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Quality Program Oversight:
- Set quality strategy and roadmap in partnership with the SVP of Clinical Services.
- Monitor HEDIS and other quality measures, aligning review activity to close gaps.
- Define and maintain audit criteria, scorecards, and standards across all channels.
Team Leadership:
- Hire, supervise, and develop Quality Reviewers, managing workload and performance.
- Conduct calibration sessions and provide coaching on chart review and call evaluation.
- Own performance management, including one-on-ones and development plans.
Data Development & Analysis:
- Design and maintain quality dashboards and reporting tools.
- Build datasets to identify trends and root causes, using Excel and BI tools.
- Present findings and recommendations to executive leadership.
Coaching, Compliance & Cross-Functional Work:
- Partner with clinical leadership to design improvement plans and targeted education.
- Ensure documentation and interactions meet internal standards and regulatory requirements.
- Collaborate with operations, compliance, and QA teams to align metrics and workflows.
CareTalk Health
CareTalk Health is a fully remote, nationwide virtual medical practice partnering with Medicare Advantage plans to deliver Annual Wellness Visits and close care gaps. We are a growing, collaborative team focused on making virtual care simple, reliable, and human.