HEDIS Coordinator

RPO Inc
Lawrence, PA Contractor
POSTED ON 3/29/2024 CLOSED ON 4/2/2024

What are the responsibilities and job description for the HEDIS Coordinator position at RPO Inc?

Title: Patient Care Advocate (Member Outreach/HEDIS)

Duration: 3 months contract to hire

Target Start Date (based on successful onboarding completion): 05/01/24

Shift: 8:00 AM - 5:00 PM - Monday - Friday

Location: REMOTE - West PA Areas (Member-Facing, Traveling 3 days of the week)

  • Erie
  • Crawford
  • Mercer
  • Lawrence
  • Beaver
  • Allegheny
  • Butler
  • Washington
  • Greene
  • Fayette
  • Westmoreland
  • Somerset
  • Bedford

Walk me through the day-to-day responsibilities of this the role and a description of the project:

  • Telephonic outreach to members, addressing gaps in care, and barriers to care i.e., transportation, offering in-home test kits for gap closures.

Describe the performance expectations/metrics for this individual and their team:

  • 20 unique members per day, 3 calls per member at different times of day, 5 kits requested and returned per month, and 5 PCP appointments scheduled per month. Meeting and exceeding eighty percent (80%) for quality call reviews. Reach rate of 40%, engagement rate of 20% of reached members. Effective utilization of Jaber and Nice Engage.

Tell me about what their first day looks like:

  • Outreach members for gaps in care and/or additional training.

What previous job titles or background work will be in this role?

  • Health Coach, Care Engagement Specialist, Nursing. HEDIS metrics, Knowledge of Quality Outreach platforms, self-motivation, team player, medical knowledge.

Required Skills/Experience/Education:

  • 2 years of RECENT Member-Facing Patient Care Advocate and Motivational interviewing Experience
  • Bachelor's Degree in Healthcare, Public Health, Nursing, Psychology, Social Work, Health Administration, or related health field
  • Technology skills, Customer service skills and Ability to multi-task

Job Type: Contract

Salary: $30.00 per hour

Expected hours: 40 per week

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Flexible schedule
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Medical specialties:

  • Home Health
  • Public Health

Schedule:

  • 8 hour shift

Education:

  • Bachelor's (Required)

Experience:

  • Patient Care Outreach: 2 years (Required)
  • HEDIS: 2 years (Required)

Ability to Commute:

  • Lawrence, PA (Required)

Ability to Relocate:

  • Lawrence, PA: Relocate before starting work (Required)

Willingness to travel:

  • 75% (Required)

Work Location: On the road

Salary : $30

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