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Associate Quality Practice Advisor
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- Position Purpose: Establishes and fosters a healthy working relationship between community physician and small provider practices and WellCare.
- Educates providers and supports provider practice sites in regards to the National Committee for Quality Assurance (NCQA) HEDIS measures.
- Under general guidance form Senior Quality Practice Advisors and management, educates community physician and small provider practices in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with NCQA requirements.
- Collaborates with Provider Relations to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters).
- Assists in identifying specific practice needs where WellCare can provide support.
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