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CVS Health · 4 hours ago

ANALYST,OUTREACH COORDINATOR

United States

Full-time

Remote

Mid Level

$21.10/hr - $40.90/hr

3+ years exp

CVS Health is a leading health solutions company dedicated to transforming health care. The Analyst, Outreach Coordinator plays a crucial role in closing care gaps by facilitating meetings with providers and internal partners, while also serving as a subject matter expert on HEDIS measures.

Health CareMedicalPharmaceuticalRetailSales

Responsibilities

Subject Matter Expert in Healthcare Effectiveness Data and Information Set (HEDIS®) improvement work

Interacts with providers and/or members to improve healthcare outcomes such as increased preventive care compliance

Supports provider engagement

Active participation in workgroups

Delivers quality information to internal and external constituents via written and verbal communication

Actively seeks opportunities for process improvement resulting in efficient and effective work streams

Independently map out provider outreach work plans and execute deliverables

Supports complex relationships with both internal and external constituents

Consults with constituents on solutions to business issues including education and process improvement opportunities

Support complex provider partners with HEDIS® gaps in care, digital solutions, and remote medical record collection discussions and education

Work closely with the provider partner to enhance collaboration between provider and Aetna

Provides support for HEDIS® quality initiatives and regulatory/contractual requirements including outreach to members who are noncompliant in the designated outreach services

Supports effective medical record capture for HEDIS® medical record review and abstraction of supplemental data

Public speaking

Qualification

HEDIS expertiseHealthcare experienceProvider educationProcess improvementCPT/ICD codingHealth insurance experienceCommunication skills

Required

3+ years' of recent and related health care experience in any setting

1+ years member/provider education experience targeting gaps in care

Experience successfully performing in an environment where daily/weekly productivity metrics are expected

Ability to work independently

Ability to use standard corporate software packages and applications

Strong communication skills

Preferred

Experience speaking with medical providers and/or medical office staff

Recent and related experience working with HEDIS®

Health insurance experience

Health care related experience in clinical, managed care or quality management

Understanding of CPT/CPTII/ICD9/ICD10 coding and medical terminology

Benefits

Affordable medical plan options

401(k) plan (including matching company contributions)

Employee stock purchase plan

No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching

Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility