Hedis Outreach Coordinator

Job Description

Position Summary:

Responsibilities include but are not limited to data entry, maintenance, and reporting in, of and from the Contract Database (CDB); verification and processing of various forms used by, Network Management, HR, Corporate and IS; and gathering provider information from a variety of sources.

Essential Duties and Responsibilities include the following:

• Prepares, sends, and routes contracts per Data Management policies and procedures.
• Tracks provider contracts and related forms.
• Gathers and consolidates provider data from a variety of internal and external sources.
• Corresponds with internal and external sources regarding the accuracy and loading of information in internal and external databases.
• Prints, copies, scans, organize and distribute all provider contract routing forms.
• Verifies accuracy of provider information documented in reports.
• Coordinates provider contracts with credentialing status to ensure only credentialed providers are loaded in the CDB.

The pay range for this position at commencement of employment is expected to be between $18 - $20 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:

• Ability to review and interpret contract language preferred
• Excellent written and verbal communication skills.
• Typing/Data entry skills and accuracy.
• Proficient in the use of personal computers, including...
• MS Office applications
• Internet access and browsing
• Copiers Scanners
• Medical group or IPA operations information systems management experience preferred.
• Appropriate industry experience and/or certification preferred.

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