Coordinator III - HEDIS Outreach Coordinator - Rhode Island, 02895 REMOTE
Posted 2025-03-15Job Title - Coordinator III - HEDIS Outreach Coordinator
Location - Rhode Island, 02895 REMOTE
Shift - 1st shift 8am-5pm
Duration - 7 Months
Job Description
The Coordinator III - HEDIS Outreach Coordinator will work directly with other coordinators to ensure quality of work delivered, performance/productivity benchmarks are met, and all compliance related issues are properly addressed, trained and coached on a consistent basis.
Position Summary
The HEDIS Outreach Coordinator will work directly cleaning up the provider data within QMRM platform. Make calls to providers to request request records, get updates phone, fax emails. Retrieves data from a variety of sources. Collaborates with internal and external parties to assist with organizing the various components to update the provider data.
Perform work in alignment with the organization?s mission, vision and values.
Support the organization?s commitment to equity, diversity and inclusion by fostering a culture of open mindedness, cultural awareness, compassion and respect for all individuals. Participates in on-going training and education as deemed necessary by results of the company?s Quality Program.
Duties
? Provider Cleanup: Work with Provider Cleanup team to systematically scrub QMRM to clean provider information. Heavy data
? Non - responder calls to providers to get medical records into plans.
? Communication Development: Communicate effectively, both verbally and via email, to other Cross-Functional teams throughout the organization. Work closely with outside partners.
? Maintains or exceeds established productivity and quality standards
Exper Ience
? 3 years or more experience with HEDIS abstraction.
? Strong attention to detail
? Excellent communication and organizational skills
? Comfortable in both team player and team lead roles
? Confident in decision making ability within strict timelines
? Exceptional prioritization skills
? Acts with integrity and uses sound judgment in dealing with confidential information
Education
High school diploma or GED required, Bachelors Degree in Business Administration, Marketing, Healthcare or similar field preferred and have 2 years of relevant work experience.
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