What are the responsibilities and job description for the HEDIS Outreach Coordinator position at CVS Health?
Job Description
*Role will report to our Southfield, MI Office 50% of the time.The HEDIS Outreach Coordinator facilitates provider and member outreach to ensure member receipt of important clinical services to improve member health outcomes. Provides support for Healthcare Effectiveness Data and Information Set (HEDIS) quality initiatives and regulatory/contractual requirements including outreach to members who are noncompliant in the designated outreach services. Supports effective medical record capture for HEDIS medical record review and abstraction of supplemental data.Duties may include but not limited to the following:- Interacts with providers and/or members to improve healthcare outcomes such as increased preventive care compliance- Active participation in workgroups- Delivers Quality information to internal and external constituents via written and verbal communication- Actively seeks opportunities for process improvement resulting in efficient and effective work streams- Independently map out provider outreach work plan and execute deliverables- Supports more complex relationships with both internal and external constituents- Consults with constituents on solutions to business issues including education and process improvement opportunities- Support complex provider partners with HEDIS gaps in care, data feed, and remote medical record collection discussions and education- Work closely with the provider partner to enhance collaboration between provider and Aetna- Provides support for HEDIS quality initiatives and regulatory/contractual requirements including outreach to members who are noncompliant in the designated outreach services- Supports effective medical record capture for HEDIS medical record review and abstraction of supplemental data- Administrative functions within the department: note taking during committee meetings, time-keeping, etc.- Other duties as assigned
Pay Range
The typical pay range for this role is:
Minimum: 19.50
Maximum: 40.10
Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.
Required Qualifications
- 3 years' of recent and related health care marketing, outreach and/or health education experience- 1 years of experience with Microsoft Suite Outlook, Word, PowerPoint, and Excel- Strong communication skills and experience speaking with medical providers.
Preferred Qualifications
- Ability to use standard corporate software packages and corporate applications.- Recent and related experience working with HEDIS criteriaAbility to work independently.- Experience working in call center environment
Education
High School Diploma or equivalent GED
Business Overview
Bring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.
*Role will report to our Southfield, MI Office 50% of the time.The HEDIS Outreach Coordinator facilitates provider and member outreach to ensure member receipt of important clinical services to improve member health outcomes. Provides support for Healthcare Effectiveness Data and Information Set (HEDIS) quality initiatives and regulatory/contractual requirements including outreach to members who are noncompliant in the designated outreach services. Supports effective medical record capture for HEDIS medical record review and abstraction of supplemental data.Duties may include but not limited to the following:- Interacts with providers and/or members to improve healthcare outcomes such as increased preventive care compliance- Active participation in workgroups- Delivers Quality information to internal and external constituents via written and verbal communication- Actively seeks opportunities for process improvement resulting in efficient and effective work streams- Independently map out provider outreach work plan and execute deliverables- Supports more complex relationships with both internal and external constituents- Consults with constituents on solutions to business issues including education and process improvement opportunities- Support complex provider partners with HEDIS gaps in care, data feed, and remote medical record collection discussions and education- Work closely with the provider partner to enhance collaboration between provider and Aetna- Provides support for HEDIS quality initiatives and regulatory/contractual requirements including outreach to members who are noncompliant in the designated outreach services- Supports effective medical record capture for HEDIS medical record review and abstraction of supplemental data- Administrative functions within the department: note taking during committee meetings, time-keeping, etc.- Other duties as assigned
Pay Range
The typical pay range for this role is:
Minimum: 19.50
Maximum: 40.10
Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.
Required Qualifications
- 3 years' of recent and related health care marketing, outreach and/or health education experience- 1 years of experience with Microsoft Suite Outlook, Word, PowerPoint, and Excel- Strong communication skills and experience speaking with medical providers.
Preferred Qualifications
- Ability to use standard corporate software packages and corporate applications.- Recent and related experience working with HEDIS criteriaAbility to work independently.- Experience working in call center environment
Education
High School Diploma or equivalent GED
Business Overview
Bring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.
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