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Outreach Representative

2 months ago

Indianapolis, United States TEKsystems Full time

*TekSystems is hiring an Outreach Representative for a local health insurance company in Indianapols*

This position is part of the Quality Department and focuses on educating/networking with members of the community to attract or retain membership. The quality piece may include identifying gaps in care and working with quality improvement initiatives (ie encoraging members to seek preventative health screenings).

Essential Functions and Responsibilities:

-Ensure members awareness of and access to primary care services through education and coordination of members and providers resulting in HEDIS improvement.

-Engage with assigned Provider offices on HEDIS gaps in care, work collaboratively with the provider office to review records, close gaps in care in supplemental databases, and schedule patient appointments upon request.

-Perform annual HEDIS Hybrid audit activities, including scheduling appointments with the office, reviewing records on site or through provider office EMR.

-Establish and maintain relationships with the primary care network, community programs, providers and members.

-Participate in the development and delivery of Outreach Programs, including call programs and member contacts which result in key HEDIS measures attainment.

-Communicate updated active community resource information to medical management and individual members as needed.

-Responsible for presentations and seminars for health lifestyles as needed.

-Participate in Departmental Projects, as appropriate.

-Coordinate quality improvement initiatives with Medical Management Dept., i.e., Preventative Health Screenings.

-Other duties as assigned or when necessary to maintain efficient operations of the department and the Company as a whole.

Shift

Monday-Friday, 8:30am-5pm

About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.