago | |
 Oct 23, 2024 | |
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This position is a field-based quality position, responsible for supporting HCSC's quality imperatives and value-based care models and relationships by collaboratively working with assigned medical practices or individual PCPS, the appropriate medical director and clinic directors and all medical and non-medical quality and other staff to improve key targeted HEDIS measures. This position participates in model/program development, clinical readiness assessments of entity and network management led joint operating committees, obtaining EMR access, implementing provider-based member outreach initiatives and provider supplemental data submissions, and retrieval of key medical records throughout the year. This role provides ongoing and annual evaluation of the effectiveness of the overall quality improvement program for the line of business assigned and is also responsible for creating and maintaining strong working relationships with the care coordination/care management teams at the value-based entity and internally with local network management and internal clinical operations teams to provide consultative support and ensure day to day operational needs are being met.
JOB REQUIREMENTS:
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