HEDIS PHARMACY OUTREACH COORDINATOR

3 weeks ago

CA United States Regal Medical Group, Inc. Full time
Job Description

Position Summary:

The HEDIS Pharmacy Outreach Coordinator is an active member of the HEDIS department and works closely with other team members and management. The HEDIS Pharmacy Outreach Coordinator will perform outbound calls to beneficiaries regarding quality measures related to medications. The HEDIS Pharmacy Outreach Coordinator will report to the management team of the HEDIS department and will take on active roles related to pharmacy, provider and patient outreach.

Essential Duties and Responsibilities include the following:

Will be an integral member, responsible for supporting and enhancing the HEDIS department. Areas of involvement will include, but not limited to:
Working closely with the Clinical Pharmacist, Project Manager, and other staff to identify and provide outreach to pharmacies, providers and patients

  • Written and verbal communication and transmission of information is clear, concise and is in proper business and grammatical format
  • Preparing and maintaining records and files which are neat, organized, thorough and readily accessed
  • Contacting provider offices and pharmacies to ensure that new or refill prescription requests are received timely, and filled
  • Contacting patients to inform them that their approved new or refill prescription from their provider is ready at their pharmacy
  • Completing assignments within specified timelines and reporting project progress to designated person
  • Communicating with internal and external beneficiaries in a professional manner and follows through on commitments
  • Ability to manage a heavy workload with frequent interruptions and changing priorities in a fast paced environment
  • Ability to work well in a team environment on special projects
  • Skill in working independently, but with supervision
  • When identifying a problem, informs management in a timely manner so the problem can be corrected
  • Protecting and maintaining confidentiality and privacy of all patient information, including adherence to strict protocols for HIPAA
  • Supporting the company's vision, mission, values, goals, and policies
  • Performing other duties and responsibilities as assigned

The pay range for this position at commencement of employment is expected to be between $24 - $26 per hour; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience.

The total compensation package for this position may also include other elements, including a sign-on bonus and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered.

Details of participation in these benefit plans will be provided if an employee receives an offer of employment.

If hired, employee will be in an at-will position and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.

As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.

Full Time Position Benefits:

The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life.

Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options.

Health and Wellness:

  • Employer-paid comprehensive medical, pharmacy, and dental for employees
  • Vision insurance
  • Zero co-payments for employed physician office visits
  • Flexible Spending Account (FSA)
  • Employer-Paid Life Insurance
  • Employee Assistance Program (EAP)
  • Behavioral Health Services

Savings and Retirement:

  • 401k Retirement Savings Plan
  • Income Protection Insurance

Other Benefits:

  • Vacation Time
  • Company celebrations
  • Employee Assistance Program
  • Employee Referral Bonus
  • Tuition Reimbursement
  • License Renewal CEU Cost Reimbursement Program
  • Business-casual working environment
  • Sick days
  • Paid holidays
  • Mileage

Employer will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the LA City Fair Chance Initiative for Hiring Ordinance.

Requirements

Education and / or Experience:

  • High School diploma
  • Bilingual in Spanish required
  • One year experience in a clinical setting preferred
  • Familiarity with managed care, commercial and point of service medical care preferred.
  • HEDIS experience preferred
  • Proficient in Microsoft Applications: Outlook, Word, Excel, and Power Point
  • Ability to type >40 WPM
  • Strong communication and customer service skills

  • COMMUNITY OUTREACH COORDINATOR

    4 weeks ago

    Camden, NJ, United States Cooper University Health Care Full time

    About us At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees by providing...

  • Case Management

    3 days ago

    United States, CA, El Dorado Hills Blue Shield of California Full time

    Your Role The Federal Employee Program (FEP) team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members’ care including clinical nurses and treating physicians. The Registered Nurse Case Manager will report to the...

  • Pharmacy Technician

    6 days ago

    San Diego, CA, United States Provizor Federal Full time

    Are you a Pharmacy Technician with a minimum of one (1) years of experience in the San Diego, CA - California area? We are searching for a Pharmacy Technician to support needs at the Naval Base San Diego located in San Diego, CA - California. APPLY NOW!Provizor Federal offers GREAT Perks and Incentives and is constantly adding! We put our PEOPLE first! We...

  • Pharmacy Technician

    7 days ago

    San Diego, CA, United States Provizor Federal Full time

    Are you a Pharmacy Technician with a minimum of one (1) years of experience in the San Diego, CA - California area? We are searching for a Pharmacy Technician to support needs at the Naval Base San Diego located in San Diego, CA - California. APPLY NOW!Provizor Federal offers GREAT Perks and Incentives and is constantly adding! We put our PEOPLE first! We...

  • Infusion Coordinator

    6 days ago

    Cerritos, CA, United States KabaFusion Full time

    Come join an exciting and innovative company that puts the “care” back in healthcare!Why do Pharmacy Technicians want to work here? The reason people love working for KabaFusion is because of the impact we have on our patients. Here, it doesn’t matter what your role is, you will be part of a team that works collaboratively to change lives. You will go...

  • Pharmacy Technician

    6 days ago

    Twentynine Palms, CA, United States Provizor Federal Full time

    Job descriptionAre you a Pharm Techwith a minimum of one (1) year of experience in the San Bernardino, CA area? We are searching for a Pharmacy Technician to support needs at the NH29 Palms located in San Bernardino, CA. APPLY NOW!Provizor Federal offers GREAT Perks and Incentives and is constantly adding! We put our PEOPLE first! We have been a recognized...

  • Pharmacy Technician

    3 weeks ago

    Brentwood, TN, United States Monogram Health Full time

    Position: Pharmacy Technician As the company’s certified pharmacy technician, you will play a key role in driving results in a medication therapy management program. This role is ideal for someone who wants to contribute to an innovative program working with pharmacists and members with complex medical conditions to improve medication and health outcomes....

  • Pharmacy Technician

    3 weeks ago

    Tempe, AZ, United States Monogram Health Full time

    Position: Pharmacy TechnicianAs the company’s certified pharmacy technician, you will play a key role in driving results in a medication therapy management program. This role is ideal for someone who wants to contribute to an innovative program working with pharmacists and members with complex medical conditions to improve medication and health outcomes....

  • Clinical Pharmacy Manager

    1 month ago

    Plattsburgh, NY, United States The University of Vermont Health Network Full time

    GENERAL SUMMARY: The Clinical Pharmacy Manager is responsible for the design, planning, implementation and maintenance of all Clinical Pharmacy programs. This individual displays competence in the 5 core health care competencies of interdisciplinary team work, quality improvement, evidence based practice, patient focused care and informatics. The Clinical...

  • Clinical Pharmacy Manager

    1 month ago

    Plattsburgh, NY, United States The University of Vermont Health Network Full time

    GENERAL SUMMARY: The Clinical Pharmacy Manager is responsible for the design, planning, implementation and maintenance of all Clinical Pharmacy programs. This individual displays competence in the 5 core health care competencies of interdisciplinary team work, quality improvement, evidence based practice, patient focused care and informatics. The Clinical...

  • Pharmacy Manager Oncology

    1 month ago

    Burlington, VT, United States The University of Vermont Health Network Full time

    JOB DESCRIPTION:The Oncology Manager is a member of the pharmacy leadership team. Plans, organizes, directs and operates the department according to The University of Vermont Medical Center’s goals, policies and practices. Participates in the development and execution of the department strategic and operational plans. Provides leadership and direction for...

  • Pharmacy Manager Oncology

    1 month ago

    Burlington, VT, United States The University of Vermont Health Network Full time

    JOB DESCRIPTION:The Oncology Manager is a member of the pharmacy leadership team. Plans, organizes, directs and operates the department according to The University of Vermont Medical Center’s goals, policies and practices. Participates in the development and execution of the department strategic and operational plans. Provides leadership and direction for...

  • Senior Quality Specialist

    7 days ago

    United States Magellan Health Full time

    This position is contingent on a contract award.Serves as a member of the quality team at the national, regional or unit level. Coordinates projects resulting in continuous quality improvement and process improvement. Supports the maintenance of a strong quality program, measured processes including URAC, NCQA and/or HEDIS (where applicable) and reported...

  • Pharmacy Clinical Manager

    1 week ago

    , TX, United States Nealy Pierce Full time

    Highlights/Benefits:Children's Hospital (Non-Profit Teaching Facility)PGY1 Residency Director & Clinical ManagerTeam of 12 Clinical PharmacistsFacility Undergoing Tremendous Growth in 2024 (New Hospital, Level-4 NICU)Support from from Hospital Leadership Team$132k-$195k Salary + $15,000 Relocation5 Weeks PTO + Incredible Benefits & PerksAbout the...

  • Pharmacy Technician

    7 days ago

    San Diego, CA, United States Provizor Federal Full time

    Are you a Pharmacy Technician with a minimum of one (1) years of experience in the San Diego, CA - California area? We are searching for a Pharmacy Technician to support needs at the Naval Base San Diego located in San Diego, CA - California. APPLY NOW! Provizor Federal offers GREAT Perks and Incentives and is constantly adding! We put our PEOPLE first! We...

  • Pharmacy Technician

    7 days ago

    San Diego, CA, United States Provizor Federal Full time

    Are you a Pharmacy Technician with a minimum of one (1) years of experience in the San Diego, CA - California area? We are searching for a Pharmacy Technician to support needs at the Naval Base San Diego located in San Diego, CA - California. APPLY NOW! Provizor Federal offers GREAT Perks and Incentives and is constantly adding! We put our PEOPLE first! We...

  • Infusion Coordinator

    5 days ago

    Cerritos, CA, United States KabaFusion Full time

    Come join an exciting and innovative company that puts the “care” back in healthcare! Why do Pharmacy Technicians want to work here? The reason people love working for KabaFusion is because of the impact we have on our patients. Here, it doesn’t matter what your role is, you will be part of a team that works collaboratively to change lives. You will go...

  • Quality Specialist II

    7 days ago

    United States Magellan Health Full time

    This position is contingent on a contract award.Serves as a member of the quality team at the national, regional or unit level. Coordinates projects resulting in continuous quality improvement and process improvement. Supports the maintenance of a strong quality program, measured processes including URAC, NCQA, and/or HEDIS (where applicable) and reported...

  • Nursing services Coordinator

    1 week ago

    Denver, CO, United States Res-Care, Inc Full time

    Nursing services Coordinator - Infusion PharmacyOur Company Amerita Overview The Nursing Coordinator is responsible for the coordination and scheduling of Amerita and Subcontracted Agency (SUB) nursing visits, approving submitted nursing documents, creating nursing delivery tickets, tracking Plans of Treatments, and managing SUB authorizations and...

  • Pharmacy Resident Pharmacy Resident Program/Full-Time

    2 weeks ago

    Santa Fe, NM, United States Christus Health Full time

    DescriptionPOSITION SUMMARY:  Twelve (12) month Pharmacy Residency Program accredited by the American Society of Health-System Pharmacists (ASHP) to provide post-graduate pharmacist training in clinical and distributive pharmacy for an integrated health care system. The candidate will be expected to promote the safe and effective use of medication for all...