JOB SUMMARY

　　The Quality Liaison for Provider Engagement and Outreach is a Quality Subject Matter Expert SME responsible to support MVPs Quality Provider strategies, including planning, implementation, execution, and performance monitoring of contracted, in network Providers. The Quality Liaison provides day to day support to the MVP Provider teams Provider Engagement, Relations, Network and Contracting, works directly with Providers, Network and Community Based Organizations CBO, to improve measures and performance for Medicaid and Medicare.

　　The Quality Liaison is responsible to

　　. Provide SME level support and collaboration with MVPs Provider and Network teams.. Monitor and manage performance of providers, networks and CBOs for Medicare and Medicaid using data to drive decisions, provide insights and actionable recommendations.. Support and implement the Provider and Quality strategies to achieve top rated outcomes, maintain compliance and optimal customer and provider satisfaction.. Maintains cross functional relationships with other MVP departments, including but not limited to Analytics, Risk Adjustment, IT and Technical teams, Health Management, and Operations, to ensure efficient and coordinated efforts.. Represent MVPs Quality team at regular and ad hoc meetings with Providers, CBOs, and other community partners.. Prepare, draft, or publish materials for internal and external presentations.. Review, audit, and validate medical records and or supplemental data.Other duties as assigned to achieve Quality performance objectives for Medicaid and Medicare.

　　POSITION QUALIFICATIONS

　　Minimum Education

　　Clinical opening Bachelors degree in health care, nursing, business, or related fieldMinimum Experience

　　2 plus years Medicare Stars required.2 plus years Medicaid required.2 plus years in a Managed Care, Health System or Provider office focused on Quality Improvement and Quality Management required.2 plus years in healthcare and clinical information required.Experience working with claims, EMR, HIE and or other medical management systems strongly preferred.Technical experience with supplemental data, HEDIS medical records review strongly preferred.Clinical license strongly preferred, Registered Nurse, Social Work

　　Required Skills

　　. Demonstrated proficiency with Microsoft Office Excel, Word. Power Point, Outlook, Teams. Demonstrated proficiency with data analysis to guide decisions.. Demonstrated experience documenting, monitoring and quantifying outcomes.. Demonstrated success in working with Providers, Network, CBOs and health care consumers to achieve improvement in health outcomes and clinical performance.. Demonstrated experience with implementation, execution and monitoring performance against a strategic goal and regulatory requirements.. Excellent oral and written communications and interpersonal skills are required.. Excellent critical thinking, problem solving, and time management skills are required.. Ability to multi task and work independently is required.