HEDIS Pharmacy Outreach Coordinator

4 weeks ago

Northridge, United States Regal Medical Group 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

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