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Astrana Health · 3 days ago

Patient Engagement Specialist I (Temp-to-Perm) - Must reside in SD

United States

Full-time

Remote

Entry Level

$20/hr - $25/hr

1+ years exp

Astrana Health is seeking a highly motivated Patient Engagement Specialist I in the San Diego area to support their Quality Care Improvement department. The role focuses on outreach to members, assisting with scheduling, and retrieving records to support gap closures in healthcare services.

Health CareMedical

Growth Opportunities

Responsibilities

Conduct outreach calls to inform patients of recommended services for HEDIS measure gap closure in a courteous and engaging manner

Requests and gathers necessary medical records as needed

Eﬀectively organize projects and tasks based on priority to help meet expectations and deadlines of projects

Collaborates with the health plan, PCP, and health care team to ensure timely communication of member's clinical information

Generates letters and faxes to PCPs, Specialists, patients, and other health care team members

Analytical problem solving with the ability to understand the overall picture

Coordinate care for patients as appropriate such as scheduling appointments, creating authorizations to facilitate/expedite patient’s requests based on provider’s orders

Maintain strict conﬁdentiality of business discussions

Travel to various oﬀices as designated

Ad-hoc projects as assigned by the manager/supervisor

May be required to work overtime to meet tight deadlines

Comply with department policy and procedures

Collect and collate appropriate data from IPA network providers for HEDIS measures

Collect medical records, conduct reviews and ensure accuracy of documentation for reporting

Collect, summarize and trend provider performance data to include provider education

Participate in ongoing discussions concerning data collections and analysis for HEDIS

Assist in planning and implementation of projects to improve delivery of services and quality of care

Understand the principles of CMS, HEDIS, NCQA, Health Plan Quality Standards and HIPAA

Generate and maintain accurate weekly/monthly/quarterly report of activities

Attend to health plans, provider, and interdepartmental calls

Qualification

HEDIS experienceElectronic schedulingMicrosoft applicationsOrganizational skillsAnalytical skillsMulti-taskingFluent in SpanishCommunication skillsAttention to detailAdaptability

Required

Must reside in San Diego

Minimum of Associate's degree, Bachelor's degree or equivalent years of experience

Experience using Microsoft applications such as Word, Excel and Outlook

Proficiency in electronic scheduling

At least one (1) year of HEDIS related experience

Must have Driver's License, reliable transportation and be willing to travel between office locations as needed

Ability to prioritize and effectively multi-task

Ability to quickly adapt to various situations

Excellent organizational skills and strong attention to detail

Effective and professional communication skills

Self-driven, quick learner, patient, must be able to work with people of different personalities

Preferred

Fluent in Spanish

1-3 years of IPA/MSO/HP or general healthcare experience

Excellent analytical critical reasoning and interpersonal communication skill

Ability to work in a fast-paced environment

Ability to keep a high level of confidence and discretion when dealing with sensitive matters relating to providers, members, business plans, strategies and other sensitive information