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Quality Specialist
Village Medical. Perform outbound patient calls regarding clinical programs, medication adherence, and closing gaps in care for value-based contracted patients .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient care coordination, medication adherence, and effective communication with patients and healthcare teams. Proficient in navigating Electronic Medical Records and performing medication reconciliation to enhance patient outcomes.
Highest-signal resume keywords
Certified Medical AssistantElectronic Health Record (EHR) ExperienceMedication ReconciliationPatient Care CoordinationBilingual English/Spanish
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medication AdherenceChronic Disease ManagementKeyboarding Skills (35 WPM)Patient DocumentationAppointment SchedulingQuality Measure KnowledgeTelephonic CommunicationMedication Access AssistanceRefill Request ProcessingProcess Improvement
Soft Skills
Compassionate Patient InteractionTeam CollaborationEffective Communication
Tools & Technologies
Electronic Medical Record PlatformsHome Internet AccessSecure Workspace Setup
Certifications & Qualifications
Certified Medical AssistantCertified Pharmacy Technician
Industry Keywords
Value-Based CareMedicare AdvantageHealthcare SettingPopulation HealthQuality Ratings
About the role
Key responsibilities & impact- Perform outbound patient calls regarding clinical programs, medication adherence, and closing gaps in care for value-based contracted patients
- Partner with quality, population health, and pharmacy teams to deliver wrap-around care
- 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 missed time between refills
- Interpret patient medical history and communicate providers’ plans to patients
- Navigate different Electronic Medical Record platforms to review patient information
- Document patient care activities accurately and comprehensively in electronic records
- Perform medication reconciliation by comparing patient medication use with medical records and pharmacy fills
- Request medication refills according to clinic policy and protocol
- Assist patients with medication access difficulties caused by cost or other barriers
- Identify patients needing referrals to clinical pharmacists, pharmacy medication programs, care management, clinicians, or Village at Home
- Follow up persistently with patients, providers, and pharmacies to ensure medications are picked up and taken as directed
- Coordinate patient care before and after primary care visits
- Schedule appointments and testing and order screenings according to standardized protocols
- Maintain current knowledge of quality measure requirements
- Assist other quality departments as needed per quarter
- Demonstrate kindness and compassion in patient interactions
- Participate as a member of the healthcare team to promote positive health outcomes
- Coordinate with pharmacy staff, primary care office staff, and providers to ensure referrals, orders, and tests are in place
- Contribute to increasing clinic quality ratings
- Identify opportunities for continuous process improvement
Requirements
What you’ll need- High school diploma or GED equivalent required
- Certified Medical Assistant, Certified Pharmacy Technician, or equivalent experience in a healthcare setting required
- Intermediate to advanced level keyboarding skills, including at least 35 WPM, touch typing, and formatting documents required
- Secure workspace at home, including desk and chair, with minimum background noise required
- Candidate-supplied home internet access required
- Minimum internet download speed of 100 Mbps and upload speed of 10 Mbps required
- Internet must be hard-wired with an ethernet cord; Wi-Fi connection cannot be used
- 1+ years of experience in a healthcare setting preferred
- Prior experience using an Electronic Health Record (EHR) preferred
- Previous call center or telephonic experience preferred
- Experience with Medicare Advantage plans, insurance, and medication adherence preferred
- Bilingual English/Spanish preferred
Benefits
Comp & perks- Medical coverage
- Dental coverage
- Life insurance
- Disability coverage
- Vision coverage
- FSA coverage
- 401k savings plan
- Hybrid work arrangement