Large managed care company looking for EXPERIENCED HEDIS Project Coordinators for a contract position starting January 13th and going through approximately May 1, 2020.
THIS IS A REMOTE POSITION.
MUST HAVE TEST SCORES IN ORDER TO SUBMIT - PLEASE INQUIRE IF YOU NEED TO TEST.
Description:
Candidate must be able to support CST and EST.
Quality Solutions Delivery (QSD) integrates talented individuals with expertise and experience in many areas of quality improvement, including HEDIS®, CAHPS and Accreditation. Our goal is to achieve extraordinary performance that exceeds the expectations of the constituents, customers and members we serve. In this position, you will work with the Quality Solutions Delivery staff to assist with the 2020 data collection cycle.
The purposes of this role include, but are not limited to:
1. Market specific data collection efforts
2. Provider outreach
3. Medical record collection, identification and organization
The candidate must be technically savvy and must be able to work without distraction. This is a high production environment, and candidates must adhere to measured productivity requirements.
Responsibilities:
• Acts as contract employee working a required 40 hours weekly from January – May, onsite or virtually focused on HEDIS® data collection efforts for 2020
• Performs duties as assigned by QSD Manager, QSD Project Analyst, or Regional Operations Director for market specific annual data collection efforts
• Demonstrates effective professional verbal and written communication skills in a virtual environment and across time zones
• Demonstrates proficiency in Microsoft Office: Outlook, Excel, and Word and similar applications
o Manages various data organized within Excel spreadsheets
o Possesses ability to separate and combine PDF medical records in Adobe Acrobat
• Conducts claims research, determining correct service location or verifying member history
• Performs provider outreach, verifying and confirming provider demographics & medical record requests, both by telephone and in writing
• Requests medical records and performs follow up of requests within database tools
• Maintains HIPAA standards and confidentiality of protected health information; reports critical incidents immediately.
Shift Start/End Time: (Update as appropriate) Example: 8:00am-5:00pm in time zone as appropriate – Flex as necessary after training - Monday – Friday
• Ability to commit to entire January – May assignment with no or minimal absences
Required Qualifications/Skill Set:
• High school diploma or equivalent
• Reliable transportation (onsite only)
• Designated workplace inside home (virtual)
• Reliable internet connection (virtual)
• Strong Communication Skills
o Ability to contact providers and request data independently, by telephone and in writing
o Experience and confidence with placing outbound phone calls
• Proficient in Microsoft Office applications including Excel, Outlook, Word
• Solid research skills
• Excellent time management and prioritization skills
• Results-driven independent worker and self-starter
• Comfortable working in a virtual environment and across time zones
• Comfortable working with laptop vs desktop
• Flexible; self-directed learning approaches and adaptability are key
• High level of organization skills, including attention to detail
• Able to accept direction, duties and changing priorities as assigned
Preferred Qualifications/Skill Set:
• Registered Health Information Technologist / RHIM candidates, or healthcare students
• Previous experience working in virtual environment
• Previous contractor experience
• Experience working with HEDIS®
• Experience in claims / medical record review / medical billing / medical office
• Experience faxing from Microsoft Outlook and RightFax
• Experience with call centers
Testing of various skill sets/systems and technical capabilities ONSITE via contract employment agency if possible
• Testing scores available on resume
• Microsoft Office Suite (Excel, Word, Outlook)
o Writing sample (questionnaire supplied to agency) Data Entry
o Adobe Standard testing (separating, combining PDFs)
o Excel spreadsheet data manipulation
o Outlook email and calendar