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Quality Performance Specialist
Quality Performance SpecialistImpresiv Health • North Charleston, SC
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Quality Performance Specialist

Quality Performance Specialist

Impresiv Health • North Charleston, SC
30+ days ago
Job type
  • Full-time
Job description

Description :

The Quality Performance Specialist is needed to assist with the current Quality Department workload to ensure current staff are focused on achieving minimum of 4.0 Stars for 2025. They will be assigned the gift card fulfillment project duties along with the member incentive notification process / mailings. This is a core project to direct and reward members for closing care gaps.

What You Will Do :

  • Pulling and manipulating data and documenting in a spreadsheet.
  • Faxing to providers for year-round medical record review where we don’t have EMR access.
  • Processing invoices for payment to third party copy services and saving records to local drive.
  • Trained in HEAL to assist with gift card inquiries from Member Services dept.
  • Outreach to members who remain non-compliant for priority measures.
  • Minimum of 20 calls / day.
  • Documentation of calls in JIVA.
  • Scripting for POM dialer and texting campaigns.

What You Will Bring :

  • Experience abstracting records is a plus but not required.
  • Excellent organizational, analytical and interpersonal skills.
  • Excellent written and verbal communication skills.
  • Ability to work successfully within all levels of the organization.
  • Proficient PC skills in a windows based environment. Experience with Word, Excel, Adobe.
  • Can assist with high level administrative duties but have health care experience and knowledge.
  • Able to multitask, be detail orientated and be able to jump in where needed.
  • HS Diploma or Equivalent
  • About Impresiv Health :

    Impresiv Health is a healthcare consulting partner specializing in clinical & operations management, enterprise project management, professional services, and software consulting services. We help our clients increase operational efficiency by delivering innovative solutions to solve their most complex business challenges.

    Our approach is and has always been simple. First, think and act like the customers who need us, and most importantly, deliver what larger organizations cannot do – provide tangible results that add immediate value, at a rate that cannot be beaten. Your success matters, and we know it.

    That’s Impresiv!

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    Quality Specialist • North Charleston, SC