BCforward is currently seeking a highly motivated Quality Outreach Coordinator for an opportunity in Remote!
Position Title: Quality Outreach Coordinator
Location: Remote
Anticipated Start Date: 12/09/2024
Please note this is the target date and is subject to change. BCforward will send official notice ahead of a confirmed start date.
Expected Duration: 3+ Months of contract with contract to hire
Job Type: [FULL TIME (>=30 HRS WEEKLY)], [CONTRACT], [REMOTE]
Pay Range: $17.00 - $20.50/hr.
Please note that actual compensation may vary within this range due to factors such as location, experience, and job responsibilities, and does not encompass additional non-standard compensation (e.g., benefits, paid time off, per diem, etc.).
Requirements:
HEDIS
Customer Service
Job Description:
Position Purpose:
Performs duties to assist in activities related to closing open care gaps for high-risk members.
Responsibilities:
Customer service.
Calling members via phone.
Calling the members and providing service.
Outbound calling.
The purpose of the team is to close care gaps, and ensure they are being addressed.
HEDIS -Health Effectiveness Data and Information Sets.
QARR - Quality Assurance Reporting Requirements.
PSO - Preventative Service Outreach (Majority).
HRA - Health Risk Assessment (Filler / temporary).
Required Skills/Experience:
High School Diploma (GED)
HEDIS / QARR.
Needs to demonstrate leadership capabilities. This person is going to need to be able to problem solve.
Microsoft Office must have stable internet connection, must be connected to secure Wi-Fi (home) not Starbucks, hotels, etc.
Education/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.
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 maintains database as directed.
Maintains integrity of Personal Health Information.
Performs other duties as assigned.
Complies with all policies and standards.
Benefits:
BCforward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.
Keywords:
[Business Analysis, and Information Technology (IT)]
About BC forward :
Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.
BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.
BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.
To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.
This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.
Interested candidates please send resume in Word format Please reference job code 231924 when responding to this ad.
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