Provider Operations Coordinator - Tucson, AZ
$45,760–$52,000 year
On-siteTucson, Arizona, United States
Job Summary
Manage operational support initiatives for assigned affiliate groups by serving as a liaison between clinics and P3 departments. Conduct daily problem-solving, chart data mining, and audits to support HEDIS quality gap closures and Risk Adjustment activities. Coordinate patient outreach for preventative screenings, medication adherence, and follow-ups, including in-home HEDIS gap closure for measures like blood pressure and diabetic eye exams. Prioritize high-risk patients by ensuring care coordination across hospital discharge, hospice, and referrals. Prepare for CSR/IDT/JOC meetings and maintain documentation for quality initiatives. This role requires bi-lingual skills in English/Spanish, travel throughout Pima County, and a valid driver's license.
Required Qualifications
- Must be able to travel throughout Pima County
- This position is 100% on-site
- Bi-lingual in English/Spanish preferred
- High school diploma/GED required
- Associate degree in related field or equivalent experience preferred
- 2+ years experience in healthcare-related fields required
- clinical health care related experience, managed care, or Health plan experience strongly preferred
- Experience with Microsoft Word, Excel, Power Point, Outlook and general office equipment such as copier, fax machine, required
- Experience in Electronic Health Records required
- Medical terminology knowledge required
- Must have a valid driver's license, safe driving record, and able to furnish reliable transportation
- Must be able to lift 25 pounds
Desired Qualifications
- Bi-lingual in English/Spanish preferred
- associate degree in related field or equivalent experience preferred
- clinical health care related experience, managed care, or Health plan experience strongly preferred
- Medical Assistant Certification or experience as a Pharmacy Tech, Radiology Tech, Lab Tech or similar strongly preferred
- Experience with data mining preferred
- Medical terminology knowledge required, experience with CPT II codes preferred
- Current CPR Certification preferred
- Excellent interpersonal, rapport/trust building, and communication skills with patients, providers, internal and external stakeholders
- Excellent organizational and time management skills
- Strong analytical, critical thinking, and problem-solving skills
- Ability to present information and obtain buy-in on recommendations
- Ability to handle a fast-paced environment and prioritize tasks based on importance
- Ability to work independently or as part of a team
- Dedication to maintaining the confidentiality of all patient records
- Knowledge of vital signs and other clinical skills related to direct patient care for quality gap closure
Hiring someone like this?
Get your role in front of qualified candidates on Sorce.