drjobs HEDIS Coordinator - Bilingual Korean

HEDIS Coordinator - Bilingual Korean

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1 Vacancy
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Job Location drjobs

Huntington Beach, CA - USA

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

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.

Employment Type

Full Time

Company Industry

About Company

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