Quality Specialist - Hybrid

About Our Company

We’re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care. Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians. When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all.

We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care.

Please Note:

We will only contact candidates regarding your applications from one of the following domains: , , , , , , or

As a Quality Specialist, you will be responsible for performing outbound patient calls regarding our clinical programs, medication adherence, and closing gaps in care for value-based contracted patients with clinical quality needs. The role will partner closely with our quality, population health, and pharmacy teams to effectively deliver wrap-around care for our patients. The ideal candidate will have the ability to work in a fast-paced environment while using excellent communication skills to serve our patients.

They must be proactive with a strong personal initiative, as well as highly organized and detail oriented.

• Call patients to ensure they refill their chronic disease medications on time for diabetes, blood pressure, and cholesterol
• Serve as liaison between patient, clinic, and pharmacy to minimize time missed between refills
• Interpret patient medical history (medication list, office visit notes, etc.) and understand and properly communicate provider’s plan to patient
• Navigate between different Electronic Medical Record (EMR) platforms to review patient medical information
• Accurately and comprehensively document patient care activities in all applicable electronic records
• Perform appropriate medication reconciliation by comparing how your patient is taking medication versus what is written in medical record and/or filled at the pharmacy
• Request medication refills per clinic policy and protocol
• Adequately assist patients with difficulties accessing medication due to cost or other barriers
• Identify patients who need referrals to clinical pharmacist, retail pharmacy med sync program, retail pharmacy medication pack program, care management, clinician, and/or Village at Home
• Timely follow up and persistent outreach to patients, providers, and pharmacies to ensure medications are picked up and taken as directed
• Connect with patients before and after their primary care visit, if necessary, to help coordinate the completion of their quality health maintenance
• Schedule appointments and testing and/or order screenings per standardized protocols
• Maintain current knowledge of quality measure requirements
• Scheduling patient appointments as needed for refills/barriers
• Assisting other quality departments as needed per quarter

• Demonstrate kindness and compassion in all patient interactions
• Actively participate as a member of the health care team to promote positive health outcomes for our patients and support our healthcare partners
• Participating in team building exercises/tools
• Coordinate with pharmacy staff, primary care office staff and/or providers to ensure appropriate referrals, orders, and tests are in place for the patient

• Contribute to increasing overall quality ratings for clinic by ensuring…