Quality HEDIS Coordinator/Administrative Assistant- Remote in VA!

City/State Richmond, VA

Overview

Work Shift First (Days) (United States of America) Sentara Health Plans is currently hiring a HEDIS Quality Coordinator/Administrative Assistant! Status: Full time position (40 hours) Standard working hours: Dayshift, 7:30am to 4pm EST. Location: Applicants must live in Virginia. Need to go as needed (approx. 1 a year). Required Qualifications • High School Grad or Equivalent • One-year customer service experience required Preferred Qualifications • Experience with Medical Records Preferred • One-year experience in a member and/or provider engagement role preferred • Medicare/Medicaid/Commercial experience/knowledge highly preferred Special skills and/or knowledge: • Analytical skills - proficient using Microsoft Office including Microsoft Excel • Openly and actively communicates information and takes initiative to communicate extensively • Ability to handle difficult situations diplomatically • Effective interpersonal skills, collaboration, and listening skills • Ability to build strong relationships within and outside the health plan • Negotiation skills Primary responsibilities include: • Providing "best in class" service and is the first point of contact, ambassador and concierge for assigned region/membership • Utilizes skills to retain members in the assigned provider practices and supports new membership after the initial enrollment period • Coordinates in office wellness events as a result of interventions management to improve gap closures in the field • Coordinates with Health Education and contacts members telephonically to schedule them for appointments • Participates in the Member Advisory and Provider Advisory Meetings as needed • Maintains superior member/provider relationships and ensures the highest quality of care coordination. Benefits: Sentara offers an attractive array of full-time benefits to include Medical, Dental, Vision, Paid Time Off, Sick, Tuition Reimbursement, a 401k/403B , 401a, Performance Plus Bonus, Career Advancement Opportunities, Work Perks and more. Sentara Health Plans is the health insurance division of Sentara Healthcare! Sentara Health Plans provides health insurance coverage through a full suite of commercial products including consumer-driven, employee-owned and employer-sponsored plans, individual and family health plans, employee assistance plans and plans serving Medicare and Medicaid enrollees. With more than 30 years' experience in the insurance business and 20 years' experience serving Medicaid populations, we offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services - all to help our members improve their health. Keywords: #Indeed Talroo - Health Plan Full Time, Permanent, HEDIS, Medical Records, Medical Office, Medical Assistant, Admin Job Summary The Quality HEDIS Coordinator provides "best in class" service and is the first point of contact, ambassador and concierge for assigned region/membership. Utilizes skills to retain members in the assigned provider practices and supports new membership after the initial enrollment period. Coordinates in office wellness events as a result of interventions management to improve gap closures in the field. Coordinates with Health Education and contacts members telephonically to schedule them for appointments. Participates in the Member Advisory and Provider Advisory Meetings as needed. Maintains superior member/provider relationships and ensures the highest quality of care coordination. One-year experience in a member and/or provider engagement role preferred Ability to travel up to 80% of the time is mandatory Qualifications: ALD - Associate's Level Degree, HS - High School Grad or Equivalent (Required) Customer Service, Managed Care Skills Active Listening, Communication, Critical Thinking, Microsoft Office, Monitoring, Service Orientation, Social Perceptiveness, Troubleshooting Sentara Healthcare prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at ecfr.gov for further information. In an effort to expedite this verification requirement, we encourage you to upload your diploma or transcript at time of application. In support of our mission "to improve health every day," this is a tobacco-free environment. Apply Job!