CVS Health · 15 hours ago
Analyst, Outreach Coordinator - Work From Home
CVS Health is focused on building a world of health around every individual, aiming to simplify healthcare experiences. The Analyst, Outreach Coordinator will utilize various tools to help close care gaps, facilitate meetings with providers, and serve as a subject matter expert on HEDIS measures to assist members in obtaining necessary services.
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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
Required
Minimum 3 years' recent and related health care experience in any setting
1+ years of Medicare experience and/or 1+ years of HEDIS medical record abstraction experience
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®
Medicare Stars experience or 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
Company
CVS Health
CVS Health is a health solutions company that provides an integrated healthcare services to its members.
Funding
Current Stage
Public CompanyTotal Funding
$4BKey Investors
Michigan Economic Development CorporationStarboard Value
2025-08-15Post Ipo Debt· $4B
2025-07-17Grant· $1.5M
2019-11-25Post Ipo Equity
Leadership Team
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