Job Description

Description:
Will this role be fully remote?: Yes (however we would like the opportunity for this person to make calls from KY provider offices)
Are there any specific locations/specific states the candidates should be in?: KY
What is the expected schedule (include dates/time/time zone): 9-5pm CST or EST
Day to Day Responsibilities:
Making calls to members and their parents or guardians to support closure of HEDIS gaps in care
Must Have Requirements: 1 year healthcare or clinical
Is there potential for this to extend past 6 months and/or convert to an FTE?: FTE transition is possible but no current plans

Summary:
Client's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of programs for members in accordance with prescribed quality standards. Implements key quality strategies focused on initiation and management of member interventions, with a primary responsibility of telephonic member outreach for health education and care gap closure.

Required Clinical background

• Strong telephonic customer service skills.
• Will be talking to members and parents
• Solid experience with Microsoft office tools - excel, word
• Adaptable to fast paced environment with frequent changes in priorities
• Experience with remote work and associated time management
• Reside in KY Preferred
• Prior experience with Medicaid and/or Medicare population
• Prior experience with same client
• HEDIS experience

Job Tags

Work at office, Remote work

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