Quality Outreach Coordinator
BC Forward

Job Info

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Quality Outreach Coordinator

BCforward is currently seeking a highly motivated Quality Outreach Coordinator for an opportunity in Remote (CST)!

Position Title: Quality Outreach Coordinator

Location: Remote (CST)
Anticipated Start Date: 12/9/2024

Please note this is the target date and is subject to change. BCforward will send official notice ahead of a confirmed start date.

Expected Duration: 03 months

Job Type: [FULL TIME (>=30 HRS WEEKLY, [CONTRACT], [HYBRID]
Pay Range: [$18.00] - [$20.50]

Please note that actual compensation may vary within this range due to factors such as location, experience, and job responsibilities, and does not encompass additional non-standard compensation (e.g., benefits, paid time off, per diem, etc.).
Requirements:

• HEDIS / QARR
• Healthcare background (doctors office, hospital setting)
• Medical Terminology

Job Description:

Position Purpose: The Program Coordinator 1 will assist in activities related to closing open care gaps for high-risk members. This includes outreach and support for quality initiatives, including member engagement and coordination with healthcare providers to improve healthcare outcomes. The position supports efforts to increase preventive care compliance and ensures the accuracy of medical data.

Education/Experience:

• High school diploma or equivalent
• Minimum of 2 years of experience in a managed care setting, medical office, or facility environment, with demonstrated medical administration duties
• Knowledge of medical terminology

Key Responsibilities:

• Assist in closing care gaps for high-risk members by providing outreach and education
• Support quality initiatives including contacting members who are non-compliant with designated outreach services
• Conduct seasonal call campaigns in coordination with local market efforts
• Enter data assessments and authorizations into the system and maintain accurate records
• Ensure the integrity of Personal Health Information (PHI) is maintained
• Provide customer service to members, including outbound calling and addressing concerns or inquiries
• Ensure compliance with HEDIS (Health Effectiveness Data and Information Sets), QARR (Quality Assurance Reporting Requirements), and PSO (Preventative Service Outreach)
• Assist in Health Risk Assessments (HRA) as needed
• Maintain awareness of compliance policies and standards

Performance Expectations:

• Participate actively in projects and meet deadlines
• Demonstrate a strong work ethic and attention to detail
• Display the ability to solve problems independently using available resources
• Exhibit exceptional phone etiquette and customer service skills
• Actively engage in training and be proactive in applying knowledge
• Ability to adapt to a fast-paced environment and handle multiple tasks simultaneously

Required Skills/Experience:

• Experience in healthcare or customer service (2+ years)
• Strong organizational and communication skills
• Knowledge of medical terminology
• Comfortable working in a "call center" environment
• Ability to demonstrate leadership and problem-solving skills

Preferred Skills/Experience:

• Experience with HEDIS and QARR reporting
• Exceptional phone behavior and customer service skills
• Healthcare background (doctor's office, hospital, or managed care setting)
• Ability to work independently while also collaborating with a team

Work Environment/Culture:

• The team is highly motivated, driven, and focused on completing tasks and meeting goals.
• Must be reliable and dependable, with minimal need for time off.
• The environment is fast-paced, and the ability to quickly adapt to changing priorities is essential.
• The role involves significant interaction with high-risk members, with a focus on improving healthcare outcomes through outreach and education.

Benefits:

BCforward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.
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About BCforward:

Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.

BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.

BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.

To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.

This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.

Interested candidates please send resume in Word format Please reference job code 231892 when responding to this ad.

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Job Snapshot

Employee Type
Contractor

Location
Richmond Heights, MO (Onsite)

Job Type
Health Care

Experience
Not Specified

Date Posted
11/25/2024

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