Quality Outreach Coordinator

Position Title : Quality Outreach Coordinator

Work Location : Remote

Work Duration : 8 Months (Possibility to extend or convert)

Summary :

Performs duties to assist in activities related to closing open care gaps for high-risk members.

Key Responsibilities :

• Interacts with high-risk members and / or providers to improve healthcare outcomes and close care gaps such as increased preventive care compliance
• Provides support for quality initiatives including outreach to members who are noncompliant in the designated outreach services
• Conducts seasonal call campaigns, in coordination with local market efforts
• Enters data assessments and authorizations into the system and maintain database as directed
• Maintains integrity of Personal Health Information
• Performs other duties as assigned
• Complies with all policies and standards Qualification & Experience : High school diploma or equivalent. 2 years managed care setting, medical office or facility setting with demonstration of medical administration duties. Knowledge of medical terminology.

Education / Certification

Required : High school diploma or equivalent. 2 years managed care setting,

Preferred : Licensure

Required : Preferred :

Must haves :

Nice to haves : Quality Improvement, healthcare Experience, HEDIS Experience, medical terminology

Disqualifiers : no outbound phone experience, no case manager experience,

Performance indicators :

Computer skills (fax, MS Suites, PDF converting)

Outbound Call Center