BusinessOperations - Quality Outreach Coordinator - 112987

Mindlance

🇺🇸 United States
Remote
Manager or above
13 hours ago

medical terminology
HEDIS

13 hours ago

Not enough detail in this posting to match

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

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

EEO:

“Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of – Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.”

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Position Purpose: Performs duties to assist in activities related to closing open care gaps for high-risk members. 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
Story Behind the Need
What is the purpose of this team? What is driving this need? (ex. Backfill for FTE or CW, new project, business growth) Describe the surrounding team (team culture, work environment, etc.) & key projects. Do you have any additional upcoming hiring needs, or is this request part of a larger hiring initiative?	Performs duties to assist in activities related to closing open care gaps for high-risk members. EOY push outreach strategy The team is made up of 3 Patient Care Advocates, 1 Sr. PCA, 2 Quality Care Member Advocates and a Provider Practice coordinator. All are remote. No
Typical Day in the Role
Walk me through the day-to-day responsibilities and a description of the project (Outside of the Workday JD). What are performance expectations/metrics? What makes this role unique?	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
Candidate Requirements
Education/Certification	Required: High School Diploma or equivalent	Preferred: Healthcare
Licensure	Required: N/A	Preferred:
Years of experience required: 2 years managed care setting, medical office or facility setting with demonstration of medical administration duties. Disqualifiers: No health care experience Additional qualities to look for: Knowledge of medical terminology.
Top 3 must-have hard skills stack-ranked by importance	1	HEDIS Knowledge
2	Claims Knowlegde
3	Medicare Knowledge
Candidate Review & Selection
Shortlisting process Candidate review & selection Interview information Onboard process and expectations	Projected Manager Candidate Review Date:	1-2 days post shortlisting
Type of Interviews:	Teams, phone, etc.
Required Testing or Assessment (by Vendor):	Typing test, basic computers skills test, etc.
Next Steps

BusinessOperations - Quality Outreach Coordinator - 112987 · Mindlance

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