Quality Outreach Coordinator
BC Forward

Quality Outreach Coordinator

BC Forward is looking for HEDIS Coordinator (Remote)

Position Title: HEDIS Coordinator (Remote)

Location : REMOTE - CST/EST
Anticipated Start Date: 12/2

Expected Duration: 3 months

Job Type: Contract to Hire

Shift: 8:00 - 5:00 M-F, In the event that OT is required, the hiring manager will inform the workers ahead of time. Towards the end of the year there may be an opportunity for the worker to participate in OT during possibly (late October - November, December) TBD. 2 paid 15 min breaks per day, 30 min unpaid lunch

Pay Rate: $20.50/hr on W2

Need: Prior HEDIS/QARR Experience with minimum of 2 years AND Outbound Calling.




Job Description:

Position Purpose:

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

• Customer service
• Calling members via phone
• Calling the member and providing service
• Outbound calling
• Purpose of team is to close care gaps, and ensure they are being addresses.
• HEDIS -Health Effectiveness Data and Information Sets
• QARR - Quality Assurance Reporting Requirements
• PSO - Preventative Service Outreach (Majority)
• HRA - Health Risk Assessment (Filler / temporary)

This person may be asked to pivot and complete multiple projects and assignments in a timely manner. Training is going to be provided by the hiring leaders, but they do not have the capabilities to hand hold someone.
• Participation is a MUST.
• Leadership wants to ensure that this person is learning and absorbing the information provided. This person must be willing to demonstrate their knowledge and exhibit active listening.
Exceptional work ethic. This team is very driven and motivated to complete deliverables and daily tasks. This person should not be expected to be able to take time off / call off, etc.

• The hiring leaders are going to provide guidance and leadership to this person for them to be able to thrive in this environment. However, this person also needs to be independent and work on their own.
• This person should be able to identify an issue and be able to dig for the answers and utilize the resources provided by their management.

Required Skills/Experience:
HEDIS / QARR
Needs to demonstrate leadership capabilities. This person is going to need to be able to problem solve.
Strong organizational skills
Exceptional phone behavior
Healthcare background (doctors office, hospital setting, 2+ years
Medical Terminology

Preferred Skills/ Experience:
Exceptional work ethic

Education Requirement: HSD

Education Preferred: Experience equivalent to degree

Software Skills Required: 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 maintain 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.

About BCforward:

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 231893 when responding to this ad.

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Job Snapshot

Employee Type
Contractor

Location
Florida, FL (Onsite)

Job Type
Health Care

Experience
Not Specified

Date Posted
11/26/2024