• participates in performance and quality improvement projects by implementing member and provider targeted interventions to improve health outcomes and member and provider experiences. • contributes to multidisciplinary committees, both external and internal, required by NCQA and the State Contract. • member outreach calls. • medical record audits to evaluate provider compliance with clinical practice guidelines, best practices, and regulations in collaboration with internal and external stakeholders. • provider outreach to close care gaps, audit records to identify improvement opportunities, and abstract data from records to close gaps. • quality document updates (example: quality improvement program description, work plans, and evaluation). • quality Improvement Committee meetings. • completing and updating reports (including State Reports and Kentucky Medicaid Quality Improvement Committee reports).