Quality Specialist (Hybrid)

CareFirst

📍 Baltimore, MD, United States

Full-time other-general

Job Description

**Resp & Qualifications**

**PURPOSE:**
Utilizing the population health frameworks provided by NCQA Accreditation, HEDIS and CMS, this position is responsible for delivering culturally appropriate health promotion information to members that helps increase their access & reduce their barriers to preventive care resulting in industry-leading outcomes at a population level. Uses expertise in HEDIS and other technical quality measures and advanced member engagement techniques to ensure improved population health and accreditation results.

We are looking for an experienced professional in the greater Baltimore/Washington metropolitan area who is willing and able to work in a hybrid model. The incumbent will be expected to work a portion of their week from home and a portion of their week at a CareFirst location based on business needs and work activities/deliverables that week.

**ESSENTIAL FUNCTIONS:**

+ Conducts member and provider outreach designed t...
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