Quality and Outreach Specialist

ESSENTIAL DUTIES AND RESPONSIBILITIESProvide enrollment assistance (including but not limited to completing coverage applications, gathering the required documentation and troubleshooting the enrollment process) for uninsured adults to access subsidized, low-cost and free health insurance programs through the health insurance marketplace;Provide structured patient education on health coverage, engage in follow-up conversations and offer renewal assistance for enrolled individuals;Distribute outreach materials to patients, community members, partner organizations and businesses to build coverage option awareness;Develop, discover and attend community events in order to promote coverage options and the mission and services of the organization;Collaborate with various local organizations to build awareness of coverage options, spur enrollment and build referral linkages;Attend and successfully complete all required training programs; participate in ongoing conference calls, webinars, and other professional development opportunities;Accurately provide required reporting to track goal achievement and client satisfaction.Recruit and utilize volunteers to increase program capacity;Assist in the development and implementation of organizational outreach and enrollment initiatives;Adhere to all state and federal privacy regulations, including HIPAA and 42 CFR Part 2, and to all policies and agreements regarding confidentiality, privacy, and security. Support compliance with all privacy and security requirements pursuant to community partners’ and outside providers’ patient confidentiality agreements, including privacy and security requirements for EMR accessAssist with translation when necessary.Assist when necessary with back-office functions.Conduct classes, trainings, and meetings in the community, as requested; andOther duties may be assigned or may be modified as business needs dictate.Supporting Closing the Organizational Quality Gap (Cozeva, Innovacer,...)Senior Care quality trackingSupport and empanelment improvementMaintain and organize quality-related documentation, reports, and records.Input, update, and retrieve data from quality management databases or tracking systems.Assist in preparing quality performance reports, presentations, and summaries.Support audits, surveys, and inspections by regulatory agenciesSchedule quality meetings, prepare meeting minutes, and follow up on action items.Maintain confidentiality of sensitive patient and organizational information.Assist in disseminating policies, procedures, and training materials related to quality standards.Coordinate communication between departments to ensure timely data submission and compliance.Perform other clerical duties such as filing, photocopying, and correspondence as needed.Additional Job FunctionsSenior - Annual Wellness Exams & Medicare Updates: Provide biweekly summary reports on senior annual wellness appointments, including completion rates and any relevant Medicare health plan changes, patient drops.Supplemental Data & Cross-Referencing: Receive Cozeva supplemental data uploads biweekly and cross-reference completion by IPA.Managed Care Weekly Reporting: Provide biweekly report on specific inventive-based outreach initiatives, detailing progress, barriers, performance metrics, and any follow-up actions needed.IPA & Health Plan Meeting Participation: Attend IPA/health plan meetings as needed, at the discretion of the Chief Innovation & Growth Officer and CMIO.HEDIS & Cozeva Reporting: Provide biweekly HEDIS completion reports by IPA and health plan, and biweekly summaries of all supplemental data uploads to Cozeva.Community Engagement: Participate in senior community events and Live Well with Via Care workshops (field and in-person).To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Education & ExperienceTwo years’ related experience within human services and/or public health;Must have excellent reading and comprehension skills.Must be able to work efficiently in a very fast-paced environmentMust adhere to the agency’s non-discrimination policies.Experience in community organizing;Experience working in underserved communities such as undocumented workers, unaccompanied minors, LGBT populations, communities of color, youth/adolescents, and those experiencing homelessness, substance abuse, and/or mental illness; and Bilingual English/Spanish required (read, write, speak)Compliance with all mandated vaccinations and all boosters is a term and condition of employment.Equal Employment OpportunityVia Care Community Health Center provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, international origin, age, disability, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Via Care Community Health Center complies with applicable state and local laws governing non-discrimination in employment in every location in which the organization has facilities. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.In compliance with California Labor Code § 432.3, as amended effective January 1, 2026, this job posting includes the pay scale for the position. The pay scale represents a good‑faith estimate of the salary or hourly wage range the employer reasonably expects to pay for the position upon hire. Actual compensation within the posted range will depend on experience, skills, and internal equity. #J-18808-Ljbffr Viacare Community Health Center