Quality Specialist

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🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

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Village Medical

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2014

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Village Medical is revolutionizing primary healthcare by focusing on making care more accessible and personalized, especially for adults over 65. With services that include in-clinic, in-home, and virtual visits, Village Medical ensures comprehensive and coordinated care through a team approach. They prioritize wellness by offering personalized care plans and welcome most insurance, including Medicare Advantage plans. Their widespread presence in over 680 locations, many within Walgreens, enables them to be easily accessible to their patients. Village Medical's commitment to their patients is reinforced by the ability to manage appointments and prescriptions through their free app, enhancing convenience and connectivity in healthcare management.

📋 Description

• Perform outbound patient calls regarding clinical programs, medication adherence, and closing gaps in care for value-based contracted patients • Call patients to ensure timely refills of chronic disease medications for diabetes, blood pressure, and cholesterol • Serve as liaison between patients, clinics, and pharmacies to minimize gaps between refills • Interpret patient medical history and communicate providers’ plans to patients • Navigate multiple Electronic Medical Record platforms • Document patient care activities accurately in electronic records • Perform medication reconciliation • Request medication refills according to clinic policy and protocol • Assist patients with medication access barriers such as cost • Identify patients requiring referrals to pharmacists, pharmacy medication programs, care management, clinicians, or Village at Home • Follow up with patients, providers, and pharmacies to ensure medications are picked up and taken as directed • Coordinate quality health maintenance before and after primary care visits • Schedule appointments and testing and order screenings under standardized protocols • Maintain current knowledge of quality measure requirements • Schedule patient appointments for refills and barriers • Assist other quality departments as needed • Coordinate with pharmacy staff, primary care office staff, and providers regarding referrals, orders, and tests • Contribute to improving clinic quality ratings through medication adherence • Identify opportunities for continuous process improvement

🎯 Requirements

• High school diploma or GED equivalent required • Certified Medical Assistant, Certified Pharmacy Technician, or equivalent experience in a healthcare setting required • Intermediate to advanced keyboarding skills, including at least 35 WPM, touch typing, and document formatting • Secure home workspace with desk and chair and minimum background noise • Candidate-supplied home internet access • Minimum internet download speed of 100 Mbps and upload speed of 10 Mbps • Hard-wired internet connection using an ethernet cord; Wi-Fi cannot be used • 1+ years of healthcare setting experience preferred • Prior Electronic Health Record experience preferred • Previous call center or telephonic experience preferred • Experience with Medicare Advantage plans, insurance, and medication adherence preferred • Bilingual English/Spanish preferred • Certified Medical Assistant or Certified Pharmacy Technician certification, or equivalent healthcare-setting experience

🏖️ Benefits

• Medical coverage • Dental coverage • Life coverage • Disability coverage • Vision coverage • FSA coverage • 401k savings plan • Work from home arrangement