MW Partners is currently seeking a HEDIS Coordinator to work for our client who is a global leader in Health Insurance.
Responsibilities and duties:
- Candidate will work with the HEDIS team to collect member records and conduct reviews of these records by contacting providers and placing the results collected into a specific database.
- Facilitate fax or telephone call notification for providers utilizing reports.
- Create PowerPoint decks and other training materials for providers and staff.
- Collects and compiles the required documentation to maintain critical quality improvement functions.
Telephonic and electronic outreach to patients
- HIPAA compliant outreaches to patients for Medication adherence/utilization and other risk/quality gaps closure support including but not limited to CAHPS and HEDIS/Risk gaps.
- Warm transfer of any calls to the vendors per the need of the project.
- Identifying barriers that prevent patients from closing any gaps and work with care team members to help patients be successful in managing their health.
- Coordinate with members of the patient care team including vendors providers pharmacists nurses and patient care coordinators to address patient needs.
Requirements:
- Fluent in Korean
- Customer Services experience in a Health Plan/Managed Care environment
For a confidential discussion or to find out more contact Indu Sri onor apply now.