Care Gap Closure Specialist at Duly Health and Care, South Bend, IN

Care Gap Closure Specialist at Duly Health and Care in South Bend, IN. Full-time. Est. up to $80k. Apply with swipeandhired.

If you are a current Duly/SBC/QMG employee, please apply through the Internal Career Site.

At Duly Health and Care, you are supported to do your best work and make a meaningful impact every day. You will be part of a collaborative, physician-led team that works as one and puts patients at the center of everything we do.

With a connected network of providers, care teams, and services across primary and specialty care, surgery centers, imaging, lab, and therapy, you are part of a system designed to deliver high-quality, coordinated care. Together, we create an environment where you can grow, contribute, and help improve the experience and outcomes for every patient we serve.

Benefits:

• Comprehensive medical, dental, and vision benefits that include healthcare navigation assistance.
• Access to a mental health benefit at no cost.
• Employer provided life and disability insurance.
• $5,250 Tuition Reimbursement per year.
• Immediate 401(k) match.
• 40 hours paid volunteer time off.
• A culture committed to community engagement and social impact.
• Up to 12 weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members once eligibility requirements are met.

· Full-Time, 40 hours per week
· Hours: Monday-Friday; 8am-5pm
· Location: Remote
· Travel: In office as needed to Downers Grove, IL

The Quality Performance Analyst is responsible for driving clinical quality performance through advanced analytics, value-based contract optimization, provider engagement, and strategic performance monitoring. This role focuses on identifying quality gaps, interpreting payer incentive methodologies, forecasting performance outcomes, validating data accuracy, and supporting operational and clinical teams in achieving measurable improvements in quality metrics and Stars/HEDIS performance.
The Quality Performance Analyst independently analyzes complex clinical, operational, and payer data to prioritize high-impact improvement opportunities aligned with value-based revenue performance. This role includes interpreting technical quality measure specifications, modeling financial and performance impact, and developing targeted action plans to optimize payer incentive outcomes.
The position requires strong analytical expertise and advanced proficiency in Microsoft Excel to synthesize claims, EMR, payer files, and registry data; develop performance reports; validate dashboards; and support executive-level decision-making. The ideal candidate demonstrates proactive problem-solving, high independent decision-making capability, strong attention to detail, and the ability to translate complex data into actionable operational strategies. This role requires high collaboration with leadership, analytics, and operational teams in a fast-paced value-based care environment.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Analyze clinical, operational, and payer data to identify quality gaps, performance trends, financial risk exposure, and opportunities for value-based revenue optimization.
• Interpret payer contracts, quality incentive methodologies, and measure weighting to independently design and execute targeted performance improvement plans.
• Utilize advanced Excel skills (pivot tables, complex formulas, modeling, validation) to manage complex datasets, forecast performance outcomes, and assess incentive impact.
• Develop, own, and validate quality performance dashboards, executive reports, and internal performance tracking tools.
• Conduct audit validation and investigate performance discrepancies between EMR, claims, and payer-reported data.
• Interpret HEDIS, MIPS, and Stars technical specifications; model impact scenarios; and forecast year-end performance projections.
• Present provider-level performance scorecards and facilitate metric review discussions to drive accountability and measurable improvement.
• Educate providers on quality measure definitions, documentation impact, and performance optimization strategies.
• Develop and deliver measure-specific training materials, including standardized handouts and presentation slide decks.
• Develop or support patient-facing educational initiatives focused on preventive care, chronic disease monitoring, and the clinical importance of closing HEDIS/Stars gaps to improve long-term outcomes.
• Independently identify performance risks, prioritize high-value interventions, and escalate financial impact concerns to leadership.
• Support implementation and optimization of workflows designed to improve quality performance, documentation accuracy, and operational efficiency.
• Manage multiple concurrent quality initiatives while ensuring accuracy, timeliness, and measurable impact of deliverables.
• Adapt quickly to evolving quality program requirements, workflow updates, and reporting changes.
• Support special projects and additional performance improvement initiatives as assigned.

MINIMUM EDUCATION

• Bachelor’s degree required in healthcare, public health, health administration, data analytics, or related field
• Foreign Medical Graduate (FMG) or candidate with formal healthcare/clinical background preferred
• Advanced analytical training or value-based care experience strongly preferred

EXPERIENCE REQUIRED

• Minimum of 3 years of experience in healthcare analytics, quality performance, population health, or value-based care environment
• Demonstrated experience working with HEDIS, MIPS, Stars, or payer quality programs
• Experience analyzing payer incentive structures and performance methodologies preferred
• Strong advanced Excel proficiency required
• Experience working with EMRs, payer portals, claims data, and healthcare reporting platforms preferred
• Experience working in primary care, managed care, ACO, or value-based care environment preferred
• Ability and willingness to travel to clinic locations as required

MINIMUM KNOWLEDGE, SKILLS, AND ABILITIES (KSA)

• Advanced analytical and data interpretation skills
• Strong independent decision-making and critical thinking capability
• Ability to interpret payer contracts and quality incentive structures
• Ability to translate data into strategic action plans
• Strong provider-facing communication and presentation skills
• Ability to manage multiple initiatives simultaneously in a fast-paced environment
• Strong attention to detail and data validation expertise
• Proactive, resourceful, and solutions-oriented mindset
• Ability to work independently while collaborating effectively with leadership and cross-functional teams

If you are committed to putting our patients first and helping shape the future of care, you belong at Duly.

The compensation for this role includes a base pay range of 58K-65K, with the actual pay determined by factors such as skills, experience, education, certifications, geographic location, and internal equity. Additional compensation may be available through shift differentials, bonuses, and other incentives. Base pay is only a portion of the total rewards package.

Artificial Intelligence Disclosure

Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.